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Objective: to assess the effectiveness of a cognitive-behavioral program to control lower urinary tract symptoms after radical prostatectomy. Methods: a randomized clinical trial study, with 41 participants randomized into intervention... more
Objective: to assess the effectiveness of a cognitive-behavioral program to control lower urinary tract symptoms after radical prostatectomy. Methods: a randomized clinical trial study, with 41 participants randomized into intervention (n=20) and control (n=21), for three months. The intervention group received the cognitive-behavioral program, while the control group received routine guidance from the service. Outcome variables were urinary incontinence intensity and lower urinary tract symptoms, assessed by the Pad-Test and Urinary Incontinence Scale of Radical Prostatectomy and King’s Health Questionnaire. Results: at the end of the study, the intervention group had a lower urinary incontinence intensity (p≤0.001), and there were less chances of presenting changes in urinary frequency (p≤0.001), urinary urgency (p≤0.001), nocturia (p=0.005), stress urinary incontinence (p≤0.001) and urge incontinence (p≤0.045). Conclusion: the cognitive-behavioral program was effective in reducin...
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Objective: to investigate the psychometric properties of the Brazilian Portuguese version of the health literacy questionnaire European Health Literacy Survey Questionnaire short-short form (HLS-EU-Q6) in Brazilian adults. Method: the... more
Objective: to investigate the psychometric properties of the Brazilian Portuguese version of the health literacy questionnaire European Health Literacy Survey Questionnaire short-short form (HLS-EU-Q6) in Brazilian adults. Method: the instrument was translated and pre-tested in a sample of 50 individuals. Subsequently, it was applied to a sample of 783 adult individuals. The data went through an appropriate process of testing the properties, with the combination of techniques of Exploratory Factor Analysis, Confirmatory Factor Analysis and Item Response Theory. For the assessment of reliability, the Cronbach's alpha and McDonald's Omega indicators were used. Cross-validation with full data analysis was applied. Results: the majority of the participants was female (68.1%), with a mean age of 38.6 (sd=14.5) years old and 33.5% studied up to elementary school. The results indicated a unidimensional model with an explained variance of 71.23%, adequate factor load levels, commona...
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Objective: To evaluate health literacy conditions among professionals enrolled in a Multiprofessional Residency Program in Health. Method: Analytical cross-sectional study, conducted with 88 resident professionals, using the Brazilian... more
Objective: To evaluate health literacy conditions among professionals enrolled in a Multiprofessional Residency Program in Health. Method: Analytical cross-sectional study, conducted with 88 resident professionals, using the Brazilian version of the Health Literacy Questionnaire. The reliability of the mean scores on the scales and their correlation with sociodemographic variables were evaluated. Results: The results indicate that women take better care of their health and have better social support. The younger residents find it easier to interact with healthcare personnel and navigate the healthcare system. The strengths identified were the capacity to identify reliable sources of information, and being “information explorers”. The limitations are related to not being involved with their own health care and not using the healthcare system. Conclusion: The study collaborates to spread the theme among resident professionals, enabling reflection on the necessary competencies and abil...
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Objective: To translate and adapt the eHealth Literacy Scale for the cultural reality of Brazil and to evaluate the psychometric properties of its Brazilian Portuguese version. Methods: The instrument was translated and adapted to... more
Objective: To translate and adapt the eHealth Literacy Scale for the cultural reality of Brazil and to evaluate the psychometric properties of its Brazilian Portuguese version. Methods: The instrument was translated and adapted to Brazilian Portuguese and applied to a sample of 502 individuals from 18 to 80 years old who lived in the surrounding areas of six Family Health Units of a city in the countryside of the state of São Paulo, Brazil. The data was evaluated using exploratory and confirmatory factor analysis, item response theory, and instrument reliability measures (Cronbach’s alpha and McDonald’s omega). Results: The eHealth Literacy Scale - Brazilian version (eHEALS-Br) presented an excellent internal consistency (α = 0.95 e ω = 0.95), with only one dimension and an explained variation of 81.79%. Conclusions: The Brazilian version of the instrument showed excellent psychometric properties to measure the levels of digital health literacy in adults from the country.
