Impacto da capacitação dos profissionais de saúde sobre o rastreamento do câncer do colo do útero em unidades básicas de saúde

Abstract

CONTEXT AND OBJECTIVE: Spontaneous bacterial peritonitis (SBP) is a severe complication that occurs in 8-27% of hospitalized patients with liver cirrhosis and ascites, with high mortality rates. This study aimed to identify the clinical characteristics associated with SBP. DESIGN AND SETTING: Cross-sectional study, conducted in a public university. METHODS: The study consecutively included individuals with liver cirrhosis and ascites between September 2009 and March 2012. Forty-five patients were included: mean age 53.2 ± 12.3 years, 82.2% male, 73.8% Caucasian, mean Model of End-stage Liver Disease (MELD) score of 19.5 ± 7.2, and 33.3% with SBP. The subjects were divided into two groups: SBP and controls. RESULTS: Comparison between individuals with SBP and controls showed that those with SBP had lower mean prothrombin activity time (36.1 ± 16.0% versus 47.1 ± 17.2%; P = 0.044) and lower median serum-ascites albumin gradient (SAAG) (1.2 versus 1.7, P = 0.045). There was a tendency towards higher mean MELD in the SBP group, not significant (22.2 ± 7.6 versus 17.9 ± 6.7; P = 0.067). There was a strong positive correlation between the neutrophil count in ascitic fluid and serum leukocyte count (r = 0.501; P = 0.001) and a negative correlation between the neutrophil count in ascitic fluid with prothrombin activity time (r = -0.385; P = 0.011). CONCLUSION: A few characteristics are associated with the presence of SBP, especially liver dysfunction, SAAG and peripheral leukocytosis.

Rastreamento do câncer do colo do útero na região ampliada oeste de Minas Gerais

“…(27) . (26) . Outros autores corroboraram com esse resultado, que apesar de ser um dado considerável encontra-se dentro do esperado que é até 5% dos exames (27)(28)(29) .…”

Comparison of Cervicovaginal Cytopathological Samples Collected in Basic Health Units and in Private Clinics in the Midwest of Santa Catarina

“…The variable "presence of epithelia in the samples" was grouped to encompass the representativeness of the SCJ/transformation zone, with at least 10 well-preserved, isolated or grouped, endocervical or metaplastic cells. 11 The variable "results of exams" was classified into: negative for intraepithelial lesions and/or malignant lesions; less severe lesions (atypical squamous cells of undetermined significance, possibly nonneoplastic [ [IA]), according to the actions advocated by the World Health Organization for the follow-up and treatment of each case. 15 The records of forms containing acellular or hypocellular material in less than 10% of the sample, blood, pyocytes, desiccation artifacts, contaminants and significant cell overlay in more than 75% of the sample were considered unsatisfactory for evaluation of oncotic cervical cytology.…”

“…Hence, it is crucial to understand the SCJ in order to recognize the importance of a well-executed sample collection. 11 As reported by Manrique et al, 12 the quality of the cytopathology exam samples directly influences the efficiency of cervical cancer screening, which justifies the need to monitor specimens, mainly those that result in false negatives. Collection mistakes usually lead to unsatisfactory samples and nonrepresentativeness of epithelia.…”

Prevenção Do Câncer De Colo De Útero Na Consulta De Enfermagem Para Além Do Papanicolau

“…Por esse motivo, essa doença ocorre na maioria dos casos nos países em desenvolvimento, que segundo Soares et al (2010) representa 80% dos casos, sendo um desafio imenso para esses países a criação de políticas públicas voltadas à educação e conscientização em saúde para as mulheres de maior vulnerabilidade. Amaral et al (2014) evidencia que o programa de rastreamento deve ser realizado de forma organizada, seguindo as ações programadas, com enfoque na população alvo, obedecendo a faixa-etária preconizada e a periodicidade de realização dos exames bem estabelecidas. Para tanto, a Atenção Primária conta com equipes multiprofissionais e o enfermeiro é o principal precursor da realização dessas ações.…”