Hospital In Recife Research Articles

The impact of chemotherapy on the memory and quality of life of oncology patients in a referral hospital in Recife

The impact of chemotherapy on the memory and quality of life of oncology patients in a referral hospital in Recife

Epidemiological profile of patients undergoing hypospadias correction surgery at a hospital in Recife, Brazil, between 2022 and 2023

Problem: Hypospadias is the second most common genital anomaly after undescended testicles, occurring in approximately 1 in every 250 male newborns. Objectives: The present paper aims to evaluate the surgeries performed to hypospadias repair in a hospital in Recife city from March 2022 to March 2023. Methodology: A retrospective, descriptive study with a quantitative approach with secondary data from medical records. The study population consisted of 97 childrens and 99 surgeries. Results: The results showed that 49.5% of the patients presented with distal hypospadias. The most commonly used technique was Bracka, representing 31.3% of the cases. The mean age of the patients at the time of the first surgery was 5 to 9 years. Of the sample, 24.2% of the patients had complications, 41.7% of which were due to urethrocutaneous fistula. Conclusion: It was concluded that the age at the time of the first surgery was higher than that indicated in the literature. There was a slight prevalence of distal hypospadias to proximal hypospadias, evidencing a demand for complex hypospadias in this hospital.

Genetic profile and characterization of antimicrobial resistance in Acinetobacter baumannii post-COVID-19 pandemic: a study in a tertiary hospital in Recife, Brazil.

To investigate the genetic profile and characterize antimicrobial resistance, including the main β-lactam antibiotic resistance genes, in Acinetobacterbaumannii isolates from a tertiary hospital in Recife-PE, Brazil, in the post-COVID-19 pandemic period. Acinetobacter baumannii isolates were collected between 2023 and 2024 from diverse clinical samples. Antimicrobial resistance testing followed standardized protocols, with β-lactamase-encoding genes detected via PCR and sequencing. Investigation into ISAba1 upstream of blaOXA-carbapenemase and blaADC genes was also conducted. Genetic diversity was assessed through ERIC-PCR. Among the 78 A. baumannii, widespread resistance to multiple antimicrobials was evident. Various acquired β-lactamase-encoding genes (blaOXA-23,-24,-58,-143, blaVIM, and blaNDM) were detected. Furthermore, this is the first report of blaVIM-2 in A. baumannii isolates harboring either the blaOXA-23-like or the blaOXA-143 gene in Brazil. Molecular typing revealed a high genetic heterogeneity among the isolates, and multi-clonal dissemination. The accumulation of genetic resistance determinants underscores the necessity for stringent infection control measures and robust antimicrobial stewardship programs to curb multidrug-resistant strains.

Spirituality as a coping strategy among caregivers of pediatric oncology patients in a reference hospital in Recife

Spirituality as a coping strategy among caregivers of pediatric oncology patients in a reference hospital in Recife

Prevalence of cagA, cagM, vacA and oipA genes in isolates of Helicobacter pylori obtained from hospital patients in Northeast Brazil.

Helicobacter pylori is a major cause of gastrointestinal disorders such as chronic gastritis, peptic ulcers, mucosa-associated lymphoid tissue (MALT) lymphoma, and gastric cancer. It is estimated that around half of the world's population is infected with this pathogen, with underdeveloped countries reporting the highest frequencies. The genes cagA, cagM, vacA, and oipA are some of the most important virulence factors of H. pylori; however, there are no recent studies from Recife-PE demonstrating their frequency, and their relationship with severe gastric modifications. This work aims to use qualitative PCR to detect the virulence genes cagA, cagM, vacA, and oipA in H. pylori isolates obtained from patients in a public hospital in Recife (PE). We collected samples from the stomach's body and antrum of 147 patients, from which 71 (48%) tested positive for H. pylori. Among positive samples, the most frequently infected gender was female (44/71, 62%), and the most frequently infected age group was those above the age of 46 (31/71, 44%). Histological examination of H. pylori-positive samples revealed alterations other than chronic gastritis, including metaplasia and atrophy. The frequency of cagA, cagM, and oipA genes were identified in 84%, 56%, and 69% of the samples tested, respectively, as well as the vacA-s1m1 allelic combination (77%). However, there was no statistically significant variation in the occurrence of these genes, therefore they cannot be considered unique markers of severity in our setting. New research with larger samples and investigations of other genetic markers can aid uncover local risk factors and lead to a better understanding of H. pylori's pathogenesis.

