Maria Cardoso

A workshop on asthma management programs and centers in Brazil: reviewing and explaining concepts

Objective: To report the results of a workshop regarding asthma management programs and centers (AMPCs) in Brazil, so that they can be used as a tool for the improvement and advancement of current and future AMPCs. Methods: The workshop consisted of five presentations and the corresponding group discussions. The working groups discussed the following themes: implementation of asthma management strategies; human resources needed for AMPCs; financial resources needed for AMPCs; and operational maintenance of AMPCs. Results: The workshop involved 39 participants, from all regions of the country, representing associations of asthma patients (n = 3), universities (n = 7), and AMPCs (n = 29). We found a direct relationship between a lack of planning and the failure of AMPCs. Based on the experiences reported during the workshop, the common assumptions about AMPCs in Brazil were the importance of raising awareness of managers; greater community participation; interdependence between primary care and specialized care; awareness of regionalization; and use of medications available in the public health system. Conclusions: Brazil already has a core of experience in the area of asthma management programs. The implementation of strategies for the management of chronic respiratory disease and their incorporation into health care system protocols would seem to be a natural progression. However, there is minimal experience in this area. Joint efforts by individuals with expertise in AMPCs could promote the implementation of asthma management strategies, thus speeding the creation of treatment networks, which might have a multiplier effect, precluding the need for isolated centers to start from zero.

Tumor carcinoide e sequestro pulmonar

Pulmonary sequestration is defined as a mass of lung tissue separated from the tracheobronchial tree and irrigated by an anomalous systemic artery. It is rarely seen in conjunction with lung neoplasms. We report the case of a 39-year-old female patient diagnosed with a carcinoid tumor, located in the intermediate bronchus and accompanied by bronchiectasis in the right lower lobe. The patient underwent thoracotomy for the resection of the affected area. During surgery, she presented with significant hemorrhage resulting from the transection of the anomalous artery that irrigated an intralobar pulmonary sequestration, which was located in right lower lobe and had not been identified in pre-operative examinations.

Intervención educativa para recolección de esputo de la tuberculosis: un estudio casi experimental

Objetivo: avaliar a qualidade da amostra de escarro antes e apos as orientacoes de Enfermagem ao paciente. Metodos: estudo com delineamento de pesquisa quase experimental, do tipo grupo unico, antes e depois, nao randomizado. Participaram do estudo pacientes com suspeita de tuberculose pulmonar, sintomaticos respiratorios por mais de tres semanas, maiores de 18 anos, de ambos os sexos e sem antecedente de tuberculose nos ultimos dois anos. A intervencao educativa consistiu em orientacoes individualizadas sobre a coleta da amostra de escarro, fundamentadas nas diretrizes do Ministerio da Saude do Brasil e na entrega de folder explicativo. Resultados: participaram 138 pacientes com suspeita de tuberculose pulmonar. Os resultados evidenciaram importante acrescimo das amostras com particulas purulentas, volume maior que 5mL e aumento na taxa de pacientes diagnosticados com tuberculose, apos a intervencao educativa. Conclusao: comprovou-se que, apos a intervencao educativa, obtiveram-se amostras de escarro com maior qualidade, com aspecto e volume satisfatorios para efetividade do exame baciloscopico.Abstract Objective: to evaluate the quality of the sputum sample before and after the Nursing guidance to patients. Methods: this is a quasi-experimental research design, single group type, before and after, non-randomized study. The study enrolled patients with suspected pulmonary tuberculosis, respiratory symptomatic patients for over three weeks, aged over 18 years, of both genders and without tuberculosis history in the last two years. The educational intervention consisted of individualized guidance on the collection of sputum sample, which was based on the guidelines of the Ministry of Health of Brazil and on the explanatory folder delivery. Results: in this study participated 138 patients with suspected pulmonary tuberculosis. The results showed significant increase of the samples with purulent particles, volume greater than 5 mL and increased rate of patients diagnosed with tuberculosis, after the educational intervention. Conclusion: it was shown that after the educational intervention, it was observed sputum samples with better quality, with satisfactory aspect and volume for the effectiveness of the bacilloscopic examination.

