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1.
J Anim Ecol ; 93(4): 393-405, 2024 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-38100230

RESUMO

Comprehending symbiont abundance among host species is a major ecological endeavour, and the metabolic theory of ecology has been proposed to understand what constrains symbiont populations. We parameterized metabolic theory equations to investigate how bird species' body size and the body size of their feather mites relate to mite abundance according to four potential energy (uropygial gland size) and space constraints (wing area, total length of barbs and number of feather barbs). Predictions were compared with the empirical scaling of feather mite abundance across 106 passerine bird species (26,604 individual birds sampled), using phylogenetic modelling and quantile regression. Feather mite abundance was strongly constrained by host space (number of feather barbs) but not by energy. Moreover, feather mite species' body size was unrelated to the body size of their host species. We discuss the implications of our results for our understanding of the bird-feather mite system and for symbiont abundance in general.


Assuntos
Doenças das Aves , Infestações por Ácaros , Ácaros , Passeriformes , Animais , Filogenia , Tamanho Corporal , Infestações por Ácaros/veterinária
2.
Poult Sci ; 101(10): 102089, 2022 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-36087471

RESUMO

Campylobacteriosis was the most frequently reported foodborne infection in humans in the European Union in the last years. Campylobacter spp. in broiler flocks from Spain was monitored at farm level during 12-month period (2020-2021). Feces samples were analyzed according to ISO (International Standard Organization) 10272-2:2018. From all samples collected, 54% were Campylobacter spp. positive. Regarding the age, Campylobacter spp. was isolated in 36% of the flocks during thinning and 64% in flocks at slaughter age. In addition, Campylobacter spp. counts increased with the age of the animals. On the other hand, the presence of Campylobacter showed statistical differences between the months of the year (P-value <0.05) in flocks at thinning age that exceeded the ≥1,000 CFU/g limit. The highest rates were found from June to December coinciding with the seasons of summer and autumn. In conclusion, our study shows the situation of Campylobacter spp. in broiler flocks in Spain considering age and season effects. This way, it was found higher rates and counts in broilers close to slaughter age and peaking during the summer to autumn period.


Assuntos
Infecções por Campylobacter , Campylobacter , Doenças das Aves Domésticas , Criação de Animais Domésticos , Animais , Infecções por Campylobacter/epidemiologia , Infecções por Campylobacter/veterinária , Galinhas , Humanos , Doenças das Aves Domésticas/epidemiologia , Prevalência , Estações do Ano
3.
Antibiotics (Basel) ; 11(8)2022 Aug 05.
Artigo em Inglês | MEDLINE | ID: mdl-36009933

RESUMO

Antimicrobial resistance (AMR) poses a major threat to health worldwide. Poultry products are one of the main threats, due to the transmission of antimicrobial resistance genes throughout the food chain. Escherichia coli is the main cause of mortality in the poultry industry, mainly mitigated with antibiotics, but due to the high genetic strain variability, recurrent outbreaks of multidrug resistant E. coli take place. The major challenge to tackling AMR is understanding the burden of resistance. For this reason, one of the main strategies is monitoring AMR by phenotypic characterisation. Our study aimed to monitor the resistance of E. coli strains isolated from the poultry sector over a period of three years (2019-2021) to provide information on the resistance magnitude and trends. Promising results have been found concerning the low frequency of resistance to cephalosporins, polymyxin, and fluoroquinolones. However, levels of resistance found to antimicrobials such as erythromycin (100%), tylosin (98%), or penicillin (97%) suggest the need to continue working on the limitation of use of antimicrobials in poultry to achieve the demise of MDR.