Distribution and Etiology of Facial Fractures in Patients Admitted by the Oral and Maxillofacial Specialty at an Emergency Hospital in Recife

Abstract Among the traumas, those that affect the oral and maxillofacial region stand out considerably, due to their high complexity and the fact that they affect a bodily region with great physiological, aesthetic and social importance. This study aimed to characterize the facial traumas that generate fractures, specifying their distribution and etiology, in patients who were hospitalized. For this, a cross sectional study was carried out on secondary data, in which 407 medical records of patients hospitalized by the Oral and Maxillofacial Surgery Service of the public network at Hospital da Restauração Governador Paulo Guerra-HR, in the city of Recife-Pernambuco, were collected, from which 130 medical records were selected whose reason for admission into the hospital was trauma to the bones of the face, hospitalized in the period between January 1st and December 31st, 2021, representing the sample of this study. The results regarding the distribution of fractures showed that the mandible was the most affected bone (66% of the cases), followed by the maxilla with 35%, the zygoma with 29%, the orbit with 15% and the bones of the nose in 12%. As for the etiology, car accident was responsible for the highest frequency of fractures with 29%, followed by physical aggression, with 22%, Firearm Projectile (16%), falls (16%), others (10%). It can be concluded that, in the period studied, the mandible was the most affected bone by fractures and traffic accidents were the main causes of facial fractures requiring hospitalization, and men being five times more affected than women. Keywords: Trauma. Face. Fracture. Etiology. Maxillofacial. Resumo Entre os traumas, os que acometem o campo buco-maxilo-facial se destacam consideravelmente, devido a sua alta complexidade e pelo fato de atingirem uma região corporal com grande importância fisiológica, estética e social. Este estudo teve como objetivo caracterizar os traumas faciais geradores de fraturas, especificando sua distribuição e etiologia, em pacientes que foram hospitalizados. Para isto, foi desenvolvido um estudo transversal em dados secundários, no qual foram coletados 407 prontuários de pacientes internados pelo Serviço de Cirurgia Buco-maxilo-facial da rede pública no Hospital da Restauração Governador Paulo Guerra–HR, na cidade do Recife-Pernambuco, dos quais foram selecionados 130 prontuários cujo motivo da internação foi trauma em ossos da face, internados no período entre 01 de janeiro a 31 de dezembro de 2021, representando a amostra deste trabalho. Os resultados quanto a distribuição das fraturas demonstrou que a mandíbula foi o osso mais atingido (66% dos cases), seguido pela maxila com 35%, o zigoma com 29%, órbita com 15% e Ossos Próprios de Nariz em 12%. Quanto a etiologia, o acidente automobilístico foi o responsável pela maior frequência das fraturas com 29%, seguida por agressão física, com 22%, Projétil de Arma de Fogo (16%), quedas (16%), outros (10%). Pode-se concluir que, no período estudado, a mandíbula foi o osso mais acometido pelas fraturas e os acidentes de trânsito foram os maiores causadores de fraturas faciais com necessidade de internamento, sendo os homens cinco vezes mais acometidos do que as mulheres. Palavras-chave: Trauma. Face. Fratura. Etiologia. Maxilofacial.

Avaliação do método canguru durante pandemia de Covid-19 em duas maternidades de referência em Pernambuco