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It is a descriptive exploratory study with the purpose to identify similarities and differences among various Informative Bulletins (IBs) of Intensive Care Unity (ICU) and the information routine to the family members in the ICUs; to... more
It is a descriptive exploratory study with the purpose to identify similarities and differences among various Informative Bulletins (IBs) of Intensive Care Unity (ICU) and the information routine to the family members in the ICUs; to describe the family members and health professionals' perception about the IB as an instrument to communicate the ICU patient clinical state ; to identify the communication aspects involved in the comprehension of the ICU Informative Bulletin by professionals and family members; to identify suggestions given by professionals and family members in order to create suitable IBs to the family members' needs. The participants were 41 professionals and people with a family member under treatment in an ICU. Data were collected between February and April 2006, through semi-structured interviews followed by answer content analysis in accordance with Bardin (2004). Comparison between information routine of each ICU and the various IBs indicated that they ...
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Summary The human and social implications of poor health literacy are substantial and wide-ranging. Health literacy represents the personal competencies and organizational structures, resources and commitment that enable people to access,... more
Summary The human and social implications of poor health literacy are substantial and wide-ranging. Health literacy represents the personal competencies and organizational structures, resources and commitment that enable people to access, understand, appraise and use information and services in ways that promote and maintain good health. A large-scale societal improvement of health literacy will require political buy-in and a systematic approach to the development of health literacy capacity at all levels. This article builds the case for enhancing health literacy system capacity and presents a framework with eight action areas to accommodate the structural transformation needed at micro, meso and macro levels, including a health literate workforce, health literate organization, health literacy data governance, people-centred services and environments based on user engagement, health literacy leadership, health literacy investments and financial resources, health literacy-informed t...
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This study analyzed factors associated with the quality of life (QoL) of prison officers (POs) in the Midwest Region of Brazil. POs in five penitentiary units participated in this cross-sectional study. Sociodemographic data were obtained... more
This study analyzed factors associated with the quality of life (QoL) of prison officers (POs) in the Midwest Region of Brazil. POs in five penitentiary units participated in this cross-sectional study. Sociodemographic data were obtained through face to face interview and a World Health Organization Quality of Life abbreviated version (WHOQOL-BREF) questionnaire was applied to assess QoL. Student’s t-test or ANOVA were used for bivariate analysis and multiple linear regression was applied for adjusted analysis. The domains used for outcomes were: physical, psychological, social relations, and the environment. The lowest score among WHOQOL-BREF domains was environment (59.9; 95%CI 58.0–61.5). After adjustment, the factors associated with the physical domain were ‘female sex’ and ‘no history of workplace PO-PO violence’; factors associated with the psychological domain were ‘female sex’, ‘without spouse’, and ‘no history of inmate-PO violence’; factors associated with the social rela...
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The study's aim was to analyze the importance assigned by the nursing staff to the recording of vital signs of elderly inpatients, as well as perceived barriers and benefits. Data were collected through interviews held with 13 nurses... more
The study's aim was to analyze the importance assigned by the nursing staff to the recording of vital signs of elderly inpatients, as well as perceived barriers and benefits. Data were collected through interviews held with 13 nurses and the reports were analyzed using content analysis, considering the health belief model proposed by Rosenstock. The categories that emerged from the analysis indicate barriers that interfere in the proper monitoring of vital signs, namely: workload, lack of availability and accessibility of basic equipment such as thermometers, stethoscopes and sphygmomanometers, which compromises the nursing assessment and leads to a greater susceptibility to incidents. Although the facility does not provide conditions to measure vital signs properly, the nursing staff attempts to do what is feasible given their current knowledge and context to achieve the best outcome possible in view of the resources available.
