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1.
Revista Digital de Postgrado ; 9(2): 204, ago. 2020.
Article in Spanish | LILACS (Americas), LIVECS | ID: biblio-1103539

ABSTRACT

Como parte de la evaluación de la asignatura Bioética e Investigación de la Maestría en Bioética, se solicitó a los estudiantes de la VI Cohorte que realizarán un análisis comparativo de las Pautas CIOMS 2016 con documentos anteriores. En esta segunda parte, se presentan las pautas relacionadas con el consentimiento informado, la recolección, almacenamiento y uso de materiales biológicos y datos relacionados, así como la rendición pública de cuentas y la publicación de las investigaciones. Estas pautas son fundamentales para la realización de investigaciones científicas en seres humanos por eso el objetivo de estos trabajos es proporcionar a los investigadores un aporte en su formación y una rápida adaptación a la nueva propuesta CIOMS(AU)


As part of the evaluation of the Bioethics and Research subject of the Master in Bioethics, students of the VI Cohort were asked to make a comparative analysis of the CIOMS 2016 Guidelines with previous documents. In this second part, the guidelines related to informed consent, collection, storage and use of biological materials and related data, as well as public accountability and publication of research are presented. These guidelines are fundamental for carrying out scientific research on human beings, and for this reason the objective of this work is to provide researchers with a contribution in their training and a rapid adaptation to the new CIOMS proposal(AU)


Subject(s)
Humans , Male , Female , Bioethics , Practice Guidelines as Topic , Biomedical Research/standards , Informed Consent , Patient Advocacy , Schools, Medical , Human Rights
5.
Gastroenterol. latinoam ; 31(1): 21-27, mayo 2020. tab
Article in Spanish | LILACS (Americas) | ID: biblio-1103271

ABSTRACT

The new Coronavirus (SARS-CoV-2) appeared in China in December 2019. Since then and until April 2020 it spread worldwide affecting more than three million people. Its exponential rise is still growing all over the world, taking thousands of lives. SARS-CoV-2 is very contagious, person to person, by droplets which can generate a respiratory infection known as COVID-19. Some patients are at higher risk: Older people, those with cardiovascular disease, diabetes and hypertension are the most prone to an unfavorable outcome. Our Inflammatory Bowel Disease (IBD) patients are a special cluster, with many of them taking immunosuppressive treatment for long periods, which could pose an important risk. Scientifics societies all over the world have joined efforts to generate data, share experiences and make recommendations for good clinical management. This is a review of the available evidence, expert opinion, and proposed ways of working during the pandemic


El nuevo coronavirus (SARS-CoV-2) apareció en China en diciembre de 2019. Desde su inicio hasta abril de 2020 se ha expandido por todo el mundo, afectando a más de tres millones de personas. Su ascenso exponencial sigue creciendo, generando miles de muertes. Su contagiosidad es persona a persona por gotitas, pudiendo llegar a generar un cuadro clínico de infección respiratoria conocido como COVID-19. Algunos pacientes tienen más riesgos de tener un curso desfavorable; adultos mayores, pacientes con enfermedad cardiovascular, hipertensos y diabéticos. Nuestros pacientes con enfermedad inflamatoria intestinal son un grupo de pacientes con características particulares, muchos de ellos reciben tratamiento inmunosupresor por largos períodos, lo que pudiese suponer un riesgo específico. Las sociedades científicas de Europa y Norteamérica han realizado un esfuerzo conjunto para generar datos, compartir experiencias y dictar recomendaciones de buen manejo clínico. Esta es una revisión de la evidencia disponible, opiniones de expertos y formas de trabajo propuestos durante la pandemia.


