International Archives of Medicine (E-Journal)
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Clinical And Surgical Anatomy Of Lumbar Hernia: A Review
Get PDFLumbar hernia is defined as the presence of failure in the transverse fascia or in the aponeurosis of the transverse abdominal muscle that results in the extrusion of intra or extra peritoneal organs through the discontinuity of the postero lateral abdominal wall. The aim of this study was to conduct a methodical review of the anatomy of the hernia form grynfelt dated from 2006 to 2017. For this, we performed a bibliographic review by means of electronic databases like SciELO, PubMed, Science Direct, LILACS and Bireme to get better approach to the subject. It has been found that the lumbar hernia is a disease little known by doctors whose diagnostics are often performed in the wrong way and for surgical correction needs a good anatomical knowledge. Lumbar hernias, although rare, must be taken into account, since ischemia of herniated intestinal segments can lead to the death of the patient, especially in the elderly. Knowledge about the anatomy of the lumbar region is of vital importance because it makes surgery safe and reduces risks of complications and recidivating of the hernia
Influence Of The Conditioning Factors Of Cardiac Transplant Patients To The Self-Care Engagement Profile
Get PDFBackground: This study aimed to identify the conditioning factors that influence the self-care practice of heart transplant patient after discharge and relate the conditioning factors to the Engagement Profile of Self Care.
Methods: Cross-sectional study, undertaken at a transplantation unit of one public hospital, in Fortaleza-Ceará. There was the participation of 63 heart transplant patients.
Results: The majority of the patients were men (88.9%), aged 40-59 years (68.3%), catholic (81.0%), married (77.8%), elementary school (71, 4%), retired or not working (82.5%); income below minimum wage (47, 6%); diagnosis to transplantation was chagasic cardiomyopathy (28.6%), post-transplant time between one and three years (39.7%). The determinant for self-care had significant difference (p<0.05) was the time of transplantation, because patients who have higher scores on Engagement Profile Self-Care had performed transplantation between 3 and 5 years.
Conclusion: The professional team of heart transplant should consider the conditioning factors of patients transplanted cardiac in establishing strategies for promoting self-care
Epidemiological Aspects Of Microcephal Cases And Central Nervous System Changes In Newborn
Get PDFObjective: To describe the epidemiological situation of cases of microcephaly and / or Central Nervous System changes in newborns in the Northeast region of Brazil.
Methods: Epidemiological, descriptive study with secondary data. Epidemiological data were collected in the Notifiable Diseases Information System, with cumulative data from the years 2015 and 2016. They were processed in the statistical software SPSS - version 21 and analyzed from the descriptive statistics.
Results: It was evidenced that, in the Northeast region, 6,481 cases of microcephaly and / or central nervous system disorders were reported. Of these, the states of Pernambuco and Bahia stand out with a higher percentage of reported and confirmed cases. About the reported deaths, the states of Pernambuco, Ceará and Bahia prevailed. Of the cases of deaths confirmed, the states of Rio Grande do Norte and Paraíba.
Conclusion: it is imperative to carry out an ongoing population awareness campaign on the prevention of ZIKAV and how important it is to follow up the pregnant woman during prenatal care. In addition to the constant updating of health professionals regarding microcephaly and the creation of more services to support the NB and their families. Therefore, it is suggested to carry out more studies to understand the reason for the increase in reported cases of microcephaly, being possible to draw up specific strategies for each locality in order to reduce the cases of this disease.
Keywords: Epidemiology; Microcephaly; Central Nervous System; Children
Nursing Care For Women In Situation Of Unsafe Abortion
Get PDFObjective: To identify relevant evidence to the peculiarities of nursing care to women in situation of unsafe abortion.
Method: This is a survey of integrative review of literature, where the databases used were LILACS, BDENF, MEDLINE and SCOPUS. The data collection occurred during the months of September and October 2016, articles were in Portuguese, English and Spanish, from 2006 to 2016. The sample was composed of 14 studies.
Results: Studies have shown that nursing care is carried out in a technicist and without quality service; contrary to the norms of the Code of Ethics for nurses. There were willing two thematic categories: reasons that led the women to practice unsafe abortion and the nursing care provided to women in a situation of abortion.
Conclusion: Trials, prejudice, religiosity and moral values of nurses, contribute to the precariousness of quality assistance to these women.
Descriptors: abortion; induced abortion; caused abortion; nursing; nursing care
Incarcerated Health: Profile Of The Multidisciplinary Team Provider Of Health Assistance In Prisons
Get PDFObjective: draw a profile of the multidisciplinary team provider of health assistence in prisions.
Method: an exploratory and descriptive study developed at the Instituto Libertador Penitentiary Sílvio Porto, a medium security establishment, located in the municipality of João Pessoa-PB.
Results: the health care of prisoners has not been developed in order to comply with the legislation established in the National Health Plan of the Penitentiary System (PNSSP), since it does not meet its numerical prerequisite.