4.
Poult Sci ; 101(6): 101832, 2022 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-35385824

RESUMO

Salmonella spp. is one of the most important zoonotic pathogens with economic impact in public health worldwide. The relevance of Salmonella increases with the appearance of resistant strains. The aim of this study was to determine the level of antimicrobial resistance in 332 Salmonella isolates selected from 3 different poultry productive orientations in Eastern Spain during 3 yr (2015-2017). Antimicrobial susceptibly was evaluated by broth microdilution method using 14 antibiotics. Epidemiological cut-off values (ECOFF) were used to evaluate the microbiological resistance to antibiotics. The rates of Salmonella resistance at least to one antibiotic were 96, 98, and 56% in broilers, turkeys, and layers, respectively. Regarding multidrug resistance, all productive orientations seems to present a decreasing trend along the study, being the mean rates 80% in turkeys followed by broilers (40%) and layers (6%). Throughout the study, the highest percentage of resistance was found to sulfamethoxazole in all productive orientations. Strains from broilers showed the highest resistance rates to sulfamethoxazole (73%), gentamicin (57%), ciprofloxacin (50%), nalidixic acid (29%), and tetracycline (24%). Relative to turkeys the highest resistance rates were to sulfamethoxazole (76%), ciprofloxacin (69%), tetracycline (75%), nalidixic acid (63%), and ampicillin (63%). Layers presented the most elevated resistance rates to sulfamethoxazole (39%) and tetracycline (13%). Regarding serovars the most MDR common serovars to the 3 productive orientations were S. Kentucky and S. Hadar. In the other hand, high MDR rates were found in other serovars like S. Infantis and S. Typhimurium in broilers and turkeys. Results shown in the present study suggest that the reduction in the use of antibiotics begins to be reflected in the reduction of the number of MDRs, especially in layers, with no MDR Salmonella strains in the last period. However, the level of resistances found in this study suggests the necessity of continuing working on the limitation of the use of antimicrobials in poultry to achieve (as in layers) the control of MDRs.


Assuntos
Antibacterianos , Anti-Infecciosos , Animais , Antibacterianos/farmacologia , Anti-Infecciosos/farmacologia , Galinhas , Ciprofloxacina , Farmacorresistência Bacteriana , Farmacorresistência Bacteriana Múltipla , Testes de Sensibilidade Microbiana/veterinária , Ácido Nalidíxico , Aves Domésticas , Salmonella , Espanha , Sulfametoxazol , Tetraciclina , Perus
5.
Poult Sci ; 101(5): 101760, 2022 May.
Artigo em Inglês | MEDLINE | ID: mdl-35378349

RESUMO

Infectious Bronchitis Virus (IBV) is one of the most important viral diseases which causes important economic losses in poultry industry. This study aimed to assess the seroprevalence, prevalence, and variants of IBV in broilers, layers, and broiler breeders´ farms of Gallus gallus species in Eastern Spain. Thus, 29, 16, and 14 flocks of broilers, layers and broiler breeders, respectively were analyzed. To assess seroprevalence, sera samples were analyzed by ELISA. Tracheal swabs and tissue samples were tested by PCR to know the prevalence and detect specific variants. An IBV seroprevalence of 100% was detected in the 3 productive orientations. According to PCR results, a prevalence of 38% in broilers, 44% in layers and 43% in broiler breeders was obtained. The variant-specific RT-PCR analysis showed that 4/91, Massachusetts, QX, Italy-02 and D274 strains were present in commercial flocks in eastern Spain, being 4/91 the most prevalent in all the productive orientations. In layers 100% of QX prevalence, 14% of Italy 02 and 14% of D274 was detected. Regarding broilers, a prevalence of 18% of Massachusetts strain was also detected. In contrast, in broiler breeders´ farms only 4/91 strain was found. In conclusion, our findings showed the presence of IBV in eastern Spain and the changing situation of the IBV variants´ prevalence, being different according to the productive orientation. The continuous emergence of new variants emphasizes the importance of continuous IBV monitoring in order to optimize vaccination strategies.


Assuntos
Infecções por Coronavirus , Vírus da Bronquite Infecciosa , Doenças das Aves Domésticas , Animais , Galinhas , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/veterinária , Feminino , Doenças das Aves Domésticas/epidemiologia , Prevalência , Estudos Soroepidemiológicos , Espanha/epidemiologia
6.
Poult Sci ; 100(3): 100911, 2021 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-33518326

