Analysis of etiological factors of nursing diagnosis of impaired comfort in children and adolescents with cancer.

Aim: To analyse the etiological factors of the nursing diagnosis of impaired comfort in children and adolescents with cancer.

Design: This cross-sectional study was carried out in the referral unit for the treatment of childhood cancer in a tertiary hospital located in northeastern Brazil.

Methods: A total of 200 children and adolescents who were undergoing cancer treatment were included in this study.

Surgical site infection prevention bundle for children submitted to cardiac surgery.

Objective: To build and validate the content and appearance of a surgical site infection prevention bundle for children submitted to cardiac surgery.

Method: Methodological study in two phases: 1) Bundle construction from an integrative literature review from which interventions have been extracted to compose the instrument; 2) Bundle content and appearance validation by 24 judges.

Results: The 24 found articles presented 17 interventions for surgical site infection prevention in this population.

Urinary Syndecan-1 and acute kidney injury after pediatric cardiac surgery.

Introduction: Acute kidney injury (AKI) is a common occurrence after pediatric cardiac surgery. Plasma syndecan-1 is a biomarker of endothelial glycocalyx damage and it is associated with AKI. Syndecan-1 is also expressed in renal tubular cells but there is no study evaluating urinary syndecan-1 in predicting AKI.

Proposal of an Integrated Health Care Network System for Patients with Congenital Heart Defects.

The perspective of the integrated health system has a network of care with multiple integration dimensions among subsystems as nuclear representation, relating the clinical aspects and governance to the representations and collective values. The normative integration aims to ensure coherence between the system of representations and values of society simultaneously with the interfaces of clinical and functional integration. It builds a bridge with governance, which allows, through their skills, management of all system components, encouraging cooperation, communication and information, in order to ensure the population under their responsibility to access excellence services, exceeding their expectations.

Analysis of Surgical Mortality for Congenital Heart Defects Using RACHS-1 Risk Score in a Brazilian Single Center.

Introduction: Risk Adjustment for Congenital Heart Surgery 1 (RACHS-1) score is a simple model that can be easily applied and has been widely used for mortality comparison among pediatric cardiovascular services. It is based on the categorization of several surgical palliative or corrective procedures, which have similar mortality in the treatment of congenital heart disease.

Objective: To analyze the in-hospital mortality in pediatric patients (<18 years) submitted to cardiac surgery for congenital heart disease based on RACHS-1 score, during a 12-year period.

Syndecan-1 improves severe acute kidney injury prediction after pediatric cardiac surgery.

Objective: Acute kidney injury is a common occurrence after pediatric cardiac surgery and is associated with adverse patient outcomes. Syndecan-1 is a biomarker of endothelial glycocalyx damage, and its early increment after surgery can be associated with acute kidney injury.

Methods: We performed a prospective cohort study with 289 patients aged less than 18 years who underwent cardiac surgery at 1 reference institution.

[World-view, cultural care and environmental concept, the daily care of the elderly with diabetes mellitus].

This study aimed to analyze the daily care of the elderly with DM in the light of the theoretical assumptions of Leininger. This is a study descriptive, qualitative, with the participation of 8 elderly patients with DM in a health unit in Fortaleza. Information was collected through interviews with semi-structured.