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ORIGINAL ARTICLE
Factors associated with the time to treat breast cancer in the pandemic period: an observational study
Revista Brasileira de Enfermagem. 2023;76(Suppl 1):e20220428
08-07-2023
Resumo
ORIGINAL ARTICLEFactors associated with the time to treat breast cancer in the pandemic period: an observational study
Revista Brasileira de Enfermagem. 2023;76(Suppl 1):e20220428
08-07-2023DOI 10.1590/0034-7167-2022-0428
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Objectives:
to analyze the factors associated with the time to surgical treatment for breast cancer in patients seen at a reference mastology outpatient clinic in the State of Ceará.
Methods:
analytical, longitudinal study with medical charts from the Mastology Outpatient Clinic of Assis Chateaubriand Maternity School. We used 140 medical charts of breast cancer patients with surgeries performed during the pandemic.
Results:
the study evidenced associations between schooling and shorter time to treatment in patients who underwent biopsy before the first outpatient visit (p = 0.026; OR: 0.16; CI = 0.03-0.85); in the group who had the biopsy performed by the outpatient clinic, was associated the type of tumor (p = 0.019) and neoadjuvant therapy (p = 0.000).
Conclusions:
the lesser educational level, tumor type, and use of neoadjuvant therapy were factors associated with the time to treatment during the pandemic period.
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ORIGINAL ARTICLE
Classification of clinical risk in people with AIDS followed up in specialized care
Revista Brasileira de Enfermagem. 2019;72(5):1235-1242
09-16-2019
Resumo
ORIGINAL ARTICLEClassification of clinical risk in people with AIDS followed up in specialized care
Revista Brasileira de Enfermagem. 2019;72(5):1235-1242
09-16-2019DOI 10.1590/0034-7167-2017-0559
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Aim:
To develop a clinical risk stratification score for people living with AIDS and to analyze its association with clinical and sociodemographic aspects.
Method:
Cross-sectional study involving 150 adults with AIDS, in outpatient follow-up. A structured instrument was applied and, sequentially, inferential statistical techniques on the developed score.
Results:
45.3% of the participants were classified as in high clinical risk. TL-CD4+ <500cel/mm3 count, detectable viral load, presence of opportunistic diseases, chronic diseases and clinical manifestations were associated with high clinical risk. There was a significant difference in the mean risk between the categories of variables employment status (p = 0.003) and economic class (p = 0.035). There was a higher risk for brown people (OR = 5.55), unemployed status (OR = 16,51) and belonging to classes C (OR = 20.07) and D (OR = 53,32), and a lower risk for individuals with higher schooling (OR = 0.02).
Conclusion:
The proposed score quantifies clinical situations and points out sociodemographic aspects that predispose to instability and aggravation of AIDS, supporting the qualification of care.
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ORIGINAL ARTICLE
Occupational exposure and poisoning by chemical products in the Federal District
Revista Brasileira de Enfermagem. 2019;72(suppl 1):32-40
02-01-2019
Resumo
ORIGINAL ARTICLEOccupational exposure and poisoning by chemical products in the Federal District
Revista Brasileira de Enfermagem. 2019;72(suppl 1):32-40
02-01-2019DOI 10.1590/0034-7167-2017-0439
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Objective:
to describe case of occupational exposure to chemical products.
Method:
descriptive retrospective study using record data of 382 workers assisted in the Outpatient Care for Occupational Toxicology of the Reference Center of Workers' Health of the Federal District, between 2009 and 2013.
Results:
From the total, 66.7% were men, 55.2% had up to 9 years of activity and 81% did not use personal protective equipment (PPE). Nearly 60% were farmers and environmental surveillance agents, exposed to pesticides (63%), of which 40% were organophosphorus insecticides. The majority (68%) presented butyrylcholinesterase activity decreased, mostly farmers (85.9%); 57.3% of workers were considered poisoned - 61.6% by pesticides and 37.9% by industrial chemicals -, and away from work for at least 10 days.
Conclusion:
The profile was male workers, from 30 to 39 years, which not used PPE, indicating the need for prevention together with them to prevent poisonings.