Abstract Objectives: to evaluate the second stage of the Kangaroo Mother Care (KMC) and its integration with the third stage in maternity hospitals in Recife in the context of the coronavirus pandemic. Methods: normative assessment carried out at the Kangaroo Neonatal Intermediate Care Unit (KNICU) in two public reference maternity hospitals for KMC between November/2021 and May/2022. The logical model and matrix of KMC indicators were developed and validated using the Delphi Method: semi-structured interviews were carried out with professionals from the KNICU team and the municipal child health coordination. It was considered implemented when the criteria were met (from 100.0 to 80.0%); partially implemented (79.9 to 60.0%); incipient (59.9 to 40.0%) and not implemented (<or=39.9%). Results: the MC was partially implemented in both KNICU (79.0% both). The Structure dimension was implemented (84.0 and 97.0%) and the Process dimension, in the Education (70.0% both) and Management components, were partially implemented (61.0% and 78.0%), although the units claim that they do not share clinical objectives, exams and treatments and do not have an effective referral/counter-referral system. While Assistance was implemented in one unit (90.0%) and partially implemented in the other (75.0%). Conclusion: KNICU was partially implemented during the coronavirus pandemic in the two reference maternity hospitals, but with obstacles to integration with the third stage of the method.

Weight loss as a predictor of poor prognosis in patients hospitalized for COVID-19

Objective: To evaluate the relationship between weight loss and markers of poor prognosis in patients hospitalized with COVID-19 in the state of Pernambuco. Methods: A multicenter, cross-sectional study coupled with prospective analysis variables involving 71 individuals with COVID-19 admitted for hospitalization in 8 public hospitals in Recife, in the State of Pernambuco. Individuals of both sexes, aged ≥ 20 years, hospitalized from June 2020 to June 2021 were included. Sociodemographic, clinical, and nutritional data and prognostic markers were collected. Results: The average age was 54.6±15.6 years, with 54.9% of individuals being male. It was found that 26.8% of the patients were diabetic and 52.1% were hypertensive. The anthropometric profile indicated that 56.3% were overweight and 5.6% were underweight. Positive screening for sarcopenia was observed in 16.9%. The median weight loss was 3.1% (0.0-6.6%), with a loss > 5% evident in 29.6% of the sample. It was found that weight loss was more frequent in men (16 (41.0%) vs. 5 (15.6%); p = 0.020) and that demographic, clinical, and nutritional variables were not associated with body weight loss. There was no statistical association between weight loss and prognostic variables (p NS). Conclusion: Although the study did not demonstrate an association between weight loss and prognostic variables, this should be considered when assessing patients with COVID-19 and should be investigated and treated as an essential health promotion measure.

Occupational radiation exposure in anesthesia for hepatic chemoembolization: a prospective study

Introduction: Anesthetists play an important role during interventional radiology procedures. Like the main operator, anesthetists may also be subject to significant radiation levels in the fluoroscopy suite. Due to its complexity, hepatic chemoembolization procedures demand high fluoroscopic times and digital subtraction angiography images, exposing patients and medical staff to high radiation doses.
 Objetive: To assess and quantify the radiation to which one anesthetist was exposed over the course of seven consecutive hepatic chemoembolization procedures, and compare it to the exposure received by the main operator.
 Methods: Medical staff dosimetry was evaluated during seven consecutive hepatic chemoembolization procedures conducted in a private hospital in Recife (Brazil), using thermoluminiscent dosimeters placed in regions of the head and torso.
 Results: For the seven procedures evaluated in this study, the anesthetist received, on average, absorbed doses to the glabella, left eyebrow, right eyebrow and effective dose of 142.4 ± 72 µSv, 117.3 ± 66 µSv, 137.8 ± 71 µSv and 12.4 ± 8.4 µSv, respectively. 
 Conclusions: In some cases, ocular dose and effective dose received by the anesthetist may be 4 and 4.7 times greater, respectively, when compared to the main operator. According to the results of this study, the current occupational annual dose limit to the lens of the eye of 20 mSv can be exceeded with only two hepatic chemoembolization procedures per week if adequate radiation protection conditions are not guaranteed.

Condition of oral health of caregivers of elderly patients in palliative care

The aim of this study was to evaluate the oral health status of caregivers of older adults in palliative care. This cross-sectional observational study comprised 54 caregivers of older adults hospitalized at a public university hospital in Recife, Brazil. The caregivers answered a questionnaire and underwent oral clinical examination. They were a mean of 45.1 years old; 87% were females and the patients’ relatives, 68.2% had supragingival calculus, 51.9% wore dentures, and 96.3% had a very high DMFT index. As for the older adults, 76% had unsatisfactory oral hygiene. Hence, both preventive and rehabilitative actions must be planned for caregivers to improve their oral health and quality of life, thus also improving these in the older adults for whom they care.

