Medicina intensiva
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1) To assess the prevalence of pain during nursing care procedures, and 2) to evaluate the usefulness of certain vital signs and the bispectral index (BIS) in detecting pain. ⋯ The procedures evaluated in this study are painful. Changes in vital signs are not good indicators of pain. Changes in BIS may provide useful information about pain, but more research is needed. The administration of preemptive analgesia decreases pain during the procedures.
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Accessibility to health care of diabetic patients with acute coronary syndrome ST-segment elevation.
To measure accessibility to health care among diabetic patients and analyze whether differences in delay explain differences in hospital mortality. ⋯ Diabetic patients had a longer delay in access to health care, though such delay was not independently related to increased mortality.