Subject(s)
Humans , Pneumonia, Viral/epidemiology , Inflammatory Bowel Diseases/therapy , Coronavirus Infections/epidemiology , Betacoronavirus , Inflammatory Bowel Diseases/drug therapy , Risk Factors , Practice Guidelines as Topic , Risk Assessment , Pandemics
6.
Gastroenterol. latinoam ; 31(1): 9-20, mayo 2020. tab, ilus
Article in Spanish | LILACS (Americas), Inca | ID: biblio-1103076

ABSTRACT

The outbreak of COVID-19 disease has recently spread from its original place in Wuhan, Hubei province, China, to the entire world, and has been declared to be a pandemic by the World Health Organization in March 2020. All countries in America, in particular Chile, show an important increase in COVID-19 cases and deaths. The clinical manifestations of COVID-19 are a broad spectrum, from asymptomatic mild disease, to severe respiratory failure, shock, multiorgan dysfunction and death. Thus, high clinical suspicion and appropriate structure risk stratification are needed. Health care teams in endoscopy units, are at an increased risk of infection by COVID-19 from inhalation of droplets, mucosae contact, probably contamination due to contact with stools. Endoscopic aerosolized associated infections have also been reported. Different societies' recommendations, have recently placed digestive endoscopy (especially upper) among the high risk aerosol generating procedures (AGPs). In addition, live virus has been found in patient stools. On top of this, the infected health professionals may transmit the infection to their patients. Health care infection prevention and control (HCIPC), has been shown to be effective in assuring the safety of both health care personnel and patients. This is not limited to the correct use of personal protective equipment (PPE), but is based on a clear, detailed and well communicated HCIPC strategy, risk stratification, use of PPE, and careful interventions in patients with moderate and high risk of COVID-19. A conscientious approach regarding limited resources is important, as the simultaneous outbreak in all countries heavily affects the availability of health supplies. The Chilean Gastroenterology Society (SChGE) and Digestive Endoscopy Association of Chile (ACHED) are joining to provide continued updated guidance in order to assure the highest level of protection against COVID-19, for both patients and health care workers. This guideline will be updated online as needed.


El brote de la enfermedad denominada COVID-19, se ha extendido desde su origen en Wuhan, provincia de Hubei, China, a todo el mundo. La Organización Mundial de la Salud lo declaró pandemia en marzo de 2020. Todos los países de América, en especial Chile, presentan incremento de casos y fallecidos. Las manifestaciones clínicas de COVID-19 van desde una enfermedad leve, hasta insuficiencia respiratoria severa, shock, disfunción orgánica y muerte. Se necesita una alta sospecha clínica y una adecuada estratificación del riesgo. El equipo de salud en las unidades de endoscopia, tiene un mayor riesgo de COVID-19 que otras unidades clínicas y de apoyo diagnóstico, dada la mayor exposición a inhalación de gotas, contacto posible con mucosas y contaminación por contacto con deposiciones. Recomendaciones de diferentes sociedades colocan la endoscopia digestiva (especialmente la esofagogastroscopia o endoscopia digestiva alta, EDA) entre los procedimientos generadores de aerosoles (PGA) de alto riesgo. Además, se han encontrado virus viables en las deposiciones de los pacientes. Potencialmente, los profesionales de la salud infectados podrían contagiar a los pacientes. Se ha demostrado que la prevención y control de infecciones asociadas a la atención de salud (IAAS), son efectivos para garantizar la seguridad tanto del personal de salud, como de los pacientes. Esto no es solamente el correcto uso del equipo de protección personal (EPP), sino que se basa en una clara estrategia de IAAS, bien comunicada, con estratificación de riesgo, uso de EPP e intervenciones correctas en pacientes con riesgo moderado y alto. Es relevante un enfoque sobre los limitados recursos, dado la simultaneidad del brote en todos los países, que afecta la disponibilidad de insumos. La Sociedad Chilena de Gastroenterología (SChGE) y la Asociación Chilena de Endoscopia Digestiva (ACHED) publican esta guía actualizada para apoyar las buenas prácticas contra COVID-19, tanto para pacientes como para el equipo de salud. Esta guía podrá tener actualizaciones según avance la información disponible.


