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1.
Int. j. med. surg. sci. (Print) ; 6(2): 55-59, jun. 2019. ilus
Article in English | LILACS | ID: biblio-1247432

ABSTRACT

Introduction: There are different protocols for the management of anticoagulated patients that can be used when performing oral surgical procedures. Objective: To report the previous eva-luation and management of a hemorrhagic complication in the maxillofacial region in a patient undergoing oral anticoagulant therapy and the recommendations described in the literature for these patients. Clinical Case: Sixty-eight year old male patient, hospitalized in the cardiology unit due to heart failure, pending surgery for valve replacement. Treating physician requests evaluation for dental infection foci by a maxillofacial surgeon. Prior to medical examination and corresponding blood tests, four carious teeth are extracted, controlling hemostasis with local measures. During the night of the same day, the patient is referred again to the dental unit be-cause of an alveolorrhagia, being treated and controlled with new local measures; new standard blood tests are performed. Forty-eight hours later the patient presents an increase of volume in the right mandibular region compatible with hematoma and ecchymosis. It is decided to perform treatment, removing sutures, collagen and draining through the alveolus. Subsequently, new local measures are performed and the anticoagulant is suspended for 24 hrs. Conclusion: There are different care protocols for patients undergoing anticoagulant treatment in the literature, so each patient should be studied in advance to define what is the best therapeutic procedure to prevent complications.


Subject(s)
Humans , Male , Aged , Oral Hemorrhage/complications , Anticoagulants/therapeutic use , Oral Surgical Procedures , Anticoagulants/adverse effects
2.
San Salvador; s.n; 2017. 40 p. tab.
Thesis in Spanish | LILACS, BISSAL | ID: biblio-1179360

ABSTRACT

La presente investigación desarrolla un análisis acerca de la depresión en las personas adultas mayores y la relación de factores para la aparición de dicha enfermedad. Para realizar la investigación se hizo un estudio del tipo observacional descriptivo tomando como universo los pacientes de la tercera edad que habitaban en la comunidad Minerva en el periodo de mayo a junio del 2016. Participaron en el estudio 52 adultos mayores de un total de 70. Se buscó hacer tamizaje de estados depresivos por medio del test de Yessavagee identificar factores de riesgo que contribuyan a la aparición de dicha enfermedad, para ello se usó la escala de valoración de calidad de vida de Whoqol-breef, y para evaluar la funcionalidad familiar el FF-SIL. Los resultados obtenidos en la población estudiada se encontró una frecuencia de depresión de 55.8% del total, del cual se dividió en depresión leve 72.4% y depresión severa 27.6%. Además, se determinó que los factores que se relacionan a la depresión son la pobre salud física, inadecuada salud psicológica y un ambiente no apropiado


Subject(s)
Depression , Aged , Family Practice
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