Objective: Identifying the main nursing diagnoses and interventions in children submitted to cochlear implant in the immediate postoperative period. Method: A crosssectional study conducted between February and April 2016, considering nursing history (anamnesis and physical examination) and nursing diagnoses (NANDAInternational) with their respective interventions (Nursing Intervention Classification -NIC). Descriptive statistical analysis was used to construct the results. Results: A total of 19 children participated in this study. The main nursing diagnoses listed were: impaired verbal communication, impaired skin integrity, risk for infection, risk for falls, and risk for bleeding (n=19; 100%). Regarding the nursing interventions, the following prevailed: Improvement in communication: auditory deficit, Skin surveillance, Protection against infection, Prevention of falls and Precautions against bleeding (n=19; 100%). Conclusion: Nursing diagnoses and interventions related to the cochlear implant postoperative period were related to communication, bleeding control, surgical wound care, infection prevention, comfort and well-being. DESCRIPTORSPediatric Nursing; Cochlear Implantation; Hearing Loss; Nursing Process; Nursing Diagnosis.Nursing diagnoses and interventions in children submitted to cochlear implantation* Diagnósticos e intervenções de enfermagem em crianças submetidas a implante coclear Diagnósticos e intervenciones de enfermería en niños sometidos a implante coclear

Objetivo: identificar as principais dúvidas de gestantes com diagnóstico pré-natal do bebê de fissura de lábio e/ou palato. Método: estudo descritivo, retrospectivo, quantitativo. A amostra foi composta por 15 de gestantes atendidas na consulta de enfermagem, em 2016, numa instituição pública paulista. Para a coleta de dados, utilizou-se instrumento institucional após aprovação do projeto por Comitê de Ética em Pesquisa. As dúvidas foram categorizadas como alimentação, higiene, protocolo cirúrgico, hipótese diagnóstica, pós-operatório e sofrimento/bullying. Os resultados foram submetidos à análise estatística descritiva. Resultados: idade média materna de 30 anos (±5,9), paterna de 31 anos (±10,4). Predomínio das seguintes características:  classificação socioeconômica média inferior – 8 (53%); escolaridade dos progenitores, ensino superior completo – 15 (52%); bebês do sexo masculino – 11 (73%); diagnósticos de Fissura Transforame Unilateral Esquerda – 7 (47%). Salientaram-se dúvidas sobre: alimentação – 15 (100%) e higiene – 9 (60%). Conclusão: as principais dúvidas das gestantes foram sobre alimentação e higiene. Identificá-las permitiu direcionar as orientações para as necessidades reais dessa clientela.ABSTRACTObjective: to identify pregnant women’s main doubts at prenatal diagnosis of baby's cleft lip and/or palate. Method: this retrospective, quantitative, descriptive study considered a sample of 15 pregnant women attending nursing appointments in 2016 at a public institution in São Paulo. After the project was approved by the research ethics committee, data were collected using an institutional instrument. Doubts were categorized into feeding, hygiene, surgical protocol, diagnostic hypothesis, postoperative care and suffering/bullying. The results were subjected to descriptive statistical analysis. Results: the mothers’ mean age was 30 (±5.9) years, the fathers’ mean was 31 (±10.4) years. The following features predominated: low mean socioeconomic position – 8 (53%); higher education – 15 (52%); male babies – 11 (73%); left unilateral transforaminal cleft – 7 (47%). Doubts were raised on: food – 15 (100%) and hygiene – 9 (60%). Conclusion: the pregnant women’s main doubts were about food and hygiene. Identifying them made it possible to adjust guidelines to this clientele’s real needs.RESUMENObjetivo: identificar las principales dudas de mujeres embarazadas con diagnóstico prenatal del bebé de fisura de labio y/o palatina. Método: estudio descriptivo, retrospectivo, cuantitativo. La muestra se compuso de 15 mujeres embarazadas atendidas en la consulta de enfermería, en 2016, en una institución pública de São Paulo. Para la recolección de datos se utilizó un instrumento institucional después de la aprobación del proyecto por el Comité de Ética en Investigación. Las dudas se categorizaron como alimentación, higiene, protocolo quirúrgico, hipótesis diagnóstica, postoperatorio y sufrimiento/bullying. Los resultados se sometieron al análisis estadístico descriptivo. Resultados: promedio de edad materna de 30 años (±5,9), paterna de 31 años (±10,4). Predominio de los siguientes aspectos: clasificación socioeconómica media inferior – 8 (53%); escolaridad de los progenitores, enseñanza universitaria completa – 15 (52%); bebés de sexo masculino – 11 (73%); diagnósticos de Fisura Transforamen Unilateral Izquierda – 7 (47%). Se destacaron dudas sobre: alimentación – 15 (100%) e higiene – 9 (60%). Conclusión: las principales dudas de las embarazadas se basaron en alimentación e higiene. Identificarlas permitió consucir las orientaciones hacia las necesidades reales de esa clientela.