Subject(s)
Humans , Pneumonia, Viral/prevention & control , Endoscopy, Digestive System/standards , Coronavirus Infections/prevention & control , Betacoronavirus , Pneumonia, Viral/epidemiology , Risk Factors , Infection Control/methods , Practice Guidelines as Topic , Coronavirus Infections/epidemiology , Pandemics , Hospital Units/standards
11.
Biosci. j. (Online) ; 36(1): 295-303, jan./feb. 2020. ilus, tab
Article in English | LILACS (Americas) | ID: biblio-1049251

ABSTRACT

This study aimed to develop a guideline concerning the care directed toward an individual with an intestinal and/or urinary ostomy attending the Assistance Service for Ostomized Patients implemented at the Clinical Hospital of Uberlândia UFU, in order that such individuals be provided the means of self-care and thus improve their life quality. A bibliographical survey was performed on the theme, which focused on Guidelines Based on Evidence. The development of these guidelines was based on a bibliographical survey and took as its foundation the principles of Orem's self-care theory and the educational practices applied to pedagogy in health according to Paulo Freire's philosophy concerning liberating education, qualification and dialogue between the subject and the professional, which grants the possibility of aiding the family and patient to modify their lifestyles and be the agents of transformation, thus favoring the development of their autonomy. The printed educational material brings new information and knowledge to the ostomized patient.


Trata-se da elaboração de um guia de orientação sobre os cuidados com a pessoa com estoma intestinal e/ou urinária acolhida em um Serviço de Atenção à Pessoa Estomizada, para instrumentalizá-la para o autocuidado e favorecer melhorias em sua qualidade de vida. Realizado por meio de levantamento bibliográfico sobre a temática com foco nas Diretrizes Baseadas em Evidências. A elaboração ocorreu por meio da associação do levantamento bibliográfico e teve por base referencial os princípios da teoria de Orem sobre o autocuidado e das práticas educativas aplicadas à pedagogia da saúde com base nos ensinamentos freirianos sobre a educação libertadora, a qualificação e o diálogo entre o sujeito e o profissional, como subsídio à possibilidade de auxiliar família e paciente a modificarem seu estilo de vida e serem agentes de transformação, privilegiando o desenvolvimento da sua autonomia. O material educativo impresso possibilita novos conhecimentos e informações aos pacientes estomizados.


Subject(s)
Humans , Self Care , Practice Guidelines as Topic , Surgical Stomas , Nursing Care , Urinary Tract/surgery , Intestines/surgery
12.
Hip & Pelvis ; : 11-16, 2020.
Article in English | WPRIM (Western Pacific) | ID: wprim-811159

ABSTRACT

The incidence of hip fractures is rapidly increasing with an aging population and is now one of the most important health concerns worldwide due to a high mortality rate. The effect of delayed surgery on postoperative outcomes has been widely discussed. Although various treatment guidelines for hip fractures in the elderly exist, most institutions recommend that operations are conducted as soon as possible to help achieve the most favorable outcomes. While opinions differ on the relationship between delayed surgery and postoperative mortality, a strong association between earlier surgery and improvement in postoperative outcomes (e.g., length of hospital stay, bedsore occurrence, return to an independent lifestyle), has been reported. Taken together, performing operations for hip fractures in the elderly within 48 hours of admission appears to be best practice. Importantly, however, existing evidence is based primarily on observational studies which are susceptible to inherent bias. Here, we share the results of a literature search to summarize data that helps inform the most appropriate surgical timing for hip fractures in the elderly and the effects of delayed surgery on postoperative outcome. In addition, we expect to be able to provide a more accurate basis for these correlations through a large-scale randomized controlled trial in the future and to present data supporting recommendations for appropriate surgical timing.