RESUMO

Mycoplasma species are worldwide recognized poultry pathogens, with Mycoplasma synoviae being the second most important species from the clinical point of view that causes considerable economic losses in the poultry industry. The aim of this study was to assess the seroprevalence, prevalence, and phylogenetic variants of M. synoviae present in layers and broiler breeders' farms of Gallus gallus species located in eastern Spain. Thus, 19 and 23 flocks of layers and broiler breeders, respectively, were analyzed at 3 different ages. To assess seroprevalence, sera samples were analyzed by ELISA. Tracheal swabs were tested by PCR to assess the prevalence. A M. synoviae seroprevalence of 95 and 74% was detected in layers and broiler breeders, respectively. Regarding age-wise analysis, the positive rates obtained seemed to be higher as the age of sampling increased. As per PCR results, a prevalence of 95% in layers and 35% in broiler breeders was obtained. The genetic analysis showed that the strains present in broilers breeders were vaccine strains (MS H strain). In contrast, 6 different field strains were detected in layer hens. In conclusion, this study carried out in eastern Spain showed a higher seroprevalence and prevalence of M. synoviae field strains in layer flocks regarding broiler breeders, highlighting the usefulness of monitoring flocks to control this poultry pathogen. Moreover, our findings suggest M. synoviae vaccination in broiler breeders could be an effective prevention strategy.


Assuntos
Infecções por Mycoplasma , Mycoplasma synoviae , Doenças das Aves Domésticas , Animais , Galinhas , Feminino , Infecções por Mycoplasma/epidemiologia , Infecções por Mycoplasma/veterinária , Filogenia , Doenças das Aves Domésticas/epidemiologia , Prevalência , Estudos Soroepidemiológicos , Espanha/epidemiologia
7.
Medicina (B Aires) ; 80 Suppl 4: 1-26, 2020.
Artigo em Espanhol | MEDLINE | ID: mdl-32897867

RESUMO

Treating an anticoagulated patient with vitamin K antagonists (VKA) remains a challenge, especially in areas where dicoumarins are still the first drug of choice due to the cost of other oral anticoagulants. Anticoagulation clinics have proven to be the most efficient and safe way to avoid thrombotic and hemorrhagic complications and to keep patients in optimal treatment range. However, they require adequate infrastructure and trained personnel to work properly. In this Argentine consensus we propose a series of guidelines for the effective management of the anticoagulation clinics. The goal is to achieve the excellence in both the clinical healthcare and the hemostasis laboratory for the anticoagulated patient. The criteria developed in the document were agreed upon by a large group of expert specialists in hematology and biochemistry from all over the country. The criteria presented here must always be considered when indicating VKA although they had to be adapted to the unequal reality of each center. Taking these premises into consideration will allow us to optimize the management of the anticoagulated patient with VKA and thus minimize thrombotic and hemorrhagic intercurrences, in order to honor our promise not to harm the patient.


El tratamiento de un paciente anticoagulado con antagonistas de la vitamina K (AVK) sigue siendo un desafío, especialmente en regiones donde, por el costo, los dicumarínicos son todavía la alternativa más buscada a la hora de elegir un anticoagulante oral. Las clínicas de anticoagulación han demostrado ser la forma más eficiente y segura de evitar complicaciones trombóticas y hemorrágicas y de mantener al paciente en rango óptimo de tratamiento. Sin embargo, requieren de una adecuada infraestructura y personal capacitado para que funcionen eficientemente. En este consenso argentino se propone una serie de parámetros para la gestión efectiva de una clínica de anticoagulación. El objetivo es lograr una elevada calidad desde el punto de vista clínico-asistencial a través de un laboratorio de hemostasia de excelencia. Los criterios desarrollados en el documento fueron consensuados por un amplio grupo de expertos especialistas en hematología y en bioquímica de todo el país. Estos criterios deben adaptarse a la irregular disponibilidad de recursos de cada centro, pero siempre se los debe tener en cuenta a la hora de indicar el tratamiento anticoagulante con estas drogas. Tener en consideración estas premisas nos permitirá optimizar la atención del enfermo anticoagulado con AVK y de esta forma minimizar las intercurrencias trombóticas y hemorrágicas a las que está expuesto, para así honrar nuestra promesa de no dañar al paciente.


