Ana Lúcia de Moraes Horta

Vascular remodeling process in reversibility of pulmonary arterial hypertension secondary to congenital heart disease.

Pulmonary vascular remodeling process was analyzed using morphometry in lung biopsy specimens taken from 26 children, aged 6 to 160 months, who had congenital heart disease and significant pulmonary arterial hypertension. Reparative surgery was performed in 22 patients and palliative surgery was performed in four patients. One patient expired postoperatively and four others after hospital discharge. Vascular remodeling examination revealed a characteristic pathological picture: pronounced medial thickening with increased collagen content (fibrosis), without significant arterial intimal proliferation. At a mean follow-up of 44 months, 72% of the survivors were asymptomatic with no medication. Diagnosed by echocardiogram, 22% of these patients were shown to have pulmonary arterial hypertension. The characteristic pathological features described above occurred in 38% of the patients who either expired or had pulmonary hypertension postoperatively. These findings were an aid to identifying a high risk group in which the outcome does not meet expectations for the classical grade I and II changes. We concluded that the presence of isolated medial thickening does not ensure either survival or a normal postoperative pulmonary arterial pressure at late follow-up and that the collagen content can be a better reference for good outcome. Early intracardiac repair is recommended before the development of significant medial fibrosis.

Características e aspiraçöes do atual graduando de enfermagem: comparaçäo entre duas instituiçöes de ensino

SUMMARY This work identified nursings graduate students through personal, social, economic and scholar caracterization and their expectation relacionated with graduation and profession in two schools localizated in Sao Paulo, 1987.

Influência do tipo de abordagem para injeçöes intramusculares nas reaçöes de pré-escolares

This study propose to verify the influence of kind of approach in the administration of intramuscular injection, and the preschool reactions. Sixteen children were observed in first-aid-clinics and divided in two groups: control and experimental.

Mudanças identificadas pelo aluno de enfermagem, resultantes da vivência em uma abordagem centrada na pessoa

A vivencia das autoras no ensino de enfermagem pediatrica na EEUSP, tem sido direcionada pela crenca de que uma das mais importantes condicoes que facilitam a aprendizagem, e a qualidade de atitudes do relacionamento interpessoal entre professores e alunos. Neste trabalho, apresentam a analise das informacoes contidas em auto-avaliacoes de alunos, referentes a mudancas pessoais ocorridas como resultado desse relacionamento durante o curso em 1985. Os resultados da analise mostraram que alem da aquisicao de conhecimentos especificos de enfermagem pediatrica, os alunos identificaram variados aspectos de desenvolvimento pessoal.

PESQUISA EM ENFERMAGEM PEDIÁTRICA

This work give informations about modalities of research in pediatric nursing realized to obtain academical title from 1975 to 1985, in Brazil.

[The child with a terminal illness: the reactions of the family, the care given and the difficulties felt by the pediatric unit nurse. São Paulo, 1987].

This study reported familys reaction of the child terminally ill, identified by the pediatric nurses. It focuses on the suggested assistance to the family and on the pediatric nurses difficulties in this situation. This study was carried out with 35 nurses working at two University Hospitals. We based the analysis on the phases of dying of KUBLER-ROSS and Guide of Communication with parents of WHALEY & WONG, besides our own categorization.This study reported familys reaction of the child terminally ill, identified by the pediatric nurses. It focuses on the suggested assistance to the family and on the pediatric nurses difficulties in this situation. This study was carried out with 35 nurses working at two University Hospitals. We based the analysis on the phases of dying of KUBLER-ROSS and Guide of Communication with parents of WHALEY & WONG, besides our own categorization.

CRIANÇA COM DOENÇA TERMINAL: REAÇÕES DA FAMÍLIA, ASSISTÊNCIA PRESTADA E DIFICULDADES SENTIDAS PELO ENFERMEIRO DE UNIDADE PEDIÁTRICA. São Paulo, 1987

This study reported familys reaction of the child terminally ill, identified by the pediatric nurses. It focuses on the suggested assistance to the family and on the pediatric nurses difficulties in this situation. This study was carried out with 35 nurses working at two University Hospitals. We based the analysis on the phases of dying of KUBLER-ROSS and Guide of Communication with parents of WHALEY & WONG, besides our own categorization.This study reported familys reaction of the child terminally ill, identified by the pediatric nurses. It focuses on the suggested assistance to the family and on the pediatric nurses difficulties in this situation. This study was carried out with 35 nurses working at two University Hospitals. We based the analysis on the phases of dying of KUBLER-ROSS and Guide of Communication with parents of WHALEY & WONG, besides our own categorization.

Children terminally aill: family reaction to assistence given and the difficulties felt by the nurse of the pediatric ward

This study reported familys reaction of the child terminally ill, identified by the pediatric nurses. It focuses on the suggested assistance to the family and on the pediatric nurses difficulties in this situation. This study was carried out with 35 nurses working at two University Hospitals. We based the analysis on the phases of dying of KUBLER-ROSS and Guide of Communication with parents of WHALEY & WONG, besides our own categorization.This study reported familys reaction of the child terminally ill, identified by the pediatric nurses. It focuses on the suggested assistance to the family and on the pediatric nurses difficulties in this situation. This study was carried out with 35 nurses working at two University Hospitals. We based the analysis on the phases of dying of KUBLER-ROSS and Guide of Communication with parents of WHALEY & WONG, besides our own categorization.

RELATO DO I ENCONTRO PAULISTA DE DOCENTES DE ENFERMAGEM PEDIÁTRICA

As autoras relatam o 1 Encontro de Docentes de Enfermagem Pediatrica. Apresentam dados sobre os elementos contidos nos programas de Enfermagem Pediatrica das escolas participantes e os resultados das discussoes neste evento.

Ensino centrado no estudante: orientaçäo à disciplina enfermagem pediátrica; nível graduaçäo

: The authors present the material currently being used in the orientation phase of the Pediatric Nursing I Course, which utilizes the student - centered teaching methodology, at the Nursing School of the Sao Paulo University.