Patients are more likely to develop lung disorders after cardiac surgery. Pulmonary dysfunction resulting from cardiac surgery in the hospital phase is well documented. However, there is a scarcity of studies related ...Patients are more likely to develop lung disorders after cardiac surgery. Pulmonary dysfunction resulting from cardiac surgery in the hospital phase is well documented. However, there is a scarcity of studies related to the permanence of pulmonary disorders in the period following hospital discharge. The objective of this study was to verify in a database investigation the permanence of pulmonary dysfunctions after hospital discharge of patients who underwent cardiac surgery. A literature review with an integrative approach was carried out in the National Library of Medicine (Pubmed) and Scientific Electronic Library Online (Scielo) databases from 1978 to 2019. 4523 articles were found and after applying the inclusion and exclusion criteria, the sample was composed of 14 articles relevant to the subject and that were available in full. The results demonstrated the presence of atelectasis, pleural effusion, diaphragmatic dysfunction, respiratory symptoms such as cough, phlegm, wheezing, and dyspnea, reduced static and dynamic lung volumes, reduced diffusion capacity and respiratory muscle strength, in the period that ranged from three weeks to one year after cardiac surgery. Further studies are needed to elucidate the mechanisms that lead to the permanence of pulmonary dysfunctions after hospital discharge in patients who underwent cardiac surgery.展开更多
Objectives: To analyze the documental quality of 389 websites in Portuguese about physical activity, healthy lifestyles and sedentary lifestyles found on the Brazilian version of the general search engine Google. Meth...Objectives: To analyze the documental quality of 389 websites in Portuguese about physical activity, healthy lifestyles and sedentary lifestyles found on the Brazilian version of the general search engine Google. Methods: The documental quality of the 389 websites was estimated based upon the following parameters: 1) a combination of quality criteria from the Health Information Locator (LIS—OPS/BIREME) and those from Chile’s Pontifical Catholic University, organized into 17 variables;2) uniformity of reference criteria (Vancouver);3) association between the presence of authorship and a higher number of the quality criteria being fulfilled. We also studied the ranking of the results presented by Google in addition to attributes connected to the websites’ target audience, the types of content, their sponsors and country of origin. Results: Of the 389 websites studied, 111 links were not active (28.53% CI 95% [24.05 - 33.02]) and none of the websites in the sample met all of the 17 quality variables. Authored websites displayed remarkable differences in quality when compared to those which did not identify their authors. Conclusions: Faced with the issue of the proliferation of websites with questionable quality content, and the fact that the ranking of results interferes directly in the internal evaluation of content relevance, we propose that public-health research institutions cooperate with web-searching developers to improve the website-positioning formula, in which the “identified authorship” criterion should play a major role in the ranking system.展开更多
文摘Patients are more likely to develop lung disorders after cardiac surgery. Pulmonary dysfunction resulting from cardiac surgery in the hospital phase is well documented. However, there is a scarcity of studies related to the permanence of pulmonary disorders in the period following hospital discharge. The objective of this study was to verify in a database investigation the permanence of pulmonary dysfunctions after hospital discharge of patients who underwent cardiac surgery. A literature review with an integrative approach was carried out in the National Library of Medicine (Pubmed) and Scientific Electronic Library Online (Scielo) databases from 1978 to 2019. 4523 articles were found and after applying the inclusion and exclusion criteria, the sample was composed of 14 articles relevant to the subject and that were available in full. The results demonstrated the presence of atelectasis, pleural effusion, diaphragmatic dysfunction, respiratory symptoms such as cough, phlegm, wheezing, and dyspnea, reduced static and dynamic lung volumes, reduced diffusion capacity and respiratory muscle strength, in the period that ranged from three weeks to one year after cardiac surgery. Further studies are needed to elucidate the mechanisms that lead to the permanence of pulmonary dysfunctions after hospital discharge in patients who underwent cardiac surgery.
文摘Objectives: To analyze the documental quality of 389 websites in Portuguese about physical activity, healthy lifestyles and sedentary lifestyles found on the Brazilian version of the general search engine Google. Methods: The documental quality of the 389 websites was estimated based upon the following parameters: 1) a combination of quality criteria from the Health Information Locator (LIS—OPS/BIREME) and those from Chile’s Pontifical Catholic University, organized into 17 variables;2) uniformity of reference criteria (Vancouver);3) association between the presence of authorship and a higher number of the quality criteria being fulfilled. We also studied the ranking of the results presented by Google in addition to attributes connected to the websites’ target audience, the types of content, their sponsors and country of origin. Results: Of the 389 websites studied, 111 links were not active (28.53% CI 95% [24.05 - 33.02]) and none of the websites in the sample met all of the 17 quality variables. Authored websites displayed remarkable differences in quality when compared to those which did not identify their authors. Conclusions: Faced with the issue of the proliferation of websites with questionable quality content, and the fact that the ranking of results interferes directly in the internal evaluation of content relevance, we propose that public-health research institutions cooperate with web-searching developers to improve the website-positioning formula, in which the “identified authorship” criterion should play a major role in the ranking system.