EVALUATION OF TENOTOMY IN THE HIP SUBLUXATION TREATMENT OF CHILDREN WITH ZIKA SYNDROME.

Evaluate the efficacy and effects of releasing the muscles of subluxated hips of patients with SCZ. This is a retrospective study with 29 patients with subluxation of the hip, corresponding to 55 hips operated in a public hospital in Recife, Brazil. Preoperative femoral head migration (PM) percentages were evaluated and compared with 6- and 12-month postoperative results. Twenty-nine patients were eligible, representing 55 hips evaluated. 19 were female (65.5%), with a mean age of 31.45 months (ranging from 23 to 42 years). 19 patients were GMFCS level V (65.5%), 34.5% were level IV, and 20 of the 29 patients (69%) had no complications. The PM had an absolute reduction of 11.6% (GMFCS IV) and 13.31% (GMFCS V) in the first six months. After 12 months, there was a regression of MP of 7.14% (GMFCS V) and 11.25% (GMFCS IV) compared to preoperative values, with no significant statistical difference among MP values presented between 6 and 12 months after surgery. The surgery was effective in PM regression during the analyzed period and presented a low complication rate. Level of Evidence III; Comparative retrospective study.

Virulence Factors and Biofilm Formation in Vancomycin Resistant <i>Enterococcus faecalis</i> and <i>Enterococcus faecium</i> Isolates in Brazil

In this work, we evaluated biofilm formation of Vancomycin Resistant of E. faecalis and E. faecium (VRE) in different culture media and adhesion substrate, as well as cellular hydrophobicity and presence of virulence genes. For this, 35 isolates were collected from a public hospital in Recife, Pernambuco, Brazil and identified by the Matrix-Assisted Laser Desorption Ionization - Time-of-flight - Mass Spectrometry (MALDI-TOF-MS) technique. Biofilm formation was analyzed by the Crystal Violet (CV) method and fluorescence microscopy, cellular hydrophobicity by hydrocarbon interaction and the presence of gelE, esp and asa1 genes by Polymerase Chain Reaction (PCR). 12 isolates were identified as E. faecalis and 23 as E. faecium. Most were obtained in Coronary Units (40.0%) and Intensive Care Unit (31.4%). E. faecium isolates were more resistant to the antibiotics tested than E. faecalis; however, E. faecalis stood out as a biofilm producer. Regarding the presence and gene frequency, it was observed that gelE (54.3%) and esp (54.3%) were the most prevalent, followed by asa1 (22.9%). When comparing the gene frequency, it was observed that gelE and esp were predominant (48.6% for both species), while asa1 was more frequent in E. faecalis (20.0%). The data presented here are worrying, because they reveal the virulence potential of isolates VRE, which contributes to the dissemination and persistence of these pathogens in the hospital environment.

Distinct carbapenems susceptibility profiles in isogenic isolates of Klebsiella pneumoniae presenting Ompk36 disruption and expression of down-regulated blaKPC-2.

The isolation of multidrug-resistant Klebsiella pneumoniae in hospitals is a major public health threat, increasing patient hospitalization costs, morbidity and mortality. Therefore, this work investigated the resistance mechanisms that produced different carbapenems susceptibility profiles in two isogenic strains of K. pneumoniae isolated from the same patient in a public hospital in Recife, Pernambuco. The genes that encode the main porins in K. pneumoniae, ompK35 and ompK36, and several beta-lactamase genes were analyzed. The expression of these genes was evaluated by quantitative real time PCR (polymerase chain reaction) with reverse transcriptase (RT-qPCR). SDS-PAGE (sodium dodecyl sulphate-polyacrylamide gel electrophoresis) was performed to analyze the outer membrane proteins. The analysis of the ompK36 genetic environment disclosed an IS903 insertion sequence disrupting this gene in the ertapenem resistant isolate (KPN133). The blaKPC-2 gene showed down-regulated expression in both isolates. Our findings show that changes in porins, especially OmpK36, are more determinant to carbapenems susceptibility profile of bacterial isolates than variations in blaKPC gene expression.

