This volume covers many of the ways of speaking that create problems between doctor and patient. The questions under consideration in the present book are the following: How is the doctor-patient ...interaction structured in a particular culture? What takes place during the process? What causes misunderstandings, lack of cooperation and even total non-compliance? What is the outcome of the interaction and how does the patient benefit from it? Finally, and this is the ultimate purpose of this book: How can the interaction be improved so that an optimum outcome is assured for the patient with maximum satisfaction to the physician?.
OBJETIVO: Estudar a variação das taxas de mortalidade neonatal precoce, natimortalidade e de um conjunto de indicadores da rede de hospitais que prestaram atenção obstétrica ao Sistema Único de ...Saúde, visando o monitoramento das unidades hospitalares a partir do Sistema de Informações Hospitalares (SIH/SUS) e do Sistema de Nascidos Vivos (SINASC). MÉTODOS: Em 1997, 135 hospitais do Estado do Rio de Janeiro foram estudados por meio da análise estatística fatorial, pelo método de componentes principais. Estabeleceu-se a distribuição dos escores dos estabelecimentos nos dois primeiros componentes, o que permitiu classificar os hospitais segundo o perfil de risco materno das internações e os resultados da assistência. RESULTADOS: Observou-se que a rede obstétrica do Sistema Único de Saúde no Estado, responsável por cerca de 77,8% dos partos, possui 23% dos hospitais que realizam menos de 100 partos/ano. Entre os hospitais com perfil de internação de extremo risco materno e baixo desempenho encontram-se unidades consideradas referência para gestação de alto risco. Observou-se que 5% dos hospitais possuidores de estruturas de baixa complexidade apresentaram um perfil de risco materno alto e resultados da assistência questionáveis. CONCLUSÕES: O SIH/SUS mostrou ser uma importante fonte de dados para monitorar a natimortalidade e a mortalidade neonatal precoce hospitalares e para o planejamento das ações de vigilância das unidades hospitalares obstétricas e neonatais.OBJECTIVE: To analyze variations in early neonatal mortality, stillbirth rates, and a set of indicators collected from obstetric hospitals affiliated to the Brazilian National Unified Health System (SUS) for their monitoring through the Hospital Data System (SIH/SUS) and Live Births Data System (SINASC). METHODS: One-hundred and thirty five hospitals in the state of Rio de Janeiro were assessed in 1997. Factor analysis was conducted using principal components. Score distribution for the first two components were established, which allowed to classify hospitals according to maternal risk profile and care outcomes. RESULTS: Hospitals affiliated to SUS were responsible for 77.8% of all deliveries in the state of Rio de Janeiro and 23% of them performed fewer than 100 deliveries a year. Among hospitals of extreme high maternal risk and low performance, there were several units considered as referral centers for high-risk pregnancy. It was also observed that 5% of hospital units with low complexity infrastructures showed a profile of high maternal risk and questionable care outcomes. CONCLUSIONS: The Hospital Information Data System affiliated to the National Unified Health System has proven to be an important information source for monitoring hospital stillbirth and early neonatal mortality rates as well as for planning surveillance actions for health services providing obstetric and/or neonatal care.
OBJETIVO: Realizar estudo transversal de serviço regionalizado de emergências psiquiátricas inserido em hospital universitário de emergências pela caracterização da clientela e do atendimento. ...MÉTODOS: Os dados foram colhidos por um protocolo, sendo considerados todos os atendimentos realizados durante dois meses. RESULTADOS: Foram preenchidos 600 protocolos que corresponderam a 96,5% dos atendimentos efetuados no período estudado, referentes a 487 pacientes. A maioria desses era do sexo masculino, sem vínculos conjugais, com baixa escolaridade, profissionalmente inativa e morava com familiares. Os diagnósticos mais freqüentes foram transtorno do uso de substância psicoativa (26,3%), esquizofrenias (15,5%), episódio maníaco (11,8%), depressão maior (10,9%) e transtornos não psicóticos (10,9%), havendo diferenças entre os sexos quanto à proporção de algumas categorias diagnósticas. Após o atendimento inicial, 2/3 recebeu medicação e 1/2 permaneceu em observação, sendo que 1/4 permaneceu mais de 10h no serviço. Cerca de 20% dos atendimentos resultaram em internação integral e 60%, em encaminhamentos para seguimento ambulatorial. Alta por evasão representou apenas 2,0% dos atendimentos. Os usuários repetitivos não diferiram daqueles que tiveram atendimento único quanto a estado civil, vínculo empregatício e condições de moradia, mas apresentaram maior freqüência de internações anteriores e de transtornos psicóticos. CONCLUSÕES: O serviço atendeu pacientes com quadros psiquiátricos graves, em real situação de urgência, sendo observada uma ampliação das funções do serviço de emergências psiquiátricas e sua efetiva inserção na rede pública de serviços de saúde mental.OBJECTIVES: The aim was to carry out a prospective study about the characteristics of the public seen at a psychiatric emergency room and of its service. METHODS: The data were acquired though a protocol developed for this study and applied to all the patients seen during two months. RESULTS: 600 protocols were filled out, corresponding to 96.5% (487 patients) of the attendance during the study period. Most of the patients seen were males, single, with a low educational level, professionally inactive and living with their families. The most frequent diagnoses were psychoactive substance use disorders (26.3%), schizophrenia (15.5%), manic episode (11.8%), major depression (10.9%) and non-psychotic disorders (10.9%). There were differences between gender in some diagnostic categories. After initial evaluation, 2/3 were medicated, 1/2 stayed under observation, and 1/4 stayed more than 10 hours in the service unit. About 20% of the attendance resulted in hospitalization and 60% in referrals to outpatient services. Discharges due to evasion represented only 2.0% of the total. Returning service users did not differ from those seen only once to what concern marital status, professional situation and household conditions. However, returning users presented a higher frequency of previous hospitalization and psychotic disorders. CONCLUSIONS: Individuals with severe psychiatric disorders were seen in an actual emergency situation. The psychiatric emergency service has been expanding its actions and has been an effective part of the mental health service network.