Objective: To identify the main questions of informal caregivers of children with hearing impairments on the postoperative care of cochlear implant. Method: Cross-sectional study developed in a public and tertiary hospital of the state of São Paulo, Brazil. The sample consisted of 48 informal caregivers who were monitoring children subjected to cochlear implant. Data collection took place during the preoperative nursing consultation, by structured interview, between September 2016 and July 2017. The questions identified were categorized by similarity. Results: The questions were related to: rest, dressing, feeding, length of stay, system activation time, infection, removal of stitches, bleeding, medicines, immediate sound stimulation, and pain. Conclusion: The prevalent questions were about rest, dressing, and feeding, and identifying them made it possible to plan and implement a nursing care aimed at the caregiver needs, as well as prepare them for care maintenance after hospital discharge. RESUMOObjetivo: Identificar as principais dúvidas de cuidadores informais de crianças com deficiência auditiva sobre os cuidados pós-operatórios de implante coclear. Método: Estudo transversal desenvolvido em um hospital público e terciário do interior de São Paulo, Brasil. A amostra constou de 48 cuidadores informais que se encontravam acompanhando crianças submetidas a implante coclear. A coleta de dados ocorreu durante a consulta de enfermagem pré-operatória, por meio de entrevista estruturada, entre setembro de 2016 e julho de 2017. As dúvidas identificadas foram categorizadas por similaridade. Resultados: As dúvidas relacionaram-se a: repouso, curativo, alimentação, tempo de internação, tempo de ativação do sistema, infecção, retirada de pontos, sangramento, medicações, estímulo sonoro imediato e dor. Conclusão: As dúvidas prevalentes relacionaram-se ao repouso, curativo e alimentação e identificá-las possibilitou planejar e implementar uma assistência de enfermagem voltada às necessidades da clientela, além de prepara-los para manutenção dos cuidados após a alta hospitalar. RESUMENObjetivo: Identificar las principales dudas de cuidadores informales de niños con discapacidad auditiva en torno a los cuidados posoperatorios de implante coclear. Método: Estudio transversal realizado en un hospital público y terciario del interior de São Paulo, Brasil. La muestra constó de 48 cuidadores informales que acompañaban a niños sometidos a implante coclear. La recolección de datos se hizo durante la consulta de enfermería preoperatoria, por medio de entrevista estructurada realizada entre septiembre de 2016 y julio de 2017. Las dudas identificadas se categorizaron por similitud. Resultados: Las dudas estuvieron relacionadas con: el reposo, el vendaje, la alimentación, el tiempo de internación, el tiempo de activación del sistema, la infección, la retirada de puntos, el sangrado, las medicaciones, el estímulo sonoro inmediato y el dolor. Conclusión: Las dudas más predominantes fueron en torno al reposo, al vendaje y a la alimentació...

Introduction Breast cancer is a public health problem worldwide, being the most common malignant neoplasm in the female population. Objectives To estimate 5- and 10-year breast cancer-specific survival probabilities of patients included in the hospital-based cancer registry (HBCR) of the Fundação Oncocentro de São Paulo (FOSP, in Portuguese) and to assess the prognostic factors for this neoplasm. Methods Historical cohort study that included women with breast cancer included in HBCR-FOSP and diagnosed between 2002 and 2012. The event of interest was breast cancer-specific mortality. Living cases at the end of follow-up (December 31, 2017), loss to follow-up and death other than that due to breast cancer were considered censored on the date of the last contact or date of death. Descriptive analysis and survival analysis were performed using the Kaplan-Meyer method. Survival curves were compared using the log-rank test. Hazard ratios (HR) and their 95%CI were estimated using Cox's proportional hazards model. The study was approved by the Human Research Ethics Committee of the Botucatu Medical School, São Paulo State University, Brazil. Results 53,146 cases of invasive breast cancer were registered at HBCR-FOSP between 2002-2012. The median age at diagnosis was 55.9 years. By the end of the follow-up, 20,683 patients died, and 71.4% were due to breast cancer. The 5- and 10-year breast cancer-specific survival for the entire cohort was 76.1% (95%CI 75.7-76.5%) and 64.8% (95% CI 64.2-65.3%), respectively. In the multivariate analysis, the factors associated with prognosis were age at diagnosis, year of diagnosis, educational level, clinical stage, and histological type. Conclusions These findings may contribute to the development of policies for the identification of breast tumors at earlier stages. Key messages Breast cancer is an important public health problem in Brazil and worldwide. The findings of this study may contribute to the development of public policies for the control of breast cancer in the state of São Paulo.

Introduction: Breast cancer is the first most common malignancy in the female population worldwide. Monitoring the survival of women with breast cancer has been a strategy often adopted at the international level as a measure to assess public policy progress for disease control. Objectives: To estimate the probability of five-year survival and to investigate the prognostic factors of women with breast cancer included in the São Paulo State Cancer Hospital Records Base (RHC-SP), established in 2000 and maintained by the Oncocentro Foundation of São Paulo (Fundação Oncocentro de São Paulo – FOSP). Material and methods: This is a historical cohort. The sample consisted of women with breast cancer diagnosed between 2002 and 2012 and included in the RHC-FOSP. The event studied was specific mortality from breast cancer. Live cases at the end of follow-up (December 31st, 2017), loss of follow-up and those who died from causes other than breast cancer were considered censures on the date of the last contact or date of death. Survival analysis was performed using the Kaplan-Meyer method and the survival curves were compared using the log-rank test. Hazard ratios (HR) and respective 95% confidence intervals (95%CI) were also estimated using the Cox's proportional hazards model. This study was approved by the Human Research Ethics Committee of the School of Medicine of Botucatu, UNESP. Results: In the period between 2002‒2012, 53,146 cases of invasive breast cancer were registered at RHC-FOSP. The median age of women at diagnosis was 55.9 years. By the end of the follow-up (December 31st, 2017), 20,683 patients died and 71.4% were due to breast cancer. The probability of specific survival for the entire cohort at 5 and 10 years was 76.1% (95%CI 75.7‒76.5%) and 64.8% (95%CI 64.2‒65.3%), respectively. In the multivariate analysis, the factors associated with the prognosis were: age at diagnosis, year of diagnosis, educational level, grouped clinical stage and histological type. Conclusion: Specific survival for breast cancer in the state of São Paulo is significantly associated with several characteristics. The knowledge of these characteristics can contribute to the development of public policies in the area.