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1.
Article in English, Portuguese | LILACS, BDENF | ID: biblio-1413336

ABSTRACT

Objetivo: analisar a incidência de neoplasias malignas em 2020. Métodos: estudo ecológico com análise comparativa entre as populações de Porto Alegre e Salvador. Foram extraídos dados do DATASUS, analisados em tabelas e apresentados em gráficos. Resultados: A incidência de neoplasias malignas em mulheres entre 30 a 34 anos é maior em Porto Alegre que em Salvador, sendo quase o dobro de casos de mulheres em relação aos homens. Entre 65 a 69 anos, mulheres representaram 20 casos a mais em Porto Alegre, e, em Salvador, o sexo masculino apresentou 28 casos a mais. As mulheres realizaram mais quimioterapias e os homens mais cirurgias. Conclusão: Houve diferença entre a incidência de neoplasias nas cidades podendo associar variáveis determinantes como sexo biológico feminino ao tipo de câncer e idade avançada. A maior incidência de casos na região sul pode estar associada aos hábitos de vida como alimentação e cultura desta região.


Objective: to analyze the incidence of malignant neoplasms in 2020 in two Brazilian cities. Methods: this is an ecological study with comparative analysis between the populations of the cities of Porto Alegre, and Salvador. Data were extracted from the DATASUS, analyzed in tables and presented in descriptive. Results: The incidence of malignant neoplasms in women aged 30 to 34 years is higher of Porto Alegre than in Salvador, with almost double the number of cases in women compared to men in both cities. In the age 65 to 69, women accounted for 20 more cases in Porto Alegre, and in Salvador, males had 28 more cases. Women underwent more chemotherapy and men more surgical in both cities. Conclusion: Differences were observed between the incidence of neoplasms for the cities compared, which could associate determinant variables such as female biological sex with the type of cancer and advanced age. In addition, there is evidence that the southern region of Brazil has a higher incidence than the northeast region, which may be associated with lifestyle habits such as food and culture in the region.


Objetivo: analizar la incidencia de neoplasias malignas en 2020 en dos ciudades brasileñas. Métodos: se trata de un estudio ecológico con análisis comparativo entre las poblaciones de Porto Alegre y Salvador. Los datos fueron extraídos del DATASUS, analizados en tablas y presentados en gráficos. Resultados: La incidencia de neoplasias malignas en mujeres de 30 a 34 años es mayor en Porto Alegre que en Salvador, con casi el doble de casos en mujeres que en hombres. Entre 65 a 69 años, las mujeres representaron 20 casos más en Porto Alegre, y en Salvador, los hombres tuvieron 28 casos más. Las mujeres se sometieron más a quimioterapia y los hombres más a quirúrgias. Conclusión: Se observaron diferencias entre la incidencia de neoplasias, que podrían asociar variables determinantes como el sexo biológico femenino con el tipo de cáncer y la edad avanzada. Existe evidencia de que la región sur de Brasil tiene una mayor incidencia que la región noreste, lo que puede estar asociado con hábitos de estilo de vida como la alimentación y la cultura en la región.


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Aged , Incidence , Health Information Systems , Neoplasms/epidemiology , Epidemiologic Studies , Data Interpretation, Statistical
2.
Rev. Ciênc. Plur ; 8(3): 26740, out. 2022. tab, maps
Article in Portuguese | LILACS, BBO | ID: biblio-1398967

ABSTRACT

Introdução:As taxas de mortalidade de crianças, em todo o mundo, configuram-se como indicadores da qualidade de vida e saúde em um país. Diante disso, é de extrema importância a análise da mortalidade na infância, no Brasil e regiões.Objetivo:Avaliar a espacialização do coeficiente de mortalidade em crianças entre um e cinco anos no Brasil e seus indicadores sociais e assistenciais de saúde.Metodologia:Trata-se de um estudo ecológico, de tendência temporal e correlação espacial realizado no Brasil, com a população de crianças de 1 a 5 anos, sendo utilizadas informações do Sistema de Informações de Mortalidade. Para a análise, foram usados os softwaresMicrosoft Excel eStatistical Package for the Social Sciences. O TerraViewfoi empregado para realização da distribuição da taxa de mortalidade e a dependência espacial foi medida pelo coeficiente de autocorrelação global de Moran. Resultados:A média do coeficiente de mortalidade na infância, de crianças entre um e menores de cinco anos, apresentou um perfil decrescente no período de 2008 a 2015. Em 2016, no entanto, foi observada uma elevação substancial dos óbitos em crianças na faixa etária estudada. A região Norte e Nordeste do Brasil apresentaram os maiores índices de mortalidade, enquanto que os estados do Sul e Sudeste apresentaram menos óbitos para crianças entre um e menores de cinco anos.Conclusões:Apesar dos pactos criados pelo governo e da ampliação nos serviços de saúde, em específico da atenção básica, os números altos de óbitos, nesta faixa etária,podem ser relacionados com a diminuição da coberturavacinação, assim como pelo alto número de fatores externos (AU).