Provider: - Institution: - Data provided by Europeana Collections- La Paris au loc tratative pentru încheierea războiului din Vietnam; La Berlin, în RDG se refac clădirile din Alexander Platz; Se ...prezintă noi metode de combatere a cheliei, prin implant de păr; În Austria are loc un concurs de schi bob; În Olanda are loc al 65-lea campionat de patinaj viteză.- All metadata published by Europeana are available free of restriction under the Creative Commons CC0 1.0 Universal Public Domain Dedication. However, Europeana requests that you actively acknowledge and give attribution to all metadata sources including Europeana
Provider: - Institution: - Data provided by Europeana Collections- Reportaj cu prilejul zilei tipografului. La Casa Scânteii are loc o expoziție pe teme tipografice; La Cluj se dă în folosință un ...institut oncologic modern; Reportaj cu imagini din stațiunea Poiana Brașov; Reclamă la revista Autoturism. Imagini cu automobile în timpul unei curse. Cascadorii.- All metadata published by Europeana are available free of restriction under the Creative Commons CC0 1.0 Universal Public Domain Dedication. However, Europeana requests that you actively acknowledge and give attribution to all metadata sources including Europeana
Provider: - Institution: - Data provided by Europeana Collections- Noi linii de asamblare ale televizioarelor în URSS; O ambulanță electrică a fost proiectată și realizată la Szolnok; Datorită ...problemelor de circulație la Paris se construiesc garaje subterane; Cascadorii cu mașini; Derby de galop la Hamburg.- All metadata published by Europeana are available free of restriction under the Creative Commons CC0 1.0 Universal Public Domain Dedication. However, Europeana requests that you actively acknowledge and give attribution to all metadata sources including Europeana
Provider: Czech digital library/Česká digitální knihovna - Institution: National Medical Library/Národní lékařská knihovna - Data provided by Europeana Collections- Nádorová onemocnění jsou vážný ...medicínský a společenský problém. Podle evropských statistik se v současné době daří vyléčit přibližně 45 % všech pacientů, u nichž bylo nádorové onemocnění diagnostikováno. Nezastupitelnou úlohu v procesu ošetřovatelské péče sehrává sestra, která pomáhá pacientům zvládat jejich nelehkou životní situaci. Článek je zaměřen na některé psychosociální aspekty při ošetřování pacientů s onkologickým onemocněním a zvládání bolesti u těchto nemocných.- Tumour diseases represent a serious medical and social problem. According to European statistics currently about 45% of all patients, who have been diagnosed with cancer, can be cured. The nurse who helps the patients cope with their uneasy life situation plays an unsubstitutable role in the process of nursing care. The paper is focused on some psychosocial aspects in nursing of patients with oncology diseases and pain management in these patiens.- Eva Zacharová- Literatura- All metadata published by Europeana are available free of restriction under the Creative Commons CC0 1.0 Universal Public Domain Dedication. However, Europeana requests that you actively acknowledge and give attribution to all metadata sources including Europeana
Provider: Czech digital library/Česká digitální knihovna - Institution: National Medical Library/Národní lékařská knihovna - Data provided by Europeana Collections- Příspěvek zdůrazňuje souvislost ...globalizace světa a potažmo ošetřovatelství (migrace pacientů i zdravotnických pracovníků) a nutnost akceptace této skutečnosti v ošetřovatelském vzdělávání i klinické praxi. Akcentována je potřeba účelné spolupráce s jedinci různé kultury a etnika. Hlavním nástrojem interkulturně kompetentního zdravotníka se stává účelná komunikace, založená na poznání individuálních potřeb pacienta odlišné kultury a jejich uspokojení, nicméně s důrazem na individualitu jedince a ne skupinovou příslušnost. Prezentován je základní model a předpoklady pro podporu sociokulturní kompetence. Základním zmiňovaným kritériem je vytváření kulturně bezpečného prostředí pro sestry i pacienty v podmínkách českého ošetřovatelského systému, který je stále ještě poměrně hodně etnocentrický.