Assuntos
Instituições de Assistência Ambulatorial/organização & administração , Anticoagulantes/uso terapêutico , Fibrinolíticos/uso terapêutico , Guias de Prática Clínica como Assunto , Vitamina K/antagonistas & inibidores , Administração Oral , Instituições de Assistência Ambulatorial/normas , Consenso , Humanos , Coeficiente Internacional Normatizado
8.
Medicina (B.Aires) ; 80(supl.4): 1-26, set. 2020. graf
Artigo em Espanhol | LILACS | ID: biblio-1287231

RESUMO

Resumen El tratamiento de un paciente anticoagulado con antagonistas de la vitamina K (AVK) sigue siendo un desafío, especialmente en regiones donde, por el costo, los dicumarínicos son todavía la alternativa más buscada a la hora de elegir un anticoagulante oral. Las clínicas de anticoagulación han demostrado ser la forma más eficiente y segura de evitar complicaciones trombóticas y hemorrágicas y de mantener al paciente en rango óptimo de tratamiento. Sin embargo, requieren de una adecuada infraestructura y personal capacitado para que funcionen eficientemente. En este consenso argentino se propone una serie de parámetros para la gestión efectiva de una clínica de anticoagulación. El objetivo es lograr una elevada calidad desde el punto de vista clínico-asistencial a través de un laboratorio de hemostasia de excelencia. Los criterios desarrollados en el documento fueron consensuados por un amplio grupo de expertos especialistas en hematología y en bioquímica de todo el país. Estos criterios deben adaptarse a la irregular disponibilidad de recursos de cada centro, pero siempre se los debe tener en cuenta a la hora de indicar el tratamiento anticoagulante con estas drogas. Tener en consideración estas premisas nos permitirá optimizar la atención del enfermo anticoagulado con AVK y de esta forma minimizar las intercurrencias trombóticas y hemorrágicas a las que está expuesto, para así honrar nuestra promesa de no dañar al paciente.


Abstract Treating an anticoagulated patient with vitamin K antagonists (VKA) remains a challenge, especially in areas where dicoumarins are still the first drug of choice due to the cost of other oral anticoagulants. Anticoagulation clinics have proven to be the most efficient and safe way to avoid thrombotic and hemorrhagic complications and to keep patients in optimal treatment range. However, they require adequate infrastructure and trained personnel to work properly. In this Argentine consensus we propose a series of guidelines for the effective management of the anticoagulation clinics. The goal is to achieve the excellence in both the clinical healthcare and the hemostasis laboratory for the anticoagulated patient. The criteria developed in the document were agreed upon by a large group of expert specialists in hematology and biochemistry from all over the country. The criteria presented here must always be considered when indicating VKA although they had to be adapted to the unequal reality of each center. Taking these premises into consideration will allow us to optimize the management of the anticoagulated patient with VKA and thus minimize thrombotic and hemorrhagic intercurrences, in order to honor our promise not to harm the patient.


Assuntos
Humanos , Vitamina K/antagonistas & inibidores , Guias de Prática Clínica como Assunto , Fibrinolíticos/uso terapêutico , Instituições de Assistência Ambulatorial/organização & administração , Anticoagulantes/uso terapêutico , Administração Oral , Coeficiente Internacional Normatizado , Consenso , Instituições de Assistência Ambulatorial/normas
9.
Vet Rec ; 186(13): 415, 2020 Apr 04.
Artigo em Inglês | MEDLINE | ID: mdl-31980451

RESUMO

BACKGROUND: Campylobacter is the main pathogen involved in zoonotic gastrointestinal diseases. In 2018, European Regulation 2017/1495 on Campylobacter in broiler carcases came into force. In this context, the aim of the study was to assess the potential risk factors associated with exceeding the 1000 cfu/g (colony-forming units per gram) limit set by the EC in several slaughterhouses in Spain. METHODS: Data relating to 12 factors were collected using questionnaires. Samples were collected from 12 Spanish abattoirs in June, July and August 2017 (n=1725) and were analysed following the ISO 10272-2:2006 method. RESULTS: The proportion of Campylobacter-positive samples was 23.7 per cent (n=409). Analysis of flock age (41-50 days) revealed a significantly increased odds ratio (OR) in Campylobacter enumeration (OR=7.41). Moreover, scalding temperature (51.9°C-54°C) was positively associated with an increase in OR (OR=2.75). Time in transit to slaughter for 1-1.5 hours showed a significant decrease in OR (OR=0.25), while time in transit for more than two hours showed an increase in OR (OR=4.44). With regard to carcase weight, a weight of 3.21-3.58 kg showed a decrease in OR (OR=0.01). CONCLUSION: The outcomes of this study suggest that although most chickens are contaminated by the bacterium, the prevalence of those exceeding the 1000 cfu/g limit is not so high as thought.