Intervenção educativa para a coleta de escarro da tuberculose: um estudo quase experimental

Objetivo: avaliar a qualidade da amostra de escarro antes e apos as orientacoes de Enfermagem ao paciente. Metodos: estudo com delineamento de pesquisa quase experimental, do tipo grupo unico, antes e depois, nao randomizado. Participaram do estudo pacientes com suspeita de tuberculose pulmonar, sintomaticos respiratorios por mais de tres semanas, maiores de 18 anos, de ambos os sexos e sem antecedente de tuberculose nos ultimos dois anos. A intervencao educativa consistiu em orientacoes individualizadas sobre a coleta da amostra de escarro, fundamentadas nas diretrizes do Ministerio da Saude do Brasil e na entrega de folder explicativo. Resultados: participaram 138 pacientes com suspeita de tuberculose pulmonar. Os resultados evidenciaram importante acrescimo das amostras com particulas purulentas, volume maior que 5mL e aumento na taxa de pacientes diagnosticados com tuberculose, apos a intervencao educativa. Conclusao: comprovou-se que, apos a intervencao educativa, obtiveram-se amostras de escarro com maior qualidade, com aspecto e volume satisfatorios para efetividade do exame baciloscopico.Abstract Objective: to evaluate the quality of the sputum sample before and after the Nursing guidance to patients. Methods: this is a quasi-experimental research design, single group type, before and after, non-randomized study. The study enrolled patients with suspected pulmonary tuberculosis, respiratory symptomatic patients for over three weeks, aged over 18 years, of both genders and without tuberculosis history in the last two years. The educational intervention consisted of individualized guidance on the collection of sputum sample, which was based on the guidelines of the Ministry of Health of Brazil and on the explanatory folder delivery. Results: in this study participated 138 patients with suspected pulmonary tuberculosis. The results showed significant increase of the samples with purulent particles, volume greater than 5 mL and increased rate of patients diagnosed with tuberculosis, after the educational intervention. Conclusion: it was shown that after the educational intervention, it was observed sputum samples with better quality, with satisfactory aspect and volume for the effectiveness of the bacilloscopic examination.

Educational intervention for collecting sputum for tuberculosis: a quasi-experimental study

Objetivo: avaliar a qualidade da amostra de escarro antes e apos as orientacoes de Enfermagem ao paciente. Metodos: estudo com delineamento de pesquisa quase experimental, do tipo grupo unico, antes e depois, nao randomizado. Participaram do estudo pacientes com suspeita de tuberculose pulmonar, sintomaticos respiratorios por mais de tres semanas, maiores de 18 anos, de ambos os sexos e sem antecedente de tuberculose nos ultimos dois anos. A intervencao educativa consistiu em orientacoes individualizadas sobre a coleta da amostra de escarro, fundamentadas nas diretrizes do Ministerio da Saude do Brasil e na entrega de folder explicativo. Resultados: participaram 138 pacientes com suspeita de tuberculose pulmonar. Os resultados evidenciaram importante acrescimo das amostras com particulas purulentas, volume maior que 5mL e aumento na taxa de pacientes diagnosticados com tuberculose, apos a intervencao educativa. Conclusao: comprovou-se que, apos a intervencao educativa, obtiveram-se amostras de escarro com maior qualidade, com aspecto e volume satisfatorios para efetividade do exame baciloscopico.Abstract Objective: to evaluate the quality of the sputum sample before and after the Nursing guidance to patients. Methods: this is a quasi-experimental research design, single group type, before and after, non-randomized study. The study enrolled patients with suspected pulmonary tuberculosis, respiratory symptomatic patients for over three weeks, aged over 18 years, of both genders and without tuberculosis history in the last two years. The educational intervention consisted of individualized guidance on the collection of sputum sample, which was based on the guidelines of the Ministry of Health of Brazil and on the explanatory folder delivery. Results: in this study participated 138 patients with suspected pulmonary tuberculosis. The results showed significant increase of the samples with purulent particles, volume greater than 5 mL and increased rate of patients diagnosed with tuberculosis, after the educational intervention. Conclusion: it was shown that after the educational intervention, it was observed sputum samples with better quality, with satisfactory aspect and volume for the effectiveness of the bacilloscopic examination.