Início Correlação entre dietas restritivas e o surgimento ou agravamento de transtornos alimentares
Número atual: 9 (2022)
Management of oral surgery patients undergoing hemostasis modifying therapy: a literature review
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Introdução: A hemostasia consiste no equilíbrio da fluidez do sangue dentro do vaso, sem extravasar nem coagular. Em algumas situações esse equilíbrio pode ser alterado, dentre essas o uso contínuo de medicamentos anticoagulantes e antiagregantes plaquetários para prevenção de eventos tromboembólicos. Tradicionalmente retirava-se a terapia previamente a cirurgia oral para se evitar possíveis sangramentos trans e pós-operatório. O objetivo deste trabalho foi buscar evidências científicas que deem suporte para a tomada de decisão quanto a interrupção ou não da terapia modificadora da hemostasia em cirurgia oral. Materiais e métodos: foi realizado um levantamento bibliográfico em estudos clínicos e artigos de revisão pelas bases de dados Medline/PubMed, google acadêmico e periódicos do Capes. Conclusão: pode-se concluir que a evidência atual sugere que cirurgia oral menor pode ser realizada com segurança em pacientes em uso de medicamentos modificadores da hemostasia, desde que seja observado o nível adequado de INR e medidas locais de hemostasia sejam adotadas.
Palavras-chaves: aspirina, cirurgia bucal, extração dentária, hemostasia, varfarina.
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Atendimento odontológico em gestantes
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Introduction: A woman in the gestational period goes through several physical, psychological and hormonal changes. These changes associated with carelessness with oral health can generate several changes in the mother's oral cavity and impact the baby's health in the future. Review: Pregnant women are more susceptible to oral health problems (dental caries, periodontal disease, tooth erosion and granuloma), due to changes in diet, reduced salivary secretion, inadequate oral hygiene practices, frequent nausea and high hormone levels. Discussion: Pregnant women hardly seek dental care during the gestational period, due to fear, misinformation and anxiety about the procedures, in addition, the insecurity and failures regarding the guidance by dentists and doctors about care during pregnancy can collaborate even more to the aggravation of the problem. Final considerations: The most favorable period for attending pregnant women is in the second trimester of pregnancy. However, in urgent cases and infectious foci in the oral cavity, no procedure is totally contraindicated, following the proper protocols.
Keywords: oral health, pregnant women, service protocols.
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A atuação do fisioterapeuta na Unidade de Tratamento Intensivo de COVID-19 – uma revisão
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Introduction: COVID-19 affects each individual differently, so some infected patients require hospitalization to correct the low oxygen in the blood. Therapeutic interventions to correct this anomaly are usually carried out in intensive care units (ICU), with the participation of the intensive care physiotherapist and include, in addition to drug therapy, oxygen therapy and ventilatory support, which is usually invasive, with the need for prone positioning, oxygenation by extracorporeal membrane and inhaled nitric oxide. Thus, this article aims to present, based on the bibliography, the approaches of the physiotherapist professional in the intensive care units of COVID-19. Review: This study was carried out through a literature review research. For the composition of this work, legislation, technical pronouncements from regulatory bodies and nine scientific productions published in Portuguese in the period 2019 to 2021 were used. Consultations were carried out in the SCIELO and LILACS databases. Discussion: The physical therapy approach varies according to the degree of severity, characteristics and intervention approaches. Among the resources used in clinical practice for physical therapy management in patients diagnosed with COVID-19, oxygen supplementation, invasive mechanical ventilation (IMV), positioning and early mobilization stand out. Final considerations: The findings of this research allowed us to conclude that the intensive care physical therapist is of great importance in the multidisciplinary team in the ICUs and that their role directly collaborates in the treatment and prevention of cardiopulmonary, circulatory and muscle pathologies, considerably reducing the chance of possible future complications.
Keywords: COVID-19, physiotherapy, UTI COVID, intensive care unit.
