Objective: Perform the histomorphometric study of the following regions: areas of perivillous fibrin deposition; thickness of the endothelial layer of the vessels; analysis of Tenney-Parker changes. Analyze the Placental Index (IP). Results: It was seen that the weight of the placentas increased according to the weight of the newborn, however, when the variable PI was analyzed as being decisive for the development of a risk-free pregnancy, it was found that this parameter was not significant between the groups studied. (p
PREVALENCE AND ASSOCIATIONS OF HEPATITIS B VIRUS INFECTION AMONG STUDENTS OF TRADITIONAL SCHOOLS, EAST NILE LOCALITY, KHARTOUM, SUDAN
Background: Hepatitis B virus (HBV) infection is a major health problem causing considerable morbidity and mortality from both acute infection and chronic sequels including chronic hepatitis, cirrhosis and hepatocellular cancer. Aim: To estimate the prevalence of hepatitis B virus infection and the associated factors among children and adolescent in the traditional schools, East Nile locality. Methods: Descriptive cross-sectional school-based study. Sero-prevalence survey was conducted among school children and adolescent aged 2–19 years. Total sample of 880 students were tested for Hepatitis B surface antigen (HBsAg) in serum using immune-chromatographic assay. Data were analyzed using IBM statistical package for social sciences version 20 with statistical significance of (p
Objective: To report the conduct of the dental team in the face of a patient with a potentially malignant lesion and who had difficulty quitting smoking. Methods: We described the clinical management of the injury and conduct in the face of the smoking habit of a female patient, 57 years old, melanoderma, denied alcoholism and a smoker for 30 years, referred to the Dentistry Service of Hospital Universitário Oswaldo Cruz. Results: An incisional biopsy and histopathological examination of the lesion were performed, which showed hyperplasia, hyperkeratosis and papillomatosis of the squamous epithelium, without signs of malignancy, corroborating the hypothesis of Leukoplakia. It was recommended that she quit smoking, emphasizing the prevention of the malignant transformation of the pathology and promotion of healthy habits. After that, 2 more excisional biopsies were performed to completely remove the lesion. The patient, after diagnosis, reported having stopped the habit and was being followed up with a pulmonologist and dental team. After a year and a half, in a return visit, the patient reported having returned to the habit. The importance of quitting the habit was reinforced and it was referred to psychology, since it showed interest in stopping the use of cigarettes again. Conclusion: In view of the diagnosis of a potentially malignant lesion and difficulty in smoking cessation, the role of the dental team in informing about cigarettes, in the pathogenesis of this lesion, and the importance of avoiding them for the preservation of health, in addition to continuous monitoring with patients.
Treatment of oversize and recurrent pancreatic pseudocyst after an episode of acute pancreatitis: a case report and review management
Pancreatic cysts are being diagnosed more frequently because of the increasing usage of multiple noninvasive imaging modalities. Moreover, pancreatic pseudocysts (PPs) present a challenging problem for physicians dealing with pancreatic disorders, especially in cases where their treatment will be required. The diagnosis of a PP needs imaging with ultrasonography, Computed Tomography (CT) scan or Magnetic Resonance Imaging (MRI). In most cases, pancreatic pseudocysts are asymptomatic and resolve spontaneously. [1-3] Asymptomatic PPs up to 6 cm in diameter can be safely observed and monitored with serial imaging. If they evolve and increase in size, they become symptomatic through compression of the adjacent organs and need interven-tion.[1, 4-6] Their management demands the cooperation of surgeons, radiologists and gastroenterolo-gists. The treatment of PPs has evolved considerably over the past decade, moving from what was once open surgical management to increasingly minimally invasive techniques, both by surgery and by endoscopy. Thus, many studies have reported successful drainage through the use of various techniques.[1, 3, 4] However, the absence of a large number of cases as well as guidelines for dealing with them raise even today dilemmas regarding the treatment of choice. Here we present a case of a large pancreatic pseudocyst and a brief review of the literature.
Computational modelling signifies the simulation of real life layout in a virtual domain by the transfiguration of physical structures into numerical models, which then is processed into objects. It has restructured the field of Bio – medical engineering in the past 40 years. It has conceptualised the transposition of the visual to the visual-tactile portrayal of anatomical objects leading to a new kind of reciprocity called ‘touch to comprehend’, paving way for educational approaches. This advent of Rapid prototyping has opened new prospects in medical field, especially dentistry with its accuracy and speed. Rapid prototyping is an additive manufacturing technology that produces prototype models by addition of materials in a layer by layer process. With new researches coming to the fore for molding materials and the forming process of RP techniques, this technology has become trendsetter in dental prosthesis fabrication. This article provides a Narrative review of the evolution and its foray into Prosthodontics through the multiple technological options it has panned.