- This paper highlights the globalisation of world and the internationalisation of nursing (patient and health care givers migration) which has to lead to being embedded into nursing curricula and also clinical practice. Accentuated is the need for effective and practical cooperation with individuals of different cultures and ethnicity. The main tool for interculturally competent health care professional becomes effective communication, based on knowledge of the individual patient‘s needs according to the different cultures and their satisfaction, but with an emphasis on the individuality of the patients and no the group affiliation. Presented is basic model and assumptions for the socio-cultural competence. The basic mentioned criterion is creating a culturally safe environment for nurses and patients in the conditions of the Czech nursing system which is still quite a lot ethnocentric.- Andrea Pokorná- Literatura- All metadata published by Europeana are available free of restriction under the Creative Commons CC0 1.0 Universal Public Domain Dedication. However, Europeana requests that you actively acknowledge and give attribution to all metadata sources including Europeana
Provider: - Institution: - Data provided by Europeana Collections- Snímek začíná pohledem na pražské Václavské náměstí. Následuje záběr brněnského Mahenova divadla. Poté se vracíme zpět do Prahy, kde ...spatříme Karlův most a letohrádek Hvězda. Kladno je představeno huťemi. Dále snímek přináší záběry hradů Křivoklát a Karlštejn. Cesta po Čechách pokračuje Dvorem Královým a Svatou horou u Příbrami, kde se právě koná procesí. Plzeň je představena jako kulturní a průmyslové centrum. Vidíme divadlo J. K. Tyla i zdejší pivovar. Na nádvoří bednáři pracují na novém sudu obrovského rozměru. Ve Škodových závodech sledujeme výrobu lokomotivy. Další záběry pocházejí ze Stříbra a především z Mariánských lázní a Karlových Varů. Vidíme zdejší kolonády a lázeňský ruch. V Karlových Varech navštívíme i keramickou dílnu. Panorama Jáchymova z nedalekého kopce zachycuje fotograf svým přístrojem. Město je známé lázněmi a těžbou radia, které se využívá v medicíně. Pacienta s radiovým zábalem prohlíží lékař, kterému asistuje sestra. Následují záběry z Krušných hor, Mostecka a Duchcovské pánve. V Bílině vidíme plnění lahví zdejší minerální vodou a lázeňské hosty, kteří odpočívají v zahradní restauraci. Po Teplicích a pohledu na hrad Střekov, který se rozprostírá nad Ústím nad Labem následují záběry Děčína. Ty jsou vystřídány pohledem na Českosaské Švýcarsko a jeho skalní útvary. Poté následuje záběr na horu Říp, v jejímž okolí právě probíhají zemědělské práce. Následuje návštěva Mělníka, v jehož blízkosti leží soutok Labe a Vltavy. Nedaleko Kolína se nachází pomník upomínající na bitvu z roku 1757. Po Kunětické hoře a Vysokém Mýtu se zastavíme v Kutné hoře, které dominuje chrám sv. Barbory. Snímek uzavírá pohled na Prahu a její pamětihodnosti: Karlův most, Staroměstské náměstí, chrám sv. Mikuláše a Pražský hrad.- A film begins with a view of Prague's St. Wenceslas Square. Follows a shot of Brno-based Mahen Theatre. Then we go back to Prague where we spot Charles' Bridge and Hvězda folly. The town of Kladno is introduced through ironworks. Furthermore, the film brings shots of castles Křivoklát and Karlštejn. The journey about Bohemia continues through Dvůr Králové and Svatá hora by Příbram where there is a procession taking place in the moment. Plzeň is introduced as a cultural and industrial centre. We can see J. K. Tyl Theatre as well as the local brewery. At the courtyard, barrel makers work on a new barrel of huge dimensions.