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This descriptive, exploratory and qualitative study was developed at a public Intensive Care Unit (ICU) in Goiânia (Goiás, Brazil), with the objective to describe the concept and practice of care humanization developed by nurses of the... more
This descriptive, exploratory and qualitative study was developed at a public Intensive Care Unit (ICU) in Goiânia (Goiás, Brazil), with the objective to describe the concept and practice of care humanization developed by nurses of the referred ICU, who form a team undergoing a continuous process of development and scientific study. Data collection was performed in 2011, with seven nurses of the ICU, by means of taped semi-structured interviews, which were transcribed and categorized by content analysis, revealing the categories “The concept of humanization” and “Practice in the everyday intensive care routine”. Nurses are familiar with the concept and know how to practice humanized care, but still do not apply that knowledge in every situation, assigning this to external factors. It is necessary to identify the bottlenecks of this process to help plan the interventions needed to produce effective changes in the behavior of these workers.
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Esta pesquisa objetivou identificar as primeiras condutas adotadas pelos clientes antes de procurarem os serviços de saúde e evidenciar mudanças de comportamento quanto a crenças populares relacionadas à prevenção e cura de doenças, após... more
Esta pesquisa objetivou identificar as primeiras condutas adotadas pelos clientes antes de procurarem os serviços de saúde e evidenciar mudanças de comportamento quanto a crenças populares relacionadas à prevenção e cura de doenças, após orientações dos profissionais. Estudo qualitativo, tipo descritivo-exploratório, desenvolvido em Goiânia - GO. A coleta de dados foi realizada por meio de entrevista individual junto a usuários de três serviços do Sistema Único de Saúde. Detectou-se que, antes de procurar os serviços de saúde, os clientes utilizam recursos populares tais como chás caseiros, benzeduras, banhos e emplastos para prevenção e tratamento de doenças. Os dados evidenciaram a determinação dos sujeitos de não abandonar a prática popular, mesmo diante de orientações de profissionais de saúde, porque acreditam em sua eficácia. Concluiu-se que a mudança de hábitos relacionados à saúde é um processo difícil e que é preciso respeitar tradições e opiniões do usuário ao se estabelec...
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Research Interests: Pain, Chronic Pain, Medicine, Multidisciplinary, Activities of Daily Living, and 15 moreMarital Satisfaction, Affect, Marriage, Humans, Environmental public health, Back Pain, Chronic Disease, Female, Male, Caregivers, Multiple Regression, Middle Aged, Adult, Disability Evaluation, and Medical and Health Sciences
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The treatment of the cardiac conduction system disturbances improved with the development of the permanent cardiac pacemakers (PM). The authors perceived that pacemakers patients reported some kinds of fear concerning the machine that was... more
The treatment of the cardiac conduction system disturbances improved with the development of the permanent cardiac pacemakers (PM). The authors perceived that pacemakers patients reported some kinds of fear concerning the machine that was stimulating their heart beating, and that their daily living activities seemed to be altered. The aim of this study was to identify the alterations in the daily activities reported by the patients as caused by the PM implantation. Eighty patients were studied and data were collected by an interviewing form based on the Functional Health Patterns (GORDON, 1994). The patients were asked if they had noticed any alteration caused by the PM. As for the alterations, the patients were asked if they had been ”better or worse”. To analyze the answers of the presence or absence of alterations in the activities of daily living, the statistical “test of one proportion” was used. The results pointed out that the frequency of alterations for a “better way” was s...
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Renal cancer is a complex multifactorial urologic disease.1 It encompasses a series of malignant tumors with genetic polymorphisms affecting the kidneys.2 In this context, different types of kidney tumor produce significantly diverse... more
Renal cancer is a complex multifactorial urologic disease.1 It encompasses a series of malignant tumors with genetic polymorphisms affecting the kidneys.2 In this context, different types of kidney tumor produce significantly diverse histopathology findings and genetic alterations involving various molecular pathways, in addition to yielding multiple clinical manifestations and treatment options.3 DOI: 10.5935/0101-2800.20150038 Introduction: Renal cancer is a complex and multifactorial oncourologic disease. Objective: To conduct a meta-analysis in order to investigate the association of GSTM1 and GSTT1 genes null polymorphisms in renal cancer. Method: Case-control studies in humans, published from 1999 to 2013, that investigated the association of GSTM1 and GSTT1 genes null polymorphisms in renal cancer were grouped in order to make of this meta-analysis. Results: Ten articles were selected on the subject proposed. No associations were found between polymorphisms of GSTM1null (OR =...