Ações em tecnologia assistiva com mulheres hospitalizadas

Abstract Introduction Hospitalization can render women’s health more fragile for a variety of reasons, potentially impacting their autonomy and independence. Within this scenario, interventions using assistive technology can enhance women’s occupational performance. Objective To discern the assistive technology actions undertaken by occupational therapists for women in hospital settings. Method This descriptive, retrospective, and exploratory study with a quantitative approach was conducted from August to December 2021. It utilized secondary data from 155 medical records of women who received occupational therapy in neurology, oncology, and mental health wards at a university hospital in Recife, state of Pernambuco, Brazil. Instruments included a structured questionnaire for characterization and a checklist to trace assistive technology actions. Data analysis was performed using Microsoft Excel. Results Out of 155, 48 patients benefited from assistive technology interventions by occupational therapists. These interventions included evaluation services, prescription, manufacturing, use guidance, and training. The primary devices were orthoses for upper limbs and aids for activities of daily living in the neurology sector, with cushions being prominent in the oncology sector. A common goal was the enhancement of occupational performance. Conclusion Most assistive technology actions occurred in the oncology and neurology wards, focusing on low-cost products. There is a recognized need to refine the monitoring process for assistive technology use, invest more in assistive technology services, and promote research in this field to generate further evidence.

ACOMPANHAMENTO PEDAGÓGICO HOSPITALAR A CRIANÇAS COM CÂNCER EM PROCESSO DE ALFABETIZAÇÃO

ABSTRACT: The present study aims at the general analysis of the pedagogical hospital monitoring carried out in the oncology sector of a public hospital in Recife with regard to children in the literacy process. The specific objectives are to verify the knowledge of parents and teachers of oncology about the laws that ensure the continuity of the teaching-learning process in the hospital environment; analyze whether and how the relationship between the school and how oncology teachers occur in the children's literacy process; investigate the actions of the educator in hospital care in the oncology sector. We conducted research with a qualitative approach, using data collection, decoding and semi-structured changes as tools. Through the study, it was possible to verify that the access to hospital pedagogy offers a child and adolescent in a situation of hospitalization, not only the continuity of the schooling process, but offers a perspective for the future, I contributed to a cure so desired, for the continuation of life projects. We emphasize the need to develop new research aimed at contributing to the continuity of the teaching-learning process of children undergoing treatment, especially those who are in the process of literacy.

Risk of sarcopenia in older adults with type 2 diabetes mellitus: evaluation of the SARC-F and SARC-CalF as screening tools

Objective: To evaluate the diagnostic power of SARC-F and SARC-CalF as screening tools for sarcopenia risk in older adults with type 2 diabetes mellitus. Methodology: This cross-sectional study of 128 patients was conducted at the endocrinology outpatient clinic of a hospital in Recife, Brazil between July 2022 and February 2023. Sarcopenia was diagnosed according to original and updated European Consensus criteria for older adults. Muscle mass was assessed with electrical bioimpedance, muscle strength was assessed with a handgrip test, and physical performance was assessed with gait speed. Sarcopenia risk was assessed using the SARC-F and SARC-CalF instruments. The sensitivity, specificity, positive and negative predictive values, receiver operating characteristic curve, and area under the curve were analyzed to determine the best diagnostic performance. Results: According to the original and updated versions of the European Consensus criteria, the prevalence of sarcopenia was 25.00% and 10.90%, respectively. Sarcopenia risk was 17.20% according to the SARC-F and 23.40% according to the SARC-CalF. The sensitivity and specificity of the SARC-F ranged from 12.55% to 36.11% and 71.87% to 92.39%, respectively, while those of the SARC-CalF ranged from 47.22% to 85.71% and 82.46% to 88.89%, respectively. The area under the curve for the SARC-F and SARC-CalF varied between 0.51 and 0.71 and 0.67 and 0.86, respectively.Conclusions: The SARC-CalF had better diagnostic performance for all analyzed diagnostic criteria. Adding calf circumference to the SARC-F was an effective screening method for sarcopenia risk in the study population.