Subject(s)
Aged , Aging , Bias , Hip Fractures , Humans , Incidence , Length of Stay , Mortality , Practice Guidelines as Topic , Pressure Ulcer
14.
Evid. actual. práct. ambul ; 23(2): e002058, 2020. tab
Article in Spanish | LILACS (Americas) | ID: biblio-1103846

ABSTRACT

Ciertos hallazgos preclínicos generaron preocupación en la comunidad científica y en la población general sobre el uso de inhibidores de la enzima convertidora de angiotensina (IECA) y los antagonistas del receptor de la angiotensina II (ARAII), y los posibles desenlaces adversos asociados con relación a la infección por el nuevo Coronavirus (SARS-Cov-2).Por este motivo, nos planteamos como objetivo proveer de recomendaciones dinámicas (living recommendations) para el tratamiento con fármacos IECA o ARA II en pacientes con riesgo o documentación de infección por SARS-CoV-2 (en todo su espectro de gravedad). Se utilizó como metodología la adaptación/adopción de guías de práctica clínica bajo el enfoque GRADE, actualizando la evidencia al 7 de abril de 2020 mediante búsquedas en múltiples bases de datos y consultando a un panel multidisciplinario libre de conflictos de interés. Como resultado de este proceso se arribó a la siguiente afirmación: se recomienda, en contexto de la pandemia de COVID-19, en personas que se encuentran en tratamiento con IECA/ARAII, mantener el tratamiento sin cambios por sobre suspenderlo o reemplazarlo por otros fármacos (Recomendación fuerte a favor - calidad de evidencia baja). (AU)


Certain preclinical findings raised concerns in the scientific community and in the general population about the use ofangiotensin-converting enzyme inhibitors (ACEI) and angiotensin II receptor antagonists (ARA) and the possible adverse outcomes associated with the infection with the new Coronavirus (SARS-Cov-2). For this reason, our objective is to provide living recommendations for treatment with ACEI or ARA in patients with risk or documentation of SARS-CoV-2 infection (inall its severity spectrum). The adaptation/adoption of clinical practice guidelines under the GRADE approach was used as a methodology, updating the evidence as of April 7, 2020, by searching multiple databases and consulting a multidisciplinary panel free of conflicts of interest. As a result of this process, the following statement was reached: it is recommended, in the context of the COVID-19 pandemic, in people who are undergoing treatment with ACEI/ARA, to maintain the treatment unchanged instead of its suspension or replacement with other drugs (Strong recommendation in favor - low quality ofevidence). (AU)


Subject(s)
Humans , Male , Female , Adult , Young Adult , Pneumonia, Viral/complications , Angiotensin-Converting Enzyme Inhibitors/pharmacology , Coronavirus Infections/complications , Angiotensin II Type 2 Receptor Blockers/pharmacology , Antihypertensive Agents/pharmacology , Angiotensin-Converting Enzyme Inhibitors/adverse effects , Cardiovascular Diseases/drug therapy , Surveys and Questionnaires , Practice Guidelines as Topic , Risk Assessment , Evidence-Based Medicine , Diabetes Mellitus/drug therapy , Renal Insufficiency, Chronic/drug therapy , Angiotensin II Type 2 Receptor Blockers/adverse effects , Pandemics , Clinical Decision-Making , Betacoronavirus/drug effects , GRADE Approach , Antihypertensive Agents/adverse effects
16.
Rev. Col. Bras. Cir ; 47: e20202536, 2020. graf
Article in Portuguese | LILACS (Americas) | ID: biblio-1091924

ABSTRACT

RESUMO A atual pandemia do novo coronavírus, Covid-19, tem sido o assunto mais discutido no momento, tanto na mídia como em periódicos científicos. O medo, a incerteza e o desconhecimento sobre o comportamento da doença são os fatores preponderantes que podem justificar essa realidade. Sabe-se de antemão que a enfermidade tem grande disseminação, é mais grave entre idosos e está associada a grande impacto socioeconômico mundial. Além dos desafios em lidar com o desconhecido, há outros relacionados com a sobrecarga de informação e nesse quesito, a grande quantidade de estudos científicos, que englobam pesquisas in vitro, relatos de casos, estudos observacionais e randomizados, além de revisões sistemáticas complementam o panorama de dúvidas. Essa situação é piorada porque o conhecimento sobre o método científico não é dominado pela maioria dos profissionais de saúde, algo que há muito já vem sendo divulgado por vários autores. De sorte que em função desta realidade, torna-se fundamental que sociedades de especialidades apoiadas por dados da Organização Mundial da Saúde e do Ministério da Saúde assumam a liderança da divulgação da informação correta e confiável. O Colégio Brasileiro de Cirurgiões sugere neste documento medidas que podem auxiliar cirurgiões e outros profissionais de saúde, assim como pacientes, em caso de necessidade cirúrgica, a lidar com a atual pandemia.


