ABSTRACT
Objective: To determine the effect of an exercise program on functional status, pain perception and self-perceived health (SPH) in patients with and without chronic kidney disease (CKD) in primary care (PC). Methodology: Group pre- and postintervention, single-center study of adults with and without CKD in PC. The intervention was a 6-week multicomponent exercise program. Results were evaluated with scales of functional assessment, pain perception and SPH. Results:A total of 523 adults participated (256 with CKD and 267 without CKD). Significant increases were found for the Barthel index, the Short Physical Performance Battery SPPB) score, grip strength and calf perimeter. There was improvement in pain perception and SPH (p < 0.001) in all patients. Conclusions: In the studied sample, an exercise program produced improvements in functional status, pain perception and SPH (AU)
Subject(s)
Humans , Male , Female , Adult , Middle Aged , Aged , Aged, 80 and over , Renal Insufficiency, Chronic/rehabilitation , Exercise Therapy , Case-Control Studies , Treatment OutcomeABSTRACT
An alveolar hemorrhage case is reported as the initial manifestation of antisynthetase syndrome in a 40-year-old man, who is admitted to the Emergency Department for diagnostic approach of chronic cough and progressive dyspnea. The diagnosis of the alveolar hemorrhage was based on the presence of acute respiratory failure, decrease in hemoglobin levels, and observation of macrophages filled with hemosiderin. The antisynthetase syndrome was classified through a tomographic image compatible with a nonspecific interstitial pneumonia, along with antibodies associated to myositis (PL-12 and Ro-52). The study protocol was completed with the result of a myopathic pattern showed in electromyography. This patient presented a good response to steroids and disease-modifying antirheumatic drug (DMARD).
ABSTRACT
PURPOSE: To estimate the prevalence of Grieving, risk for Complicated Grieving, and Complicated Grieving in the primary care setting. METHODS: Retrospective epidemiological study, analyzing data from electronic health records (EHR). FINDINGS: A total of 84% of the 9,063 records had diagnostic labels without defining characteristics, related factors, or risk factors. A larger frequency of complicated grieving was found in deceased mourners. CONCLUSIONS: The grieving epidemiology opens new chances for the research using data from EHR. PRACTICE IMPLICATIONS: The adequacy of the records is essential to develop a profile of the patient at risk of complications after the loss. This research is an important step to build an epidemiological basis for nursing diagnosis of grieving in the primary health care setting.
Subject(s)
Grief , Nursing Diagnosis , Primary Health Care/organization & administration , Adult , Aged , Aged, 80 and over , Female , Humans , Male , Middle Aged , Retrospective Studies , Standardized Nursing Terminology , Young AdultABSTRACT
Los resultados de una encuesta con 7.342 muestras de sangre de 13 países y territorios de las Américas indican una elevada prevalencia de los anticuerpos contra el virus A de la hepatitis en esa Región. Los resultados señalan también una correlación significativa entre la ausencia de dichos anticuerpos y la ausencia de marcadores indicativos de infección por el virus B de la hepatitis (AU)
Subject(s)
Hepatitis A virus/immunology , Blood Donors , Epidemiology, Descriptive , Argentina , Barbados , Brazil , Colombia , Costa Rica , Chile , Ecuador , Mexico , Peru , Puerto Rico , Dominican Republic , Suriname , VenezuelaABSTRACT
Los resultados de una encuesta con 7.342 muestras de sangre de 13 países y territorios de las Américas indican una elevada prevalencia de los anticuerpos contra el virus A de la hepatitis en esa Región. Los resultados señalan también una correlación significativa entre la ausencia de dichos anticuerpos y la ausencia de marcadores indicativos de infección por el virus B de la hepatitis (AU)