Assuntos
Matadouros , Infecções por Campylobacter/veterinária , Campylobacter/isolamento & purificação , Aglomeração , Doenças das Aves Domésticas/microbiologia , Animais , Infecções por Campylobacter/epidemiologia , Infecções por Campylobacter/microbiologia , Galinhas , Doenças das Aves Domésticas/epidemiologia , Prevalência , Fatores de Risco , Espanha/epidemiologia
11.
J Clin Aesthet Dermatol ; 12(1): 32-34, 2019 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-30881575

RESUMO

Morbihan's disease is characterized by the presence of chronic and persistent edema of the periorbital tissue, forehead, glabella, nose, and cheeks. In some cases, it is related to acne and rosacea, but its exact etiology remains unknown. A defined therapeutic approach has yet to be established for the treatment of Morbihan's disease. To date, the systemic and surgical options attempted have not been very successful and/or do not yield sustained results. Isotretinoin is a key systemic treatment used for the treatment of various skin conditions. However, there are few reports of isotretinoin being used to treat Morbihan's disease. Here, we present the details of three patients with Morbihan's disease who were successfully treated long-term with isotretinoin.

12.
Front Neurosci ; 12: 714, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30374285

RESUMO

Objectives: Characterizing pharmacological response in Parkinson's Disease (PD) patients may be a challenge in early stages but gives valuable clues for diagnosis. Neurotropic drugs may modulate Electroencephalography (EEG) microstates (MS). We investigated EEG-MS default-mode network changes in response to dopaminergic stimulation in PD. Methods: Fourteen PD subjects in HY stage III or less were included, and twenty-one healthy controls. All patients were receiving dopaminergic stimulation with levodopa or dopaminergic agonists. Resting EEG activity was recorded before the first daily PD medication dose and 1 h after drug intake resting EEG activity was again recorded. Time and frequency variables for each MS were calculated. Results: Parkinson's disease subjects MS A duration decreases after levodopa intake, MS B appears more often than before levodopa intake. MS E was not present, but MS G was. There were no significant differences between control subjects and patients after medication intake. Conclusion: Clinical response to dopaminergic drugs in PD is characterized by clear changes in MS profile. Significance: This work demonstrates that there are clear EEG MS markers of PD dopaminergic stimulation state. The characterization of the disease and its response to dopaminergic medication may be of help for early therapeutic diagnosis.

13.
PLoS One ; 13(5): e0196731, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-29742148

RESUMO

High numbers of seabirds are killed annually worldwide in longline fisheries. In the Mediterranean, this mortality is seriously affecting the viability of seabird populations, in particular of the three endemic shearwaters. Even so, there is currently no specific seabird mitigation requirements for the longline fleet operating in this area. From 2013 to 2014, we assessed the efficiency and practical applicability of four mitigation measures on artisanal demersal longliners targeting European hake (Merluccius merluccius) in the western Mediterranean: night setting, tori line, weighted lines and artificial baits. We performed fifty-two pairs of experimental (with the tested mitigation measure) and control settings (without any measure), and compared their effects on seabird interactions and fish catches. In addition, we estimated the longline sink rates and the seabird access area to baited hooks in different longline configurations. Night setting reduced bycatch risk without affecting target and non-commercial fish catches. The tori line may have reduced the bycatch risk by displacing bait attacks beyond the end of the line, but at this distance shearwaters could still access to the baits and the streamers did not deter birds under calm wind conditions. Weighted lines increased sink rate, but it resulted in only a minor reduction of the seabird access window to baited hooks and led to some operational problems during the setting. Artificial baits substantially reduced commercial catches. Moreover, the seabird access to the baited hooks was influenced by the longline configuration, the setting speed and the relative position to the floats and weights. So far, night setting stands out as the best mitigation measure for reducing bycatch levels without compromising target catches in demersal longliners. Ideally, these results should be confirmed in longliners targeting species other than European hake.