ABSTRACT The current world Covid-19 pandemic has been the most discussed topic in the media and scientific journals. Fear, uncertainty, and lack of knowledge about the disease may be the significant factors that justify such reality. It has been known that the disease presents with a rapidly spreading, it is significantly more severe among the elderly, and it has a substantial global socioeconomic impact. Besides the challenges associated with the unknown, there are other factors, such as the deluge of information. In this regard, the high number of scientific publications, encompassing in vitro, case studies, observational and randomized clinical studies, and even systematic reviews add up to the uncertainty. Such a situation is even worse when considering that most healthcare professionals lack adequate knowledge to critically appraise the scientific method, something that has been previously addressed by some authors. Therefore, it is of utmost importance that expert societies supported by data provided by the World Health Organization and the National Health Department take the lead in spreading trustworthy and reliable information. The Brazilian College of Surgeons suggests in this document various initiatives that may help surgeons, healthcare providers, and patients who will have to face a surgical event under the pandemic.


Subject(s)
Humans , Pneumonia, Viral/prevention & control , Surgical Procedures, Operative/standards , Practice Guidelines as Topic , Coronavirus Infections/prevention & control , Pandemics/prevention & control , Surgeons , Pneumonia, Viral/epidemiology , Brazil/epidemiology , Risk Factors , Health Personnel/standards , Coronavirus Infections/epidemiology
17.
Psicol. ciênc. prof ; 39(3,n.esp): 113-128, dez. 2019-maio 2020.
Article in Portuguese | LILACS (Americas), INDEXPSI | ID: biblio-1096834

ABSTRACT

O presente artigo analisa, de maneira crítica, os 20 anos da Resolução nº 01/1999 do Conselho Federal de Psicologia. Tal documento regulamenta o exercício profissional sobre orientação sexual; mais exatamente, veta práticas de patologização e discriminação, e incentiva o enfrentamento ao preconceito e à violência. Primeiramente, discutimos como a Resolução foi objeto de debate legislativo e esteve cerceada pelo judiciário, apesar de sua imensa visibilidade, força política e capacidade de garantia de direitos humanos ­ ou, talvez, justamente por isso. Em seguida, analisamos o objetivo de tais ações ­ autorizar práticas que tentam reverter a homossexualidade: elas não têm fundamentos no atual conhecimento psicológico, configuram exercício de tortura e produzem efeitos de intenso sofrimento e adoecimento. Posteriormente, debatemos desafios e possibilidades para posicionamento ético do exercício profissional da Psicologia com homossexualidades em diferentes campos de atuação (educação, justiça e política de saúde) de forma a enfrentar as patologizações. Por fim, interrogamos a votação do Supremo Tribunal Federal sobre a criminalização da LGBTIfobia a partir da criminologia crítica, em dialogo com os efeitos da Resolução no 01/1999. Concluímos que este documento, ainda que insuficiente para eliminar as práticas de LGBTIfobia, segue um instrumento relevante para uma Psicologia de garantia dos direitos humanos...(AU)


