Início Anestesia para cesariana com placenta prévia - um relato de caso
Número atual: 9 (2022)
Anestesia para cesariana com placenta prévia – um relato de caso
Resumo:
In Brasil, neuraxial anesthetics are preferred for cesarean sections. This is due to several factors. Among them, we can mention the safety for the parturient and the newborn, and mainly the management of postoperative pain. Furthermore, they allow parental participation in the birth, which is a unique moment in the parents’ life. But in many cases, these anesthesias are not commonly used, for instance, in the presence of placenta previa, a pathology that impacts the action of obstetricians and anesthetics. This work reports a clinical case of a pregnant woman with total center placenta previa, submitted to spinal anesthesia at the time of cesarean section. The report shows that general anesthesia is not always necessary for patients with such comorbidity, and that subarachnoid block is safe in such a scenario.
Keywords: Rachidian anesthesia, Cesarean section., Previous placenta.
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Avaliação da contaminação de jalecos de graduandos e profissionais da saúde na Universidade Federal de Uberlândia
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- INTRODUCTION: The lab coats are one of the first contamination sites in terms of clothing in the health area that come into contact with the patients' skin, liquids and secretions. In this way they easily carry pathogenic microorganisms from place to place. The present study aimed to assess the contamination of Staphylococcus spp. and to identify the main Gram negative bacilli in lab coats by health professionals and university students. 2. MATERIAL AND METHODS: 148 samples were obtained, which were subjected to Gram stain, catalase test, coagulase, biochemical tests and glucose oxidation and fermentation tests. 3. RESULTS AND DISCUSSION: In total 48 lab coats were contaminated by Gram negative bacilli, 73 by Staphylococcus spp. and 35 by S. aureus. In addition, it was possible to identify the genera Klebsiella, Shigella, Pseudomonas, Enterobacter and Serratia. 4. FINAL REMARKS: Bacteria of great clinical importance were found, leading to the conclusion that lab coats for both professionals and undergraduates are an important source of pathogen transmission and their use should be restricted to the service areas and laboratory environments.
Efeitos da melatonina no sistema auditivo: revisão de literatura
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INTRODUCTION: Melatonin, recognized for its influence on sleep regulation, is attracting increasing interest due to its antioxidant properties. Although still under study, it is suggested that this substance may play a beneficial role in preventing hearing loss. REVIEW: A search was carried out in the BIREME, PUBMED AND SCIELO databases by combining the terms: melatonin, hearing, tinnitus, presbycusis, ototoxicity, and their respective terms in English. DISCUSSION: From searches in the databases, 272 articles were retrieved, from which 17 articles that addressed the proposed topic were selected using the exclusion criteria. FINAL REMARKS: It was verified through this review that melatonin can help prevent hearing loss caused by oxidative stress, due to its ability to eliminate free radicals generated in the cochlea.
Keywords: Hearing, Oxidative Stress, Melatonin, Ototoxicity, Hearing Loss, Sensorineural, Tinnitus.
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Identificação de traços psicopáticos em crianças
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This study aims to investigate the possible traits of antisocial personality disorder in childhood, discusses the behavioral deviation that deviates from pre-established social standards, assesses whether there is a traumatic social or family correlation related to the inserted environment that can stimulate the development of this psychopathological disorder in search of understanding and discussing the subject from a contextual point of view, the research will be carried out through a bibliographical review, it will be exploratory, applied and qualitative in nature, with the purpose of improving and updating knowledge. The analysis of the theme is necessary due to the behavior of children who have antisocial personality disorder traits since childhood, since it is an irreversible disorder, psychosocial, educational and inclusive interventions will be addressed that are differentiated for these children. So that early investigation intervenes in the model of behavior to be analyzed, helping family members to conduct the processes of behavioral identifications and help in the treatment of this disorder
Keywords: Psychopathy, personality, disorder, childhood, behavior, analysis.
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Biomarcadores Troponina I e T no Diagnóstico do Infarto Agudo do Miocárdio
Resumo:
Troponins (cTn), also known as cardiac biomarkers, are proteins that regulate muscle contraction, both in skeletal and cardiac muscle. Its molecule is composed of three subunits: troponin I (cTnI), troponin T (cTnT), and troponin C (cTnC). cTn plays a key role in the diagnosis of acute myocardial infarction (AMI) due to its high cardio-specificity and its prolonged release into the bloodstream after a cardiac injury. They can be identified through specific tests. The elevation of cTn levels indicates the presence of an infarction, with the release starting a few hours after the onset of symptoms. Blood tests are used for the detection and interpretation of cTn levels, and the diagnosis of AMI is established when the concentration exceeds a predefined threshold. However, in addition to indicating AMI, cTn can be detected in other pathological conditions, both cardiac and non-cardiac, such as: high blood pressure in the lungs, pulmonary embolism, congestive heart failure, inflammation of the cardiac muscles, and chronic kidney disease. This fact should be taken into consideration when analyzing the results, to avoid false positives. In summary, the determination of cTn levels plays an important role in the clinical evaluation of patients with suspected AMI, allowing for a precise and rapid diagnosis, with the aim of increasing population survival.
Keywords: Cardiac biomarkers, acute myocardial infarction, troponin I and T, troponin assays, 99th percentile.
