Karina Dal Sasso

Aspectos básicos da lesão de isquemia e reperfusão e do pré-condicionamento isquêmico

A isquemia tem papel fundamental em muitas situacoes clinicas perioperatorias . Apesar da revascularizacao sanguinea a um orgao isquemico seja essencial para prevenir a irreversibilidade da lesao celular, a reperfusao pode agravar as lesoes produzidas na fase isquemica isolada. Assim, o dano celular induzido apos reperfusao de um orgao isquemico e denominado de lesao de isquemia-reperfusao (I/R). Aspectos basicos da lesao I/R, sao revisados neste artigo.

Transplante de fígado: indicação e sobrevida

The success of liver transplantation would be certainly compromised if the pre-operative evaluation was not adequately performed. The success of the liver transplantation depends on the diagnosis of the underlying hepatic disease, the determination of its extension and the degree of systemic repercussion. In the last 30 years, the progress in hepatology, the identification of viral hepatitis and the better management of ascitis and hepatorenal syndrome have increased the life expectancy of patients with chronic liver failure. Undoubtedly, orthotopic liver transplantation represents a great advance in modern hepatology. Nowadays, liver transplantation represents a valid therapeutic option for chronic liver diseases with (and presents) a mean survival rate of about 80% in 3 years. Thus, it is an indicated treatment in situations where the conservative treatment (would) could lead to a (incur) mortality rate as high as 70% in one year. In this article the authors comment (on) various aspects of Orthotopic Liver Transplantation related to indications and survival rates.

Transplante de fígado: resultados de aprendizagem de pacientes que aguardam a cirurgia

This study aims to describe the learning results of the implementation of teaching strategies involving patients who will be submitted to liver transplantation. One of these strategies is to give the patients a manual with orientations and the subsequent application of a questionnaire related to the content of the manual. Authors analyzed 13 patients who were waiting for liver transplantation. With respect to the answers regarding the questionnaire, an average of 83.8% of correct responses was given and only one patient got all the questions right. During the correction and the time to clarify their doubts, authors concluded that the opportunity of reading the manual and applying the questionnaire allowed patients and families to get a better understanding about the surgerys most important aspects.O objetivo deste estudo e descrever os resultados de aprendizagem da experiencia de implementacao de estrategias de ensino com os pacientes que serao submetidos a transplante de figado. Uma delas e a entrega de um manual de orientacao aos pacientes que entram no programa, com posterior aplicacao de questionario relacionado ao conteudo do manual. Analisou-se 13 pacientes em lista de espera para transplante de figado, todos ocupando as primeiras posicoes no cadastro tecnico. Em relacao as respostas obtidas dos questionarios aplicados, a media de acertos foi de 80,6%, sendo que apenas um paciente acertou todas as questoes. Durante a correcao e esclarecimento das duvidas, concluiu-se que a leitura do manual de orientacao e a aplicacao do questionario proporcionam esclarecimento melhor dos pacientes e de seus familiares em relacao aos aspectos mais importantes da cirurgia.

Cryptococcosis in cirrhotic patients

The objective of the present study was to report on three distinct forms of presentation of Cryptococcus neoformans infection in three cirrhotic patients. One patient had disseminated cryptococcosis with detection of the fungus in ascitic fluid, cerebrospinal fluid and blood; the second patient had pleural involvement and the third had cutaneous infection caused by C. neoformans.

Liver transplantation: teaching strategies used with patients waiting for surgery

This study aims to describe the learning results of the implementation of teaching strategies involving patients who will be submitted to liver transplantation. One of these strategies is to give the patients a manual with orientations and the subsequent application of a questionnaire related to the content of the manual. Authors analyzed 13 patients who were waiting for liver transplantation. With respect to the answers regarding the questionnaire, an average of 83.8% of correct responses was given and only one patient got all the questions right. During the correction and the time to clarify their doubts, authors concluded that the opportunity of reading the manual and applying the questionnaire allowed patients and families to get a better understanding about the surgerys most important aspects.O objetivo deste estudo e descrever os resultados de aprendizagem da experiencia de implementacao de estrategias de ensino com os pacientes que serao submetidos a transplante de figado. Uma delas e a entrega de um manual de orientacao aos pacientes que entram no programa, com posterior aplicacao de questionario relacionado ao conteudo do manual. Analisou-se 13 pacientes em lista de espera para transplante de figado, todos ocupando as primeiras posicoes no cadastro tecnico. Em relacao as respostas obtidas dos questionarios aplicados, a media de acertos foi de 80,6%, sendo que apenas um paciente acertou todas as questoes. Durante a correcao e esclarecimento das duvidas, concluiu-se que a leitura do manual de orientacao e a aplicacao do questionario proporcionam esclarecimento melhor dos pacientes e de seus familiares em relacao aos aspectos mais importantes da cirurgia.

Atendimento ao paciente diabético utilizando o protocolo Staged Diabetes management: relato de experiência - doi:10.5020/18061230.2006.p253

The work in multi professional health team has been acknowledged as important for the diabetic patient education. This study aimed at describing the implementation of a care assistance program using the Staged Diabetes Management (SDM) protocol; also, characterizing the activities performed by the multi professional health team of the Nurse Education Center for Adults and Elderly, from Ribeirao Preto, in the treatment of diabetic patients. The study was developed from April, 2004 to April, 2005 through weakly meetings, combining individual and group activities coordinated by nurses, physicians, nutritionists, psychologists and physical educators. The results showed that the use of the SDM protocol contributed to improve diabetic patient’s metabolic control and consequently, drug cover up for diabetes mellitus, arterial hypertension and dislipidemia; also, increased the adherence to the nutrition program, to physical activity and the knowledge about the disease; and yet, reduced the signs and symptoms referred by the patients. This experience, showed the viability of implanting the referred protocol. The authors believe that the disclosure of this type of study might contribute to the guides commended by World Health Organization for the care of diabetic patients, specially the disease’s self-managed care.

Trasplante de hígado: estrategias de enseñanza utilizadas con pacientes que esperan por la cirugía

This study aims to describe the learning results of the implementation of teaching strategies involving patients who will be submitted to liver transplantation. One of these strategies is to give the patients a manual with orientations and the subsequent application of a questionnaire related to the content of the manual. Authors analyzed 13 patients who were waiting for liver transplantation. With respect to the answers regarding the questionnaire, an average of 83.8% of correct responses was given and only one patient got all the questions right. During the correction and the time to clarify their doubts, authors concluded that the opportunity of reading the manual and applying the questionnaire allowed patients and families to get a better understanding about the surgerys most important aspects.O objetivo deste estudo e descrever os resultados de aprendizagem da experiencia de implementacao de estrategias de ensino com os pacientes que serao submetidos a transplante de figado. Uma delas e a entrega de um manual de orientacao aos pacientes que entram no programa, com posterior aplicacao de questionario relacionado ao conteudo do manual. Analisou-se 13 pacientes em lista de espera para transplante de figado, todos ocupando as primeiras posicoes no cadastro tecnico. Em relacao as respostas obtidas dos questionarios aplicados, a media de acertos foi de 80,6%, sendo que apenas um paciente acertou todas as questoes. Durante a correcao e esclarecimento das duvidas, concluiu-se que a leitura do manual de orientacao e a aplicacao do questionario proporcionam esclarecimento melhor dos pacientes e de seus familiares em relacao aos aspectos mais importantes da cirurgia.