Headache frequency among 71,267 admissions to an adult medical emergency in the city of Recife in 2021

Introduction Pain is a warning sign that can mean great suffering and risk of death, and makes the patient seek a medical emergency for evaluation by specialists. Objective To verify the frequency of patients with headache disorders among those with pain admitted to the emergency department of a private hospital in Recife, Brazil, during the year 2021, using the international classification of diseases (ICD). Methods This is a retrospective study. The authors used the Business Intelligence (BI) tool to verify the number of admission by the ICD 10 recorded in 2021 in the emergency room of Hospital Unimed Recife III. The sample described in this study covers only the ICDs that had the word DOR (pain in Portuguese) or pain be the main symptom of the condition represented by the respective ICD. We selected only ICDs used in at least five admissions in 2021 (January to December), independent of readmission of the same patient. Results There were 71,267 consultations in 2021 using 2,296 different ICDs. Of these, the Headache (CEFALEIA) ICD was the 7th most frequent (n= 2,121) behind the following ICDs: Unspecified viral infection (n= 4,327); Influenza with other respiratory manifestations, due to unidentified virus (n= 3,335); Respiratory infection by the new coronavirus (Covid-19) (n= 2,927); Low back pain (n=2,759) and Diarrhea and gastroenteritis of presumptive infectious origin (n=2,739). In 27,853/71,267 (39.1%), the consultations were related to pain in any part of the body (with 258 ICDs). In the group of patients with pain of traumatological, orthopedic, or rheumatic origin, there were 10,148 consultations (142 ICDs); Abdominal or pelvic pain (5,675, with 23 DICs); Spinal pain (3,805, with 10 ICDs); and Chest pain, including coronary ischemia (1,786, with 10 ICDs)... (To see the complet abstract, please, check out the PDF.)

Breastfeeding promotion during the COVID-19 pandemic in northeastern Brazil

Early COVID-19 delivery room reports routinely described maternal and neonatal physical distancing, in both confirmed or suspected cases. Immediately, breastfeeding experts expressed their concern for the potential catastrophic consequences of such separation, with great potential for breastfeeding discontinuity, particularly in low- and middle-income countries. In this manuscript, we report a positive experience of early breastfeeding promotion and maintenance in labour and delivery room, from the time of the first cases of COVID-19, confirmed or suspected, at a Baby Friendly Hospital Initiative (BFHI) and tertiary teaching hospital in Recife, in the northeastern region of Brazil.

Atenção primária no contexto da epidemia zika e da síndrome congênita da zika em Pernambuco, Brasil: contexto, vínculo e cuidado

The Zika epidemic brought to the fore the birth of children with unknown and unexpected needs that demand longitudinal follow-up, strengthening the bond, comprehensiveness and coordination of care in health, which are essential attributes of primary health care (PHC). This article aims to evaluate the orientation of PHC care, using the PCATool-Brasil. The data were collected between 2016 and 2019, by means of interviews with parents of children who were born in a public maternity hospital in Recife (state of Pernambuco) between October 2015 and February 2016, a critical period of the microcephaly outbreak, especially in the Northeast of Brazil. The parents of 109 children participated in the survey, 15.6% of which had a confirmed microcephaly diagnosis. The degree of affiliation and access was sufficient, but the aspects of coordination of care, longitudinality, comprehensiveness, family and community orientation were insufficient. In the context of congenital Zika syndrome, these attributes are essential for the care of children and families. The fostering of health from these domains depends on the orientation of the models of care and their management with state and federal investments. The defense of life depends on the ability to place life above all other rationalities.

Factors associated with absenteeism in elderly nursing workers.

To analyze the factors associated with absenteeism in elderly nursing workers. Cross-sectional study with 233 elderly nursing workers carried out in six hospitals in Recife, Pernambuco, Brazil. The data were analyzed using univariate analysis and multivariate regression. Of the 233 elderly nursing professionals interviewed, self-reported absenteeism was present in 34.3% (80) participants. 20.1% (47) of them reported having missed a few days and 14.2% (33) having done so in many days. After adjusted analysis, only work hours and satisfaction with health influenced absenteeism. Absenteeism is a complex phenomenon which, among elderly nursing professionals, had a low prevalence and was associated with a workload of more than 40 hours a week and dissatisfaction with health. Therefore, further research is needed in the field to provide quality of life and better working conditions for nursing professionals and regulate their workload.