This article critically analyzes the 20 years of Resolution nº 01/1999 of the Federal Council of Psychology. This document regulates the professional exercise on sexual orientation; more precisely, it prohibits pathologization and discrimination practices, and also encourages confronting prejudice and violence. Firstly, we discuss how the resolution has been subject of legislative and judiciary actions, despite its immense visibility, political power and capacity to guarantee human rights - or, perhaps, precisely because of them. Then, we analyze the purpose of such actions ­ to authorize practices trying to reverse homosexuality: they do have not basis in current psychological knowledge, configuring a torture exercise and producing intense suffering and illness. Subsequently, we discuss challenges and possibilities for ethical psychological practices with homosexualities in different fields (education, justice and health policy) confronting pathologizations. Finally, we use the critical criminology to question the Federal Supreme Court decision on the LGBTIphobia criminalization, in dialogue with the Resolution's effects. We conclude that even if this document did not eliminate LGBTIphobia practices, is a relevant strategy for psychology to ensure human rights...(AU)


Este artículo analiza críticamente el vigésimo aniversario de la Resolución No. 01/1999 del Consejo Federal de Psicología. Este documento regula el ejercicio profesional sobre orientación sexual; más precisamente, veta las prácticas de patologización y discriminación, y alienta la confrontación de prejuicios y violencia. Primero, discutimos cómo la Resolución fue objeto de debate legislativo y estuvo rodeada por el poder judicial, a pesar de su inmensa visibilidad, fortaleza política y capacidad para garantizar los derechos humanos, o quizás, precisamente por eso. Luego analizamos el propósito de tales acciones: autorizar prácticas que intentan revertir la homosexualidad: no tienen base en el conocimiento psicológico actual, configuran ejercicio de tortura y producen efectos de sufrimiento y enfermedad intensos. Posteriormente, discutimos los desafíos y las posibilidades para el posicionamiento ético de la práctica profesional de la psicología con las homosexualidades en diferentes campos (educación, justicia y política de salud) para enfrentar patologías. Finalmente, cuestionamos el voto de la Corte Suprema sobre la criminalización de la fobia LGBTI por la criminología crítica, en diálogo con los efectos de la Resolución 01/1999.Concluimos que este documento, aunque insuficiente para eliminar las prácticas de LGBTIfobia, sigue una herramienta relevante para una psicología que garantice los derechos humanos...(AU)


Subject(s)
Humans , Male , Female , Adolescent , Adult , Middle Aged , Aged , Young Adult , Professional Practice , Psychology , Homosexuality , Homophobia , Sexism , Sexual and Gender Minorities , Social Control, Formal , Practice Patterns, Physicians' , Practice Guidelines as Topic , Legislation , Gender and Health , Gender-Based Violence , Gender Identity
18.
J. coloproctol. (Rio J., Impr.) ; 39(4): 332-338, Oct.-Dec. 2019. tab, ilus
Article in English | LILACS (Americas) | ID: biblio-1056644

ABSTRACT

Abstract Objective: To create and validate a handbook for the prevention of peristomal skin complications. Methods: For the elaboration of the handbook, a literature review was conducted in the following databases: Cochrane Library, SciELO, LILACS, and MEDLINE. The handbook "Preventing and treating the complications of intestinal peristomal skin" was elaborated in nine steps. The first step addressed the concepts of ostomy, stoma type, and ostomy classification. In the second step, the following were described: definition of the collection equipment, type of collection equipment, and technique of changing one- and two-piece equipment. In the third step, the peristomal skin cleansing technique was described. In the fourth step, the types of complications of the peristomal skin were listed. In the fifth step, preventive approaches to avoid complications with the peristomal skin were described. In the sixth step, the therapeutic approaches in the treatment of aforementioned peristomal skin complications were addressed. In the seventh step, the handbook layout was created by an Information Technology professional. In the eighth step, the handbook was validated by 25 nurses. In the ninth step, the final version of the instrument was laid out. Results: The final version of the "Preventing and treating the complications of intestinal peristomal skin" handbook has 37 pages. It was registered in the International Standard Book Number: 978-85-67647-46-3, standard format size (21 cm high by 15 cm wide), totaling 50 illustrations. In the first evaluation, the evaluators assessed the manual as partially adequate to completely adequate. In the first evaluation, the content validity index ranged between 0.88 to 1.0; no 100% agreement was observed among the evaluators' answers. In the second evaluation, as an agreement was observed in all items, the content validity index was 1.0. Conclusion: The handbook "Preventing and treating the complications of intestinal peristomal skin" was elaborated based on scientific principles and had its content, language, and design validated by specialists in the field.