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O papel do Helicobacter pylori no desenvolvimento do esôfago de Barret: uma revisão sistemática
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Introduction: Barrett’s Esophagus is a premalignant condition of the esophagus in which normal stratified squamous epithelium is replaced by intestinal-type metaplastic columnar epithelium after prolonged injury to the esophageal mucosa due to gastroesophageal reflux disease. Helicobacter pylori is a gram-negative bacterium that selectively colonizes the gastric epithelium and is associated with a number of gastroduodenal diseases. Objectives: This study aimed to assess, by means of a systematic revision, the role of Helicobacter pylori in the development of Barrett’s Esophagus. Methods: The most relevant studies originally published in Portuguese and in English in the last 10 years have been analyzed, having as a reference the MedLine (National Library of Medicine) database. In order to select studies with the greatest scientific evidence, only clinical trials and observational studies have been considered. Results: This revision consists of eight articles with equivalent results concerning the positive and protective role of H. pylori in the development of Barrett’s Esophagus, and of one article with an opposite result given the evidence presented. Conclusion: According to our results and to most conclusions available in literature, although H. pylori favors the prevention of Barrett’s Esophagus, the bacterium is considered the main cause of active chronic gastritis and plays a relevant role in the development of gastric adenocarcinoma and of other gastroduodenal diseases.
Keywords: Helicobacter pylori, association, Barrett’s esophagus.
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Descarte de medicamentos: logística reversa
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Introduction: According to Anvisa, every year about 30 thousand tons of medicines are discarded by consumers in Brazil, unfortunately 81% of them are distributed between garbage and water. Given this concern, in 2020 Decree 10,388 of 2020 was published, which regulates the reverse logistics of medicines, involving the entire process of disposing of domestic, industrialized and/or manipulated medicines, expired or in disuse. The objective was to carry out educational measures that assist in the implementation of the Federal Decree that stipulated the reverse logistics program, as well as analyze the impact of the measures. Material and methods: The present study was carried out with 300 adult individuals aged 18 years or over, residents of the municipality of São João da Boa Vista, who were submitted to a questionnaire to assess their knowledge about discarding medications and were subsequently oriented about correct form and location for disposal. For this, a partnership was formed with three local drugstores and monthly the medicines discarded in these drugstores were weighed and classified as solid, liquid and semi-solid (ointment, cream, gel. Results and discussion: It could be noted that most respondents discard medications in the common garbage. It was also observed that the “homemade drugstore” is present in more than 90% of the homes of the survey participants. After conducting the research and providing adequate guidance on the correct disposal of medications, it was possible to observe an increase of approximately 75% in disposal at the partner collection points. Final considerations: The present study showed that expanding the number of collection points and adopting educational measures are essential for the implementation of Decree 10,388/20, which regulates the reverse logistics of medicines.
Keywords: reverse logistics, drug disposal, collection points, federal decree.
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Estudo da utilização de antimicrobianos em uma população
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Introduction: Antimicrobials are natural or synthetic substances capable of destroying or inhibiting microorganisms. The indiscriminate use of these drugs in people of any age or gender is one of the causes of bacterial resistance. The health professional, especially the pharmacist, must have very broad knowledge to guide patients in relation to the indiscriminate use of antimicrobials, because as a result of incorrect use there can be adverse reactions, bacterial resistance and an increase in hospital admissions, in addition to these factors can lead the patient to death. In hospitals, being the gateway to infections, the use of antimicrobials increases, as a result the length of stay can also be longer. As for the prescription, it is necessary for the physician to have notions of infections, because when antimicrobials are no longer effective, infections suffer progression, without having a therapeutic action to fight them. Side effects can be seen in anyone, some are more susceptible to symptoms. To reduce misuse, it is necessary that the pharmacist provides adequate assistance and guidance to the patient. The aim of this study was to analyse how antimicrobials are used, determining which are the most consumed. This is a cross-sectional descriptive research that approached people who used antimicrobials, this research was intended to address from how they were prescribed to their administration and side effects. Material and methods: The instrument used for data collection was a questionnaire with open and closed questions with the aim of tracing the profile of the people interviewed and evaluating the use of antimicrobials. The questionnaire had 28 questions, in which patients were asked about sex, age, family income, marital status, education, alcohol consumption, physical exercise, smoking, health problems, continuous use medication, use of antimicrobials, prescriptions, side effects and tests, for the classification of drugs, the ATC standards were used. Results and discussion: In this study 67 people participated, where it was possible to observe that 60 (89.6%) people used antimicrobials in 2017. Final considerations: It is concluded that most respondents had a prescription for the use of antimicrobials, which is an important factor in the proper treatment, and it is also important, at the time of dispensing the antimicrobial, that the pharmacist guide the patients, avoiding indiscriminate use, which generate bacterial resistance, adverse reactions, increased hospital admissions and numerous serious causes.
