Physical wastage of immunobiological products in the state of Ceará, Brazil, 2014-2016.

Objective: to describe discarded wasted immunobiological products provided by the National Im-munization Program (PNI) to the State of Ceará between 2014 and 2016, and the costs of discarded doses.

Methods: this was a descriptive study using data from suspect im-munobiological product evaluation forms and data from disposal approval forms.

Results: a total of 317 forms were included, 72.

Quantitative Renal Echogenicity as a Tool for Diagnosis of Advanced Chronic Kidney Disease in Patients with Glomerulopathies and no Liver Disease.

Background/aims: Glomerulopathy patients are prone to developing transitory reduced glomerular filtration rate (GFR), which can be difficult to differentiate from irreversible chronic kidney disease (CKD). Renal ultrasound can be useful, but differently from renal length, quantitative renal echogenicity has not been formerly evaluated regarding its capacity to identify irreversible advanced CKD.

Methods: A prospective study was performed, where quantitative renal echogenicity was performed during renal biopsy in patients with suspected glomerular disease (n=197).

Rare case of nephrotic syndrome: Schimke syndrome.

Schimke syndrome corresponds to dysplasia of bone and immunity, associated with progressive renal disease secondary to nephrotic syndrome cortico-resistant, with possible other abnormalities such as hypothyroidism and blond marrow aplasia. It is a rare genetic disorder, with few reports in the literature. The most frequent renal involvement is nephrotic syndrome with focal segmental glomerulosclerosis and progressive renal failure.

[Analysis of prevention and treatment of the pressure ulcers proposed by nurses].

Pressure ulcers are still considered a serious problem, especially in elderly people and in situations of chronic-degenerative diseases. The purpose of this study was to identify the literature production about actions of prevention and treatment performed by nurses published from 1999 to 2004, describing the knowledge produced about the theme. This is a descriptive literature review of nursing journals indexed in LILACS and MEDLINE about the theme from 1999 to 2004.