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Objectives: to evaluate a pediatric risk evaluation and classification service in the aspects of structure, process, and outcome. Methods: a cross-sectional, descriptive, and exploratory study in which qualitative data complement the... more
Objectives: to evaluate a pediatric risk evaluation and classification service in the aspects of structure, process, and outcome. Methods: a cross-sectional, descriptive, and exploratory study in which qualitative data complement the results. Data collection by non-participant observation, interview, and consultation of medical records. Results: we observed two hundred and four visits. The service works in a makeshift room and without privacy. The nurses did not use various materials/equipment available for evaluation, rarely performed a physical examination, used the interview most of the time, and did not consult the protocol. Parents/companions received no information, and medical records showed incomplete records. Nurses classified 69.1% of the children as non-emergency. The most frequent outcome of the visits was discharge. Conclusions: the service showed weaknesses in the physical structure, in the risk classification process, and the outcomes, but it presents a good resolutio...
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O objetivo foi avaliar a satisfação dos usuários de unidades municipais de saúde que realizam Acolhimento com Avaliação e Classificação de Risco (AACR). Estudo descritivo transversal, quantitativo, realizado em quatro serviços com AACR... more
O objetivo foi avaliar a satisfação dos usuários de unidades municipais de saúde que realizam Acolhimento com Avaliação e Classificação de Risco (AACR). Estudo descritivo transversal, quantitativo, realizado em quatro serviços com AACR realizado por enfermeiro, em capital do Centro-Oeste do Brasil. Dados colhidos em 2017 com 101 usuários, usando formulário com 44 perguntas objetivas sobre cinco dimensões: equipe de saúde, tempo, estrutura física, conforto e atendimento em geral. Predominaram mulheres (54,5%), idade de 18 a 39 anos (65,3%) e 10 a 12 anos de escolaridade (58,4%). Mais de 2/3 estavam satisfeitos com as dimensões avaliadas, mas houve usuários indiferentes e insatisfeitos em todas. Apesar da predominância de usuários satisfeitos, é necessário repensar a organização e funcionamento dos serviços, trabalhando tanto para manter ou melhorar a qualidade do que foi avaliado positivamente, quanto para corrigir o que ainda não está bom para usuários insatisfeitos, visando a excel...
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Objetivo: Avaliar o conhecimento acerca dos cuidados bucais realizados por enfermeiros a pacientes ventilados mecanicamente. Método: Estudo transversal, realizado em um hospital escola de Goiânia/Goiás. A coleta de dados deu-se por meio... more
Objetivo: Avaliar o conhecimento acerca dos cuidados bucais realizados por enfermeiros a pacientes ventilados mecanicamente. Método: Estudo transversal, realizado em um hospital escola de Goiânia/Goiás. A coleta de dados deu-se por meio de questionário estruturado. Resultados: Os enfermeiros conhecem as medidas recomendadas sobre higiene bucal. Os fatores dificultadores encontrados foram a falta de pessoal (21,7%), falta de tempo (16,7%) e trabalhos burocráticos (15%). Contudo ainda existem lacunas no que se refere a produtos e materiais utilizados na higiene bucal. Conclusão: As Lacunas e os fatores dificultadores sinalizados nesse estudo merecem reflexão, como forma de avaliar a qualidade do cuidado oferecido.Descritores: Biofilme; Higiene Bucal; Cuidados de enfermagem.ORAL CARE IN MECHANICALLY VENTILATED PATIENTS: KNOWLEDGE OF NURSES FROM A SCHOOL HOSPITALObjective: To evaluate the knowledge about oral care performed by nurses in mechanically ventilated patients. Methods: a cross...