Resumo Objetivo: Construir e validar um manual para a prevenção das complicações da pele periestoma. Método: Para a construção do manual, realizou-se uma revisão nas bases: Biblioteca Cochrane, SciELO, LILACS e MEDLINE. O manual "Prevenindo e tratando das complicações da pele periestoma intestinal" foi elaborado em nove etapas. A primeira etapa abordou os conceitos de estomia, tipo de estoma, classificação de estomia. Na segunda etapa, foram elaborados: definição de equipamento coletor, tipo de equipamentos coletores, técnica da troca do equipamento de uma e duas peças. Na terceira etapa, definiu-se a técnica de limpeza da pele periestoma. Na quarta etapa, foram descritos os tipos de complicações da pele periestoma. Na quinta etapa, enfocaram-se as condutas preventivas para evitar as complicações com a pele periestoma. Na sexta etapa, foram descritas as condutas terapêuticas no tratamento das complicações da pele periestoma citadas acima. Na sétima etapa, foi realizada a diagramação do manual por um profissional da área de Tecnologia da Informação. Na oitava etapa, validação do manual por 25 enfermeiros. A nona etapa correspondeu à diagramação da versão final do instrumento. Resultados A versão final do manual denominado "Prevenindo e tratando das complicações da pele periestoma intestinal" contém 37 páginas. Foi registrado no International Standard Book Number: 978-85-67647-46-3, tamanho padrão de formatação com 21 cm de altura por 15 cm de largura, totalizando 50 ilustrações. Na primeira avaliação, os juízes avaliaram o manual como parcialmente adequado a totalmente adequado. O Índice de validade de conteúdo na primeira avaliação foi entre 0,88 a 1,0; não tendo ocorrido 100% de concordância das respostas dos juízes; na segunda avaliação, tendo havido concordância dos juízes em todos os itens, o índice de validade de conteúdo foi 1,0. Conclusão O manual intitulado "Prevenindo e tratando das complicações da pele periestoma intestinal" foi construído com embasamento científico, validado quanto ao conteúdo, à linguagem e à aparência por especialistas na área.


Subject(s)
Ostomy , Practice Guidelines as Topic , Dermatitis , Nursing Care , Skin Diseases , Ostomy/nursing
20.
Rev. chil. enferm. respir ; 35(4): 257-260, dic. 2019. tab
Article in Spanish | LILACS (Americas) | ID: biblio-1092701

ABSTRACT

Desde 2017 los miembros de la Comisión de Enfermedades Pulmonares Intersticiales Difusas de la Sociedad Chilena de Enfermedades Respiratorias hemos trabajado en la elaboración de las primeras guías de fibrosis pulmonar idiopática (FPI) del país, necesidad evidente para fomentar el diagnóstico precoz y adecuado de la enfermedad y establecer una base para posible incorporación de su cuidado en cobertura de seguros de salud especiales. Se elaboraron 5 preguntas de revisión de evidencia y el resto se trabajó en formato de preguntas de contexto. Un grupo de metodólogos graduaron la evidencia siguiendo la metodología GRADE.


Since 2017, the members of the Commission of Diffuse Interstitial Lung Diseases of the Chilean Society of Respiratory Diseases have worked in the development of the first guidelines of idiopathic pulmonary fibrosis (IPF) in the country, an obvious need to encourage early and adequate diagnosis of the disease and establish a basis for possible incorporation of IPF patients care into special health insurance coverage. Five evidence review questions were prepared and the remainder were worked out in context question format. A group of methodologists graduated the evidence following the GRADE methodology.


Subject(s)
Humans , Practice Guidelines as Topic , Idiopathic Pulmonary Fibrosis/history , Chile , Insurance Coverage
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