Keywords: antimicrobials, bacteria, antibiotics, bacterial infections.
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Aspectos relacionados a associação entre obesidade e Covid-19: uma revisão integrativa
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Introduction: At the end of 2019, a new type of coronavirus was identified, named SARS-CoV-2 which was found to be responsible for the disease COVID-19. Some patients develop the severe form of the disease, requiring intensive care, such as people with comorbidities. Among these comorbidities, obesity stands out, thus highlighting the importance of knowing aspects related to virus infection, especially its association with this health problem. Review: this is an integrative literature review, using databases such as LILACS, MEDLINE, SciELO and PUBMED, searched through the solutions of the following descriptors in Health Sciences (DeCS) and their correspondents in the Medical Subject Headings (Mesh): Comorbidity. Risk factors. Coronavirus infections. Obesity. Discussion: 32 articles were arranged in the light of the literature, demonstrating the relationship between obesity and SARS-CoV-2 infection. Final remarks: With the study's findings, it was possible to understand that obesity presents itself as a risk factor for severe COVID-19, these factors imply important complications and repercussions of the person with obesity: mechanical ventilation, hospitalization and intensive care
Keywords: comorbidity, risk factors, coronavirus infections, obesity.
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Estudo da prevalência de enteroparasitoses em pacientes de um laboratório privado do município de Santarém
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Introduction: Enteroparasitosis are still marked as a global public health problem, which occurs due to factors related to socioeconomic, environmental and cultural issues, which occurs due to factors related to socioeconomic, environmental and cultural issues. Objective: The research aimed to provide the epidemiological profile of enteroparasitosis in patients treated in the private clinical analysis laboratory, reporting the prevalence and frequency of enteroparasitosis in children, adolescents and adults living in the city of Santarem-PA. Material and methods: This is a cross-sectional descriptive analytical study, carried out through the analysis of parasitological reports referring to patients treated in a private laboratory in the lower amazon region. Results and discussion: Based on the results obtained in the research, it was notorious that the prevalence of intestinal parasitosis was higher in children aged 1-10 years (54%), with the majority of those infected being female, as well as in childhood and adulthood. Final considerations: Through the results obtained, it is evident that it is necessary to improve the basic health condition and health education to raise awareness of the population about the risks and prevention of parasites, thus providing quality of life to the community.
Keywords: enteroparasitosis, Endolimax nana, protozoa, helmi, search.
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Acompanhamento farmacoterapêutico em pacientes idosos de uma entidade de longa permanência de São João Da Boa Vista – SP
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Pharmacotherapeutic monitoring (PA) is a major challenge for the pharmaceutical professional and becomes an important tool to reduce medication errors, which interferes with the effectiveness of treatment, resulting in the improvement or not of health problems and quality of life. In the case of the elderly, the quality of life depends on their ability to combine emotional and physical health, because with advancing age, their functional capacity decreases, and they tend to lose their independence, thus compromising their autonomy. The objective of this study was to carry out the pharmacotherapeutic follow-up of the elderly, in order to alleviate errors related to drug treatment, resulting in an improvement in the quality of life of these patients. Material and methods: A survey was carried out using the Soap Method in which subjective data and objective data were collected, then carried out the evaluation and finally, the action plan for the identified problem. Results and discussion: Of the 10 patients interviewed, the most common pathologies were cardiovascular problems and diabetes mellitus, of the 10 patients interviewed, in 3 there was no drug interaction, however, 7 had drug interactions, referring to their pharmacological treatment, with 32% interactions severe and 68% moderate. Any unwanted effect that could interfere with and impair the patient's pharmacotherapy is defined as Drug Related Problems (DRPs). Final considerations: Pharmacotherapeutic monitoring shows the importance of inserting the pharmacist in the multidisciplinary health team, in which she can exercise and practice the knowledge acquired at graduation, in order to guarantee the efficiency of pharmacotherapy and finally improve the quality of life of patients.
Keywords: pharmacotherapeutic follow-up, elderly, drug-related problems, quality of life, SOAP.
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