ABSTRACT
Bell's palsy is defined as a lower motor neuron palsy that develops from a non-suppurative inflammation of the facial nerve at the stylomastoid foramen. The objective of this integrative review was to determine the effects of photobiomodulation as a therapeutic method for Bell's palsy. This qualitative study provided a broader understanding of the subject studied. Searches for articles were carried out in PubMed databases via Medline, LILACS, IBES, Scopus, Web of Science, Embase, and CENTRAL using MeSH and DeCS descriptors to determine the search terms. A total of 143 articles were found. After applying the inclusion and exclusion criteria, 7 articles were included. Therefore, it can be concluded that the application of low-level laser in the treatment of Bell's palsy is effective since the studies indicated significant and relevant improvements for the recovery of these patients when associating the laser with other types of treatments.
La parálisis de Bell se define como una parálisis de la neurona motora inferior que se desarrolla a partir de una inflamación no supurativa del nervio facial en el agujero estilomastoideo. El objetivo de esta revisión integradora fue determinar los efectos de la fotobiomodulación como método terapéutico para la parálisis de Bell. Este estudio cualitativo proporcionó una comprensión más amplia del tema estudiado. Las búsquedas de artículos se realizaron en las bases de datos PubMed a través de Medline, LILACS, IBES, Scopus, Web of Science, Embase y CENTRAL utilizando los descriptores MeSH y DeCS para determinar los términos de búsqueda. Se encontraron un total de 143 artículos. Después de aplicar los criterios de inclusión y exclusión, se incluyeron 7 artículos. Por tanto, se puede concluir que la aplicación de láser de baja intensidad en el tratamiento de la parálisis de Bell es eficaz debido a que los estudios indicaron mejoras significativas y relevantes para la recuperación de estos pacientes al asociar el láser a otro tipo de tratamientos.
Subject(s)
Humans , Bell Palsy/therapy , Low-Level Light Therapy/methodsABSTRACT
OBJETIVO: Analizar factores asociados con prevención y atención de infecciones de transmisión sexual y virus de inmunideficiencia (ITS/VIH) y respeto a personas que viven con VIH (PVV) entre jóvenes de comunidades fronterizas de Centroamérica. MATERIAL Y MÉTODOS: Estudio transversal, muestra no probabilística (n=716) en comunidades con y sin intervenciones de prevención y atención de ITS/VIH. Se identificaron factores asociados con el acceso a información; respeto a PVV, realización de pruebas, uso de condón y atención médica. RESULTADOS: Los jóvenes en comunidades con intervenciones presentaron mayor información sobre ITS/ VIH y respeto a PVV (94.1 contra 75.3%) y acceso a prueba de VIH (50.8 contra 14.7%). El 52% reportó tener relaciones sexuales. Usar condón fue mayor entre participantes de actividades preventivas (60.5 contra 50.9%) y con movilidad internacional (70.6 contra 51.9% sin ella). El 8.8% reportó síntomas de ITS; sólo 55% buscó atención médica. CONCLUSIÓN: Las intervenciones en comunidades están asociadas con mayor información, respeto a PVV y acceso a pruebas entre jóvenes; el uso de condón está relacionado con su participación en intervenciones.
OBJECTIVE: To examine factors associated to prevention, STI/HIV medical attention and respect for people living with HIV/AIDS (PLWHA) among youth in Central American border communities. MATERIALS AND METHODS: Cross-sectional analysis of a non-probabilistic sample (n=716) in border communities with and without preventive and medical care STI/ HIV interventions. Variables associated with having access to information, respect to PLWHA; HIV/STD tests, condom use and medical care were identified. RESULTS: Youth in communities with interventions have higher levels of information regarding STI/HIV, attitudes of respect toward PLWHA (94.1 vs. 75.3%) and access to HIV tests (50.8 vs. 14.7%). 52% of youngsters had intercourse. Condom use was higher among those who participated in preventive actions (60.5 vs. 50.9%) and those with international mobility (70.6 vs. 51.9%). 8.8% had STI symptoms; only 55% sought medical attention. CONCLUSION: Community interventions are associated with higher levels of information, respect for the rights of PLWHA and access to tests among youth; condom use is related to direct participation in program interventions.
Subject(s)
Adolescent , Female , Humans , Male , Young Adult , HIV Infections/prevention & control , Central America , Cross-Sectional StudiesABSTRACT
Relatamos os achados na tomografia computadorizada de alta resolução de um paciente que, após uso de cocaína fumada (crack), desenvolveu quadro de hemoptise, dispnéia e dor torácica súbitas. As radiografias de tórax mostravam consolidações predominando em lobos superiores. A tomografia de alta resolução evidenciava opacidades em vidro fosco, consolidações e nódulos do espaço aéreo. Nova tomografia de controle, após suspensão da droga e uso de corticóides, mostrou regressão parcial das lesões e aparecimento de escavações. A correlação entre os achados clínicos, laboratoriais e de imagem permitiu o diagnóstico de "pulmão de crack".
Here, we report high-resolution computed tomography (HRCT) findings in a patient who developed sudden hemoptysis, dyspnea and chest pain after smoking crack cocaine. Chest X-rays showed consolidations, primarily in the upper lobes, and HRCT scans showed ground glass attenuation opacities, consolidations and air-space nodules. A follow-up CT, after drug use discontinuation and administration of corticosteroids, showed partial resolution of pulmonary lesions and the appearance of cavitations. Clinical, imaging and laboratory findings led to a diagnosis of 'crack lung'.