ABSTRACT
The authors report a case of superficial acral fibromyxioma (SAF) in a 74-year-old male who presented with a painless mass in a periungual dorsoradial region of the right thumb. It is a rare benign neoplasm, which was recently described, that arouse on the skin and subcutaneous tissue of the hands and feet, especially in the proximity to the ungual region of male adults. Surgical treatment was performed with the excision in blocks of the margins of the lesion and fragmentation of the nail and nail matrix, according to the literature recommendation. Although there may be local recurrence in 22% of the cases, the patient presents no symptoms, deformities or functional limitations. In addition, there was no sign of tumor recurrence 18 months after the surgery. We are not aware of a similar case report in the Brazilian literature.
Subject(s)
Humans , Female , Aged , Antigens, Surface , Fibroma/diagnosis , Hand/surgery , Thumb/surgeryABSTRACT
Acidentes de trânsito são grave problema de saúde pública. A elevada mortalidade entre crianças no trânsito e a proteção oferecida por equipamentos de segurança, justificam a necessidade de conhecer melhor seu uso para elaborar estratégias que objetivem diminuir a morbimortalidade. O presente trabalho avaliou a utilização de equipamentos de segurança para crianças nos automóveis e o conhecimento dos pais sobre o seu uso correto. Foram aplicados questionários aos responsáveis pelos clientes da clínica CORPEL, em Santos Dumont-MG, de maio a setembro de 2004, num estudo de corte seccional. Foram entrevistados 390 responsáveis, sendo 101 excluídos. Das crianças incluídas no estudo, 17,3% tinham menos de 1 ano; 24,2% 1 ano ou mais e menos de 4 anos; e 58,5%, 4 anos ou mais. Dos responsáveis entrevistados que não possuíam equipamento de segurança (74,1%), 57,4% declararam achar que a criança já podia usar cinto; 5,5% não achavam importante; 5,5% achavam caro; e 2% não conheciam. Entre os que utilizavam, 56% o faziam sempre, sendo a adequação do uso de 33,3%. Portanto, apenas 8,7% das crianças estavam sendo transportadas corretamente. Somente 20,7% dos pais conheciam o correto uso das bolsas de ar. Os resultados deste trabalho demonstram uma falha na informação dos pais, permitindo inferir que campanhas educativas e regulamentação específica poderiam ter impacto positivo na utilização dos dispositivos de segurança.
Traffic accidents are a serious public health problem. High mortality rates among children and the protection provided by child restraints, justify the need to study the use of preventive equipment, in order to develop strategies to reduce injuries and deaths. This study evaluated the use of children`s restraints and parental knowledge about their correct use. Questionnaires were administered to parents in CORPEL clinic, in Santos Dumont - MG, from May to September, 2004, in a cross-sectional study. 390 parents were interviewed and 101 were excluded. Among the included, 17.3% were less then one year of age; 24.2% were 1 year or over of age but less then four years; and 58.5% were four years old or over. Among those who did not have protective devices (74.1%), 57.4% had the impression the child was old enough to wear a seat belt; 5.5% regarded it as not important; 5.5% believed it was too expensive; and 2% did not know it existed. Among those who had such devices, 56% always used them, but just 33.3% knew the proper use. Therefore, only 8.7% of the children were safely transported. Just 20.7% of the parents knew the correct use of air-bags. The results of this study showed a great flaw in parental knowledge. Educational programs and stricter regulations might have a positive impact on the use of children`s restraints.