Introducción: El envejecimiento de la población se configura como un fenómeno mundial, por lo que es esencial para poner en práctica actividades que contribuyan a un envejecimiento saludable y activo. Este estudio tuvo como objetivo... more
Introducción: El envejecimiento de la población se configura como un fenómeno mundial, por lo que es esencial para poner en práctica actividades que contribuyan a un envejecimiento saludable y activo. Este estudio tuvo como objetivo describir la calidad de vida (CV) de los mayores participantes de un grupo de promoción de la salud. <br /><br />Metodología: Se trata de un estudio de abordaje cuantitativo, con mayores inscritos en una Unidad de Atención Primaria de Salud de la Familia (UABSF), que participan de un grupo de promoción de la salud. La recolección de datos ocurrió entre junio y octubre de 2012, utilizando un cuestionario socio demográfico, del WHOQOL-BREF y WHOQOL-OLD. Los datos fueron analizados en el software Stata versión 11.0. Las variables numéricas fueron exploradas por medidas descriptivas de centralidad y de dispersión y las categóricas por frecuencias simpes absolutas y porcentajes. Los dominios del WHOQOL-BREF y la faceta del WHOQOL OLD fueron repres...
Resumo Objetivo: Validar o instrumento de avaliacao do letramento em saude Health Literacy Questionnaire para o portugues brasileiro. Metodos: Para a adaptacao transcultural e validacao das propriedades psicometricas da versao brasileira... more
Resumo Objetivo: Validar o instrumento de avaliacao do letramento em saude Health Literacy Questionnaire para o portugues brasileiro. Metodos: Para a adaptacao transcultural e validacao das propriedades psicometricas da versao brasileira do Health Literacy Questionnaire (HLQ-Br), foi utilizado o protocolo estabelecido pelos autores do instrumento original. O HLQ-Br foi respondido por 794 adultos de tres regioes do Brasil. A Analise Fatorial Confirmatoria foi realizada por meio do Diagonally Weighted Least Squares e a confiabilidade foi verificada pelos indicadores alfa de [...]
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Objetivo: avaliar o processo de realização do banho no leito e os cuidados realizados pela equipe de enfermagem antes, durante e após o banho no leito. Métodos: estudo transversal e observacional, realizado na Unidade de Terapia Intensiva... more
Objetivo: avaliar o processo de realização do banho no leito e os cuidados realizados pela equipe de enfermagem antes, durante e após o banho no leito. Métodos: estudo transversal e observacional, realizado na Unidade de Terapia Intensiva de um Hospital/Escola, com oito técnicos de enfermagem. Para a coleta de dados foi utilizado instrumento estruturado tipo checklists em 30 momentos de observação de 1080 ações. Resultados: foram observados 10 cuidados antes e 28 durante e após o banho no leito. O banho foi realizado de forma automática sem comunicação prévia, sem considerar a individualidade e privacidade do paciente, principalmente naqueles submetidos a ventilação mecânica. Não houve participação do enfermeiro e a maioria das ações realizadas pela equipe de enfermagem não atendeu às recomendações da literatura. Conclusões: há necessidade de melhoria da qualidade do banho no leito realizado pela enfermagem e adoção de práticas baseadas em evidências no processo de cuidar.
The objective of this systematic review is to evaluate the psychometric properties and clinical utility of patient-reported outcome measures that assess health-related quality of life in patients with a clinical diagnosis of acute... more
The objective of this systematic review is to evaluate the psychometric properties and clinical utility of patient-reported outcome measures that assess health-related quality of life in patients with a clinical diagnosis of acute coronary syndrome.