In Škoda Works we watch production of a locomotive. The following shots come from Stříbro and primarily from Mariánské lázně and Karlovy Vary. We can see the local colonnades and spa bustle. In Karlovy Vary we visit a ceramic workshop. Panorama of Jáchymov from a nearby hill is captured by a photographer's device. The town is known for its health resorts and mining of radium used in the medical science. A patient with a radium pack is examined by a doctor assisted by a nurse. Follow shots from Krušné Mountains, Mostecko and Duchcovská coalfield. In Bílina we can see bottles being filled with the local mineral water and spa visitors relaxing in a garden restaurant. After Teplice and view of the Castle of Střekov stretching over Ústí nad Labem follow shots of Děčína. These are altered with a view of Czech-Saxon Switzerland and its rock formations. Then follows a view of the Mount Říp in the neighbourhood of which agricultural work takes place in the moment. Follows a visit to the town of Mělník in the proximity of which there lies the confluence of rivers Labe and Vltava. Nearby Kolín there is a memorial commemorating a battle in 1757. After Kunětická hora and Vysoké Mýto we make a break in Kutná hora dominated by Church of St. Barbara. The film is concluded with a view of Prague and its historical sights: Charles Bridge, Old Town Square, St. Nicolas Church and Prague Castle.- All metadata published by Europeana are available free of restriction under the Creative Commons CC0 1.0 Universal Public Domain Dedication. However, Europeana requests that you actively acknowledge and give attribution to all metadata sources including Europeana
Provider: Czech digital library/Česká digitální knihovna - Institution: National Medical Library/Národní lékařská knihovna - Data provided by Europeana Collections- Cieľ: Cieľom štúdie bolo ...identifikovať úroveň emočnej inteligencie (EI) u sestier a zistiť rozdiely v úrovni EI vzhľadom na vek, dĺžku praxe a vzdelanie sestier. Metodika: Výskumný súbor tvorili sestry (n = 280) poskytujúce starostlivosť pacientom štyroch nemocníc Trnavského kraja. Priemerný vek sestier bol 39,64 (SD = 9,44), dĺžka ich profesijnej praxe bola 18,7 (SD = 10,64). Na meranie úrovne EI boli použité dotazníky, ktoré reprezentujú súčasné prístupy chápania EI. Dotazník SITEMO (Situational Test of Emotional Understanding), zisťuje úroveň EI ako schopnosti, výsledkom je celkové skóre EI, ktoré je dané súčtom správnych odpovedí. Dotazník SEIS (Schutte EI Scale) zisťuje úroveň EI sestier ako črty. Sestry vyjadrovali mieru súhlasu resp. nesúhlasu prostredníctvom 5bodovej Likertovej škály. Pri spracovaní dát boli využité metódy deskriptívnej štatistiky a induktívnej štatistiky. Údaje boli spracované v štatistickom softvéri SPSS 15.0. Výsledky: Zistili sme štatisticky významný rozdiel (p < 0,05) v úrovni EI sestier vzhľadom k ich veku. Pri ostatných sociodemografických znakoch (dĺžka profesijnej praxe, vzdelanie) nebol zaznamenaný štatisticky významný rozdiel (p > 0,05). Sestry s Mgr. stupňom vzdelania dosiahli najlepší výsledok v priemernom poradí mier EI v oboch metodikách. Záver: Zistené výsledky umožňujú upriamiť pozornosť na rozvoj EI u sestier prostredníctvom možností vzdelávacích inštitúcií. Môžeme podporovať zmeny, ktoré budú prispievať ku zvýšenej kvalite poskytovanej ošetrovateľskej starostlivosti. Využívanie EI je nutnou a zároveň modernou požiadavkou ošetrovateľstva.- Aim: The aim of this study was to identify the level of emotional intelligence (EI) of nurses and to identify differences in the level of EI in relation to their age, length of work experience and education. Methods: The sample consisted of nurses (n = 280) providing care to patients in four hospitals in the Trnava Region. The mean age of the nurses was 39.64 years (SD = 9.44) and the length of their work experience was 18.7 years (SD = 10.64). The level of EI was measured using questionnaires representing current approaches to understanding of EI. Emotional intelligence as an ability was determined by the Situational Test of Emotional Understanding (SIT-EMO) questionnaire, yielding the overall emotional intelligence score given by the sum of the correct answers. EI as a feature, on the other hand, was assessed by the Schutte EI Scale (SEIS) in which the nurses expressed the extent to which they agree or disagree with each statement on a five-point Likert scale. To analyze the data, methods of descriptive statistics and inductive statistics were used. The data were processed using the SPSS 15.0 statistical software. Results: A statistically significant difference (p < 0.05) was found between the level of nurses’ EI level and their age. In terms of other social demographic data (length of work experience, education), a statistically significant difference (p > 0.05) was not found, although the nurses with a master’s degree ranked highest as for their mean level of EI, using both methods. Conclusion: The results enable to focus attention on the development of nurses’ EI through educational institutions. Changes may be encouraged that will contribute to an increase in the quality of nursing care provided. The use of EI is a necessary as well as modern requirement in nursing.- Ingrid Juhásová, Ľubica Ilievová, František Baumgartner- Literatura- All metadata published by Europeana are available free of restriction under the Creative Commons CC0 1.0 Universal Public Domain Dedication. However, Europeana requests that you actively acknowledge and give attribution to all metadata sources including Europeana
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