170 resultados para Overlapping


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Acute fatty liver of pregnancy is a rare disease that affects women in the third trimester of pregnancy. Although infrequent, the disease can cause maternal mortality. The diagnosis is not always clear until the pregnancy is terminated, and significant complications, such as acute pancreatitis, can occur. Pancreatic involvement typically only occurs in severe cases after the development of hepatic and renal impairment. To date, little knowledge is available regarding how the disease causes pancreatitis. Treatment involves supportive measures and pregnancy interruption. In this report, we describe a case of a previously healthy 26-year-old woman at a gestational age of 27 wk and 6 d who was admitted with severe abdominal pain and vomiting. This case illustrates the clinical and laboratory overlap between acute fatty liver of pregnancy and pancreatitis, highlighting the difficulties in differentiating each disease. Furthermore, the hypothesis for this overlapping is presented, and the therapeutic options are discussed.

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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

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Pós-graduação em História - FCLAS

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Pós-graduação em Agronomia (Horticultura) - FCA

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Obstructive Sleep Apnea Syndrome (OSAS) is characterized by snoring and / or repetitive pauses in breathing during sleep associated with hypoxemia and hypercapnia. Affects approximately 1-3% of children, especially preschoolers. There is an association of OSAS with negative impact on neurocognitive development. However, there are few studies using protocols to assess cognition and behavioral disorders in children with OSAS. The objective of this study was to analyze the major studies related to the topic within the last two decades. The main studies published between 1995 to 2011 were identified through MEDLINE and LILACS databases. We selected the most relevant for OSAS in children, neurocognitive effects and association between obstructive disorders / OSAS in the target population (children). It was concluded that the studies analyzed showed that there is strong evidence regarding the overlapping of OSAS in children with neurocognitive disorders and that treatment of OSAS has positive impact on neurocognitive development.

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Pós-graduação em Agronomia (Horticultura) - FCA

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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

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Pós-graduação em Direito - FCHS

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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

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This study aimed at understanding the role played by nurses in managing a team in the Family Health Strategy (ESF) in relation to competences and skills practiced and developed in their everyday work and the difficulties found to perform their duties based on these professionals’ perceptions. Data were collected by means of focus groups with seven nurses in 2006 and then submitted to content analysis, which disclosed five themes: The context of the coordination of multidisciplinary teams in the Family Health Strategy, factors involved in the daily work in the ESF, conflicts experienced in the interface between teamwork and central coordination in the ESF, difficulties of the population towards the new model of care coordinated by the nurse, the perceived competence to exercise leadership in coordinating multidisciplinary teams. Results showed work overload, overlapping of tasks and lack of training. These professionals have been evaluated according to the logic of their work organization by productivity and not by the quality of their actions. Hence, they feel devalued professionally. They pointed out technical and scientific knowledge as an important competence attached to relational practices. There is a need to create formal opportunities to discuss the major difficulties found by the nurses managing multiprofessional teams when experiencing such management.

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Pós-graduação em Ciência e Tecnologia Animal - FEIS