Conclusion: it is urgent to propose and implement differentiated forms of work organization that have an impact on the process and on the quality of care provided to individuals with deprivation of liberty.
Keywords: Health; Prisons; Patient Care Tea
Impact of prenatal antimicrobial treatment on fetal brain damage due to autogenous fecal peritonitis in Wistar rats: A Histomorphometric Study
Get PDFPurpose: To investigate brain neuronal density in newborn rats whose mothers were subjected to fecal peritonitis and compare findings between rats born to mothers treated and not treated with antimicrobials.
Methods: Peritonitis was induced with a 10% fecal suspension (4mL/kg) in 2 pregnant rats. Of these, 1 received antimicrobial treatment 24 hours after peritonitis induction: moxifloxacin and dexamethasone plus 2 mL of the inner bark of the Schinus terebinthifolius raddi extract. One pregnant rat underwent no intervention and served as a control.
Results: The newborn brains of rats born to mothers with fecal peritonitis were significantly smaller and of less firm consistency. Brain neuronal density was lower in the untreated group than in the control and treated groups (P<0.01).
Conclusions: Untreated peritonitis caused brain damage in the offspring, which was averted by effective early antimicrobial treatment. This approach may provide an early avenue for translation of such therapy in humans.
Keywords: peritonitis, brain injuries, rat
Fungal contamination in white medical coats of dentistry professionals
Get PDFBackground: The white medical coats used by health professionals may serve as a source of infection in health services because it is a potential vehicle for transmission of microorganisms. There are several studies that warn of the inherent dangers in bacterial contamination in lab coats, but there are few reports of fungal contamination in this personal protection equipment.
Aims: The study aims to identify fungi in dental lab coats.
Method: Samples were collected from ten dentists from a dentistry-school clinic of a higher education institution of Teresina, Piauí, Brazil, using sterile swab, soaked in saline contained in a test tube. Each sample was inoculated on chloramphenicol-containing Saboroud Dextrose agar and incubated at room temperature for fungal growth. Phenotypic and biochemical methods were used to identify the colonies.
Results: Fungal growth was observed in all samples of the lab coats, and 19 isolates were counted. The genera Cladosporium and Aspergillus were the most frequent in this study. The results emphasize the role of fungi as contaminants in lab coats; and, as an effective means of transmission of pathogens in the community.
Conclusions: This study suggests a methodology for the proper washing and decontamination of the lab coat and advocates the need to implement more rigid norms in concern to the use of lab coats, as well as educational campaigns to guide dentists about the correct use of this Personal Protection Equipment (PPE).
Keywords: Individual Protection Equipment. Fungi. Cross infection
Varicose Vein And Ecchymosis: A Case Report
No full textAssessment of varicose vein and chronic venous insufficiency and making a differential diagnosis in patients suffering from a variety of sign and symptoms is sometimes a big challenge in daily clinical practice. Here, we present a female patient with varicose vein symptoms and ecchymosis on her lower extremities. Several irregular shaped ecchymotic lesions on both extremities in different stage of healing with deep purple have been treated by using micronized purified flavonoid fraction
Circadian rhythm of body temperature and chronotype in night shift students and workers
No full textThis is a descriptive and exploratory study aiming to analyze the circardian rhythm of oral temperature and classify chronotypes in two groups (56 students and 34 nursing workers). The Horne&Ostberg questionnaire (1976) and digital thermometers were used. The average age of nursing workers was 34.4 years old; and of students was 26.2 years old. Working time showed significant difference (p<0,0001). Morning students showed cosinor parameters: mesor = 36,4609, amplitude = 0,2335 and acrophase =14,4658, with p-value = 0,0009; evening students showed mesor = 36,4215, amplitude= 0,2263 and acrophase= 14.3009, with p-value < 0,0001. Morning shift nursing workers presented: mesor = 36,2196, amplitude = 0,4007 and acrophase =15,0746, with p-value<0,0001. Indifferent chronotype was prevalent for the population of nursing professionals and the evening type for students. The findings showed circadian rhythm.
DOI: http://dx.doi.org/10.3823/232
Nursing Care In The Hemodialysis Room: Integrative Review
No full textObjectives: To identify in the literature the nursing care in the hemodialysis room, as well as to evaluate the patient needs in the hemodialysis treatment.
Method: Bibliographic study of descriptive origin with exploratory investigation. The search was carried out at the bases: Scielo, Bireme and Google academic, from 2010 to 2016, using the descriptors: nursing, care, hemodialysis.
Results: Forty-eight articles were found and the final sample comprised 16. It was noticed that the nursing care in the hemodialysis room is very important for the safety and protection of the patients, who during the session should be observed, due to the risks that it offers. It is understood that the patient's need in hemodialytic treatment is to undergo various restrictions and be accompanied by a multidisciplinary team always aiming at the comfort and safety of the patient.
Conclusion: Therefore the changes that exist in the life of the chronic renal patient are several, such as fear of death, feel excluded from living with friends, gain weight because the body can not excrete toxins and liquids, and are indefinitely imprisoned to the dialysis machine