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Recomendaciones nutricionales en dietas vegetariano-veganas para embarazadas y niños durante las diferentes etapas de la vida
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- INTRODUCTION: Nowadays, vegetarian diets have been shown to have benefits on health, hence this type of diet is growing worldwide. However, in more critical stages of life such as pregnancy, breastfeeding, childhood and adolescence, it is necessary to take into account the possible risks that affect the development and growth of children, caused by a nutritional deficit. 2. REVIEW: The aim of this work is to carry out a bibliographical review of the latest scientific evidence on how vegetarian and vegan diets affect nutritional and health status in the different most critical stages of life. Also, the importance of advising vegetarian-vegan parents on the importance of eating a balanced and well-planned diet, using the Harvard Plato food guide and appropriate culinary techniques to improve the absorption of nutrients, also taking into account the use of fortified foods or supplements where necessary. 3. DISCUSSION: The most critical nutrients in this type of diet are proteins, fatty acids, iron, zinc, calcium, vitamin D, vitamin B12 and iodine. This is a consequence of the fact that there are dietary factors that affect absorption or they are not present in food. Therefore, to obtain a complete and balanced diet, nutritional recommendations must be followed along with appropriate culinary techniques. 4. FINAL REMARKS: vegetarian diets, especially lacto-ovo-vegetarians, during the most critical stages of life, can satisfy nutritional requirements, approaching official dietary recommendations and even obtaining health benefits. However, vegan diets are associated with an increased risk of nutritional deficits, so the need for a nutritionist will be mandatory.
A notificação compulsória de sífilis em gestantes e a ocorrência de sífilis congênita: um estudo comparativo
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BACKGROUND: Syphilis, an infectious disease caused by Treponema pallidum, can lead to Congenital Syphilis (CS). Vertical transmission occurs through the bloodstream and is preventable with early diagnosis during prenatal care. The nurse plays a vital role, encouraging treatment and compulsory notification through SINAN, contributing to epidemiological control. OBJECTIVE: This study aimed to analyze the data of diseases of notification of syphilis in pregnant women and congenital syphilis according to SINAN and describe the performance of nursing in the maternal-fetal binomial. METHODS: The methodology consisted of an exploratory and descriptive analysis of secondary data from the Notifiable Diseases Information System (SINAN) regarding cases of syphilis in pregnant women and congenital syphilis in the Federal District and São Paulo, between the years 2020 and 2021. RESULTS: The COVID-19 pandemic affected notifications, impairing proper monitoring. There was a reduction in cases of syphilis in pregnant women; however, an increase in cases of congenital syphilis was observed, possibly due to interruptions in reporting. Nurses play a crucial role in prenatal care, educating about syphilis, early diagnosis, and treatment adherence. Adequate prenatal care and proper treatment are essential to reduce vertical transmission. A preventive, inclusive, and high-quality approach is necessary to combat congenital syphilis. Primary Health Care should take responsibility for comprehensive care for pregnant women, aiming at effective prevention. FINAL CONSIDERATIONS: In conclusion, the study highlights the need for syphilis notification, strengthening prenatal care, professional training, access to diagnostics, and emotional support. The commitment of nursing is vital to improve maternal and infant health outcomes and reduce adverse consequences.
Keywords: Prenatal care, congenital syphilis, gestational syphilis.
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Descompressão de queratocisto odontogênico seguida de enucleação, curetagem e aplicação de solução de carnoy – Relato de caso
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Odontogenic keratocyst is a different form of developmental odontogenic cyst that deserves special consideration because of its specific histopathological characteristics and clinical behavior. The ideal treatment for odontogenic keratocysts is a subject of debate among surgeons; however, treatments known as conservative among surgeons have shown good results when used as complementary treatment. Decompression treatment has been shown to be a promising alternative, but despite good results, this type of treatment depends of patient's cooperation. This paper aims to report a clinical case of an odontogenic keratocyst decompression in the right mandibular body and branch using Elixir Sanativo® Phytotherapy for irrigation. Then, enucleation and curettage were performed with Carnoy's solution. Significant remodeling of the cortical bone, extinguishment of the lesion and bone neoformation were observed, with no signs of relapse until now. There is a return of normal stomatognathic function in this clinical case report with a 2-year follow-up in total.
Keywords: Odontogenic Keratocyst, Decompression, Phytotherapy.
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Manejo clínico em pacientes com diagnóstico de coinfecção Tuberculose/HIV
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INTRODUCTION: Tuberculosis (TB) is one of the oldest and most lethal infectious diseases in human history. Vulnerable groups, such as people experiencing homelessness and individuals with Human Immunodeficiency Virus (HIV), are particularly affected. Accurate diagnosis is essential, and treatment is standardized by the Brazilian Unified Health System (SUS). Coinfection with HIV amplifies the challenge, making early diagnosis crucial. This scientific review explores the complexities of TB and HIV, analyzing strategies to address this duality in public health. REVIEW: The article covers tuberculosis and HIV history, highlighting their historical impact and evolution in diagnosis and treatment. It emphasizes the importance of early diagnosis and appropriate treatment to control these diseases, which remain public health challenges in Brazil and around the world. DISCUSSION: Robust public policies are essential to ensure universal access to diagnosis, antiretroviral treatment, and appropriate antimicrobial therapy. Active pharmacist surveillance of treatment adherence is crucial to prevent resistance, drug interactions, and enhance clinical outcomes. Continuous patient education regarding treatment adherence and transmission prevention is determinative. Therefore, effective interventions not only improve patients' quality of life, but also curtail the spread of these diseases, contributing to public health. FINAL CONSIDERATIONS: The importance of early diagnosis is emphasized, especially in vulnerable populations where coinfection presents challenges. There is a need for public policies to ensure access to diagnostic services, antiretroviral treatment, and antibacterial therapy, as well as the importance of monitoring treatment adherence to prevent drug resistance. Patient education is crucial to enhance treatment adherence and preventive measures.
Keywords: coinfection, HIV, public health, treatment, Tuberculosis.
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