Objective: to identify clinical, epidemiological aspects and treatment of the oral cancer. Methods: It is a literature review, through a qualitative research, carried out by searching scientific articles in Lilacs, Scielo, Medline databases and periodical portals such as VHL and PUBMED, It was used as an inclusion criterion, articles from the last 5 years, selected based on their link with the proposed theme. Results: Mouth cancer is defined as a multifactorial chronic disease, in which male individuals over 40 years old have been the most affected, with the tongue and the floor of the mouth being the most prevalent. The characteristics commonly found in affected patients are erythroplastic, leukoplastic and ulceration spots, being generally asymptomatic. In Brazil, in 2018, there were 4,923 deaths from cancer of the oral cavity of men and 1,372 deaths of women. The most well-known risk factors include smoking and excessive alcohol consumption, among other risk factors, there is unprotected exposure to the sun. If diagnosed early and treated properly, most cases of this type of cancer (80% of them) are curable. Treatment usually involves cancer surgery and / or radiation therapy. Final Considerations: it is a multifactorial disease that mostly affects men aged 40 and being the largest number in deaths. Its main risk factors include smoking and the excessive use of alcohol, and when it is diagnosed at the beginning, 80% of them can be cured.
SIGNS OF SUCETTABILITY ASSOCIATED WITH EXTRINSIC FACTORS TO FUNGAL INFECTION BY THE GENUS SPOROTHRIX SPP.
Objective: To evaluate the susceptibility to infection by the genus sporothrix spp.; targeting patients with immunosuppression due to the use of inadequate medication, seropositive patients (carriers of Human Immunodeficiency Syndrome – HIV) and alcoholics dependents. Method: This is an integrative review of the literature available in the PUBMED database, using the descriptors: “Sporotrichosis”, “Fungi” and “Sporothrix”, duly registered in MeSH, using the boolean operator AND. A total of 128 articles were found and evaluated and, at the end, 15 were selected to compose this review. The inclusion criteria were: full articles, available free of charge, published in English between 2010 and 2020. Results: Sporotrichosis is clinically characterized in fixed cutaneous, lymphocutaneous, disseminated cutaneous and extracutaneous. Frequently the appearance of disseminated cutaneous sporotrichosis occurs especially in immunosuppressed individuals. The four cases evaluated have as etiological agent in common, the genus Sporothrix spp., distinguishing the species, the contagion, clinical aspects and their susceptibility factors. Conclusion: However, most cases of sporotrichosis are related to a dysfunction of the immune system. As well, the unusual cases characterize a challenge to reliable diagnosis and can often lead to a wrong pharmacological therapy.
USE OF GLUTAMINE AS AN ADJUVING THERAPY FOR THE NUTRITIONAL AND PHYSIOLOGICAL RESTORATION OF THE BIG BURNED PATIENT
Objective: To analyze the applicability of glutamine in the recovery of the nutritional and physiological status of burn patients. Methods: Study based on a literary review taken from reliable sources such as: The Scientific Electronic Library Online (Scielo), Pubmed, Bireme, Latin American and Caribbean Literature in Health Sciences (Lilacs), Virtual Health Library, the descriptors used were: glutamine ; nutritional therapy; burned; nutrition therapy; burned patients; glutamine, published in the last eleven years (2009-2020). Results: The research was carried out in a literary review format 30 full documents were read, 23 scientific articles were used, 3 bases of the Ministry of Health, 7 were postponed, the arguments used in the composition of the article, were the answer to the problem about applicability about the nutrient with immunomodulatory function glutamine for the recovery of the nutritional and physiological state of burn patients. Conclusion: The research argued about the use of glutamine in the treatment of large burn patients, through data obtained by literary analysis. The results obtained will contribute to the guidelines on the use of immunonutrients to improve the immune response, modulate the inflammatory response, reduce the rates of infectious complications, bringing a possible reduction in hospitalization costs. However, there is a need for further studies focused on this topic, in order to make the benefits of these immunonutrients appreciable for the scientific community, especially in terms of nutritional support more appropriate to supplementation and the recommendation of these nutrients.
INTRODUCTION: In Brazil, cardiovascular diseases are the major causes of death among adults and the elderly. Cardiopulmonary arrest (CPA) consists of the cessation of activities of the heart, circulation and breathing, recognized by the absence of a pulse or signs of circulation, with the patient unconscious OBJECTIVE: To analyze the nurse’s contribution in the assistance of Basic Life Support in Stoppage Cardiorespiratory. METHODS: The present study is a literature review about the assistance of nurses in cardiorespiratory arrest. The search for literary sources took place in October 2018, using only the online version in the database; SCIELO (Scientific Electronic Librany Online); MEDLINE / BVS (Medical Literature Analysis and Retrieval System Online / Virtual Health Library) and LILACS (Latin American and Caribbean Literature in Health Sciences). RESULTS: The study showed that nurses, through their care, are an essential and trained professional to diagnose and attend a PCR. CONCLUSION: It is possible to observe that PCR is a serious situation that requires from the nursing team scientific knowledge that can be used quickly and systematically, as well as defined protocols and teamwork so that the assistance provided is as qualified as possible, since its recognition until post-PCR care; since nursing is responsible for the continuous care of the individual, therefore, this professional category is responsible for a significant part of all assistance provided to the PCR victim.
Uterine wall rupture is a rare yet catastrophic complication of pregnancy with a high mortality rate of both the mother and the fetus. The condition could be classified according to etiology into primary unscarred uterus, and secondary scarred uterus or according to the site of rupture. Our case presented with scarred uterine rupture through a posterolateral injury. The patient had history of 3 previous CS and a D&C procedure. The rupture was complicated by EIV injury. Uterine rupture does not always present with profound manifestations of shock especially in posterior wall rupture and timely management ensures the best possible outcome. Finally, meticulous examination of the anatomically related structures and vessels, and the repair of any associated injuries, is essential.