Assuntos
Aves , Conservação dos Recursos Naturais , Pesqueiros , Animais , Peixes , Mar Mediterrâneo , Especificidade da Espécie
14.
Sci Rep ; 6: 37373, 2016 11 23.
Artigo em Inglês | MEDLINE | ID: mdl-27876852

RESUMO

Fisheries provide an abundant and predictable food source for many pelagic seabirds through discards, but also pose a major threat to them through bycatch, threatening their populations worldwide. The reform of the European Common Fisheries Policy (CFP), which intends to ban discards through the landing obligation of all catches, may force seabirds to seek alternative food sources, such as baited hooks from longlines, increasing bycatch rates. To test this hypothesis we performed a combined analysis of seabird-fishery interactions using as a model Scopoli's shearwaters Calonectris diomedea in the Mediterranean. Tracking data showed that the probability of shearwaters attending longliners increased exponentially with a decreasing density of trawlers. On-board observations and mortality events corroborated this result: the probability of birds attending longliners increased 4% per each trawler leaving the longliner proximity and bird mortality increased tenfold when trawlers were not operating. Therefore, the implementation of the landing obligation in EU waters will likely cause a substantial increase in bycatch rates in longliners, at least in the short-term, due to birds switching from trawlers to longliners. Thus the implementation of the landing obligation must be carefully monitored and counterbalanced with an urgent implementation of bycatch mitigation measures in the longline fleet.


Assuntos
Aves/fisiologia , Ecossistema , Comportamento Alimentar/fisiologia , Pesqueiros , Animais , Conservação dos Recursos Naturais , Geografia , Ilhas , Mar Mediterrâneo , Dinâmica Populacional , Fatores de Risco , Espanha
15.
PLoS One ; 9(9): e107341, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-25216248

RESUMO

Understanding why host species differ so much in symbiont loads and how this depends on ecological host and symbiont traits is a major issue in the ecology of symbiosis. A first step in this inquiry is to know whether observed differences among host species are species-specific traits or more related with host-symbiont environmental conditions. Here we analysed the repeatability (R) of the intensity and the prevalence of feather mites to partition within- and among-host species variance components. We compiled the largest dataset so far available: 119 Paleartic passerine bird species, 75,944 individual birds, ca. 1.8 million mites, seven countries, 23 study years. Several analyses and approaches were made to estimate R and adjusted repeatability (R(adj)) after controlling for potential confounding factors (breeding period, weather, habitat, spatial autocorrelation and researcher identity). The prevalence of feather mites was moderately repeatable (R = 0.26-0.53; R(adj) = 0.32-0.57); smaller values were found for intensity (R = 0.19-0.30; R(adj )= 0.18-0.30). These moderate repeatabilities show that prevalence and intensity of feather mites differ among species, but also that the high variation within species leads to considerable overlap among bird species. Differences in the prevalence and intensity of feather mites within bird species were small among habitats, suggesting that local factors are playing a secondary role. However, effects of local climatic conditions were partially observed for intensity.


Assuntos
Doenças das Aves/epidemiologia , Plumas/parasitologia , Infestações por Ácaros/epidemiologia , Simbiose , Animais , Doenças das Aves/parasitologia , Ecossistema , Interações Hospedeiro-Parasita , Ácaros/patogenicidade , Passeriformes/parasitologia , Especificidade da Espécie
16.
Acta Paediatr ; 102(12): 1137-43, 2013 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-24102859

RESUMO

AIM: To investigate the circumstances surrounding end-of life decisions (EoL) of infants with hypoxic-ischaemic encephalopathy (HIE) and examine changes over a 10-year period. METHODS: Retrospective chart review of all infants with HIE who died during 2000-2004 and 2005-2009 in a Level III Neonatal Intensive Care Unit in Madrid, Spain. RESULTS: Of 70 infants with HIE, 18 died during the neonatal period. The mean age of death was 64.4 ± 51 h. In 17 of the 18 infants (94%), death was preceded by an EoL decision, four after withholding therapy (WH) and 13 after withdrawal therapy (WDT). All infants with WH were previously stable and without respiratory support, while all 13 infants in the WDT group had respiratory support and three were unstable. The age of death was greater in the WH group than the WDT group (122 ± 63 h vs 50 ± 34; p < 0.001). After the EoL decision, 11 (65%) infants received sedatives. There were no differences between the time periods. CONCLUSION: In our cohort, most deaths in newborns with HIE were preceded by EoL decisions mainly within the first 3 days after birth. We did not find changes over the first decade of the 21st century, and death was mainly determined by WDT.