To verify the comprehension of the education handout and the level of Functional Health Literacy of individuals with cardiac pacemaker (PM) and whether there is correlation between the comprehension and Functional Health Literacy (FHL).... more
To verify the comprehension of the education handout and the level of Functional Health Literacy of individuals with cardiac pacemaker (PM) and whether there is correlation between the comprehension and Functional Health Literacy (FHL). Cross-sectional study with 63 individuals with PM who answered to comprehension tests of the handout, literacy assessment (SAHLPA-50) and cognition (MMSE). Measurements of dispersion, Pearson correlation and multiple linear regression were calculated. Most women, study time ≤ 9 years, 66.21 (average age) presented no cognitive changes. An adequate literacy level was evidenced in 50.8% individuals with PM and satisfactory comprehension of the handout. No correlation was identified between FHL, handout comprehension, age, years of study and cognition. The handout comprehension assessed by individuals with appropriate FHL indicated that it can be a printed material suitable for use, aiming to improve care process and knowledge of individuals with PM. Ve...
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to analyze the functional health literacy (FHL), i.e., understanding and knowledge about chronic renal disease of 60 patients in pre-dialytic treatment. this is a cross-sectional study. FHL was measured by B-TOFHLA; and the knowledge, by... more
to analyze the functional health literacy (FHL), i.e., understanding and knowledge about chronic renal disease of 60 patients in pre-dialytic treatment. this is a cross-sectional study. FHL was measured by B-TOFHLA; and the knowledge, by questionnaire. Pearson correlation and Chi-square tests were carried out as well as linear regression models. all respondents presented inadequate FHL, and most showed insufficient knowledge about the disease and treatment. Low schooling was a predictive factor for worst FHL scores. Insufficient knowledge was related to age and compromised cognition. although association between predictive variables has not been found, limited capability to obtain and use health-related information and insufficient knowledge about their own condition and treatment can contribute to worse outcomes for CKD. Appropriate intervention strategies are necessary to deal with limited FHL and also greater knowledge and ability of professionals to deal with the matter.
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... experimental, Documentos relacionados. Id: 14485. Autor: Souza, Marcus Antônio de; Melo, Márcia Borges de; Silveira Júnior, Raul Soares; Barbosa, Maria Alves; Siqueira, Karina Machado; Martins, Cleusa Alves; Souza, Márcia Maria de;... more
... experimental, Documentos relacionados. Id: 14485. Autor: Souza, Marcus Antônio de; Melo, Márcia Borges de; Silveira Júnior, Raul Soares; Barbosa, Maria Alves; Siqueira, Karina Machado; Martins, Cleusa Alves; Souza, Márcia Maria de; Brasil, Virgínia Visconde. ...
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... Id: 14645. Autor: Barbosa, Maria Alves; Siqueira, Karina Machado; Brasil, Virginia Visconde; Bezerra, Ana Lúcia Queiroz. Título: Crenças populares e recursos alternativos como práticas de saúde / Popular beliefs and alternative... more
... Id: 14645. Autor: Barbosa, Maria Alves; Siqueira, Karina Machado; Brasil, Virginia Visconde; Bezerra, Ana Lúcia Queiroz. Título: Crenças populares e recursos alternativos como práticas de saúde / Popular beliefs and alternative resources and health practices. Fonte: Rev. ...
... Karina Machado Siqueira I ; Maria Alves Barbosa II ; Virginia Visconde Brasil II ; Lizete Malagoni Cavalcante Oliveira III ; Lourdes Maria Silva Andraus II. ... 10: 31 Assim, qualquer pessoa que necessite tornar-se usuária do serviço... more
... Karina Machado Siqueira I ; Maria Alves Barbosa II ; Virginia Visconde Brasil II ; Lizete Malagoni Cavalcante Oliveira III ; Lourdes Maria Silva Andraus II. ... 10: 31 Assim, qualquer pessoa que necessite tornar-se usuária do serviço de saúde tem direito de receber informações ...
... JUNIOR,FRANÇA, 2007). A indicação de suporte ventilatório deve ser prudente e criteriosa, pois seu uso implica em risco aos clientes. A permanência na ventilação artificial após o período de 48 horas pode ocasionar pneumonia associada... more
... JUNIOR,FRANÇA, 2007). A indicação de suporte ventilatório deve ser prudente e criteriosa, pois seu uso implica em risco aos clientes. A permanência na ventilação artificial após o período de 48 horas pode ocasionar pneumonia associada à ventilação mecânica (PAV), ...
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