Assuntos
Hipóxia-Isquemia Encefálica/mortalidade , Ordens quanto à Conduta (Ética Médica) , Suspensão de Tratamento , Sedação Profunda , Feminino , Humanos , Recém-Nascido , Masculino , Estudos Retrospectivos , Espanha/epidemiologia
17.
Ciênc. Saúde Colet. (Impr.) ; 18(10): 2965-2975, Out. 2013.
Artigo em Português | LILACS | ID: lil-686798

RESUMO

O presente trabalho teve como objetivo investigar a influência dos vínculos organizacionais na consolidação dos Centros de Atenção Psicossocial (CAPS) II e AD da cidade de Petrolina (PE). Entrevistas semiestruturadas foram realizadas com 18 membros da equipe multiprofissional de ambos os CAPS, sendo a amostra constituída por um representante de cada categoria profissional. A apreciação crítica dos dados baseou-se em análise de conteúdo elaborada a partir de categorizações dos discursos. Os resultados evidenciaram que, de modo geral, as equipes não possuem um conhecimento teórico suficiente sobre o sistema no qual estão inseridas. Além disso, embora haja um alto índice de satisfação, as precárias condições de trabalho, como a falta de reconhecimento profissional e insumos de trabalho, acabam afetando esta dinâmica institucional. Por fim, foi verificada também uma equivalência quantitativa referente aos aspectos afetivo e calculativo do comprometimento organizacional e uma estreita relação entre tempo de serviço e envolvimento com o trabalho.


This article seeks to investigate the influence of organizational ties in the consolidation of Psychosocial Care Centers (CAPS - II and AD [Alcohol and Drugs]) in the city of Petrolina, State of Pernambuco, Brazil. Based on qualitative research, semi-structured interviews were conducted with a multi-professional team from both CAPS, with the sample consisting of one representative from each professional category. A critical review of the data was based on content analysis prepared from categorization of the discourses. The results showed that, in general, the teams do not possess sufficient theoretical knowledge about the system of which they are part. Moreover, although there is a high level of satisfaction, precarious working conditions and a lack of professional recognition and labor input can negatively affect the institutional dynamics. Lastly, a quantitative equivalence was also detected regarding affective and calculative aspects of organizational commitment and a close relationship between length of service and involvement with the work.


Assuntos
Humanos , Centros Comunitários de Saúde Mental/organização & administração , Serviços de Saúde Mental/organização & administração , Brasil , Reforma dos Serviços de Saúde
18.
Cien Saude Colet ; 18(10): 2965-75, 2013 Oct.
Artigo em Português | MEDLINE | ID: mdl-24061023

RESUMO

This article seeks to investigate the influence of organizational ties in the consolidation of Psychosocial Care Centers (CAPS - II and AD [Alcohol and Drugs]) in the city of Petrolina, State of Pernambuco, Brazil. Based on qualitative research, semi-structured interviews were conducted with a multi-professional team from both CAPS, with the sample consisting of one representative from each professional category. A critical review of the data was based on content analysis prepared from categorization of the discourses. The results showed that, in general, the teams do not possess sufficient theoretical knowledge about the system of which they are part. Moreover, although there is a high level of satisfaction, precarious working conditions and a lack of professional recognition and labor input can negatively affect the institutional dynamics. Lastly, a quantitative equivalence was also detected regarding affective and calculative aspects of organizational commitment and a close relationship between length of service and involvement with the work.


Assuntos
Centros Comunitários de Saúde Mental/organização & administração , Serviços de Saúde Mental/organização & administração , Brasil , Reforma dos Serviços de Saúde , Humanos
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