Introduction:Infant mortality rates all over the world are configured as indicators of life and healthqualityin a country, as this public has special vulnerabilities and needs, associated with the social and economic conditions available to the population. Therefore, it is extremely important to analyze infant mortality in Brazil anditsregions.Objective:Evaluate the spatialization of the mortality coefficient in children agedone to five years oldin Brazil and its social and health indicators.Methodology:This is an ecological, temporal trend and spatial correlation study carried out in Brazil with the population of children aged 1 to 5 years, using information from the Mortality Information System (SIM/DATASUS). For the analysis, Microsoft Excel and Statistical Package for the Social Sciences software were used. TerraView was used to perform the mortality rate distribution and the spatial dependence was measured by Moran's global autocorrelation coefficient.Results:The average infant mortality rate for children aged between one and under five showed a decreasing profile in the period from 2008 to 2015. In 2016, however, a substantial increase in deaths ofchildren in the age group studied was observed. The North and Northeast regions of Brazil had the highest mortality rates, while the states inthe South and Southeast had the lowest deathrates for children between one and under five years of age.Conclusions:Despite the pacts created by the government and the expansion of health services, specifically primary care, the high numberof deaths in this age group can be related to the decrease in vaccination coverage, as well as to the high number of external factors (AU).


Introducción: Las tasas de mortalidad infantil, en todo el mundo, se configuran como indicadores de la calidad de vida y salud de unpaís. Por lo tanto, es de suma importancia analizar la mortalidad infantil en Brasil y regiones.Objetivo: Evaluar la espacialización del coeficiente de mortalidad en niños de uno a cinco años en Brasil y sus indicadores sociales y de salud.Metodología: Se trata de un estudio ecológico, de tendencia temporal y de correlación espacial realizado en Brasil con la población de niños de 1 a 5 años, utilizando información del Sistema de Información de Mortalidad. Para el análisis se utilizó Microsoft Excel y elsoftware Statistical Package for the Social Sciences. Se utilizó TerraViewpara realizar la distribución de la tasa de mortalidad y la dependencia espacial se midió mediante el coeficiente de autocorrelación global de Moran.Resultados: La tasa de mortalidad infantil promedio de los niños de uno a cinco años mostró un perfil decreciente en el período de 2008 a 2015. En 2016, sin embargo, se observó un aumento sustancial de las muertes de niños en el grupo de edad estudiado. Las regiones norte y noreste de Brasil tuvieron las tasas de mortalidad más altas, mientras que los estados del sur y sureste tuvieron menos muertes de niños entre uno y cinco años de edad.Conclusiones: A pesar de los pactos creados por el gobierno y la expansión de los serviciosde salud, específicamente la atención primaria, el alto número de muertes en este grupo de edad puede estar relacionado con la disminución de las coberturas de vacunación, así como con el elevado número de factores externos (AU).


Subject(s)
Humans , Male , Female , Infant , Child, Preschool , Mortality Registries/statistics & numerical data , Child Health , Health Status Indicators , Social Indicators , Child Mortality , Vaccination Coverage , Brazil/epidemiology , Data Interpretation, Statistical , Ecological Studies , Spatio-Temporal Analysis
3.
Rev. Ciênc. Plur ; 8(3): 29925, out. 2022. tab, graf
Article in Portuguese | LILACS, BBO | ID: biblio-1398974

ABSTRACT

Introdução: Diante da realidade virtual que se encontram os procedimentos burocráticos, observa-se a necessidade de se idealizar programas de triagem nas clínicas-escola com os objetivos de se encaminhar pacientes para a clínica mais compatível com as suas necessidades, e substituir os prontuários físicos pelos eletrônicos, numa alternativa ambientalmente correta.Objetivo: Avaliar a efetividade de um modelo de triagem informatizado, comparando-o ao modelo utilizado atualmente, no serviço de Serviço de Triagem e Documentação Odontológica do Departamento de Odontologia da Universidade Federal do Rio Grande do Norte. Metodologia: O estudo realizado foi do tipo descritivo, constituído de uma amostra de 50 pacientes, que foram submetidos ao modelo de triagem utilizado atualmente no Serviço de Triagem e Documentação Odontológica do Departamento de Odontologia da Universidade Federal do Rio Grande do Norte e a triagem com aplicação de um programa informatizado. Foi avaliada a efetividade do dispositivo e feita uma comparação entre os modelos. A análise estatística foi feita por meio do índice de correlação intra-classe, utilizando-se um banco de dados criado no software Statistical Package for Social Sciences, versão 20.0, adotando significância de 95% (p< 0,05).Resultados: Após análise estatística, com realização de correlação entre os resultados do software e o modelo atual de triagem, obteve-se coeficiente de correlação intra-classe de 0,578, com o nível de significância, para avaliação dos dados obtidos de (P<0,05), foi possível evidenciar que ocorreu correlação satisfatória positiva e significativa entre os resultados do software e o modelo atual de triagem.Conclusões:Os resultados denotam concordância entre os modelos de triagem estudados e demonstram que a utilização destes recursos apresenta resultados satisfatórios. Notadamente, evidenciando-se a vantagem da utilização do modelo de triagem informatizado (AU).


Introduction: In view of the virtual reality of bureaucratic procedures, it is necessary to devise screening programs in school clinics to refer patients to the clinic more compatible with their needs and replace physical with electronic records as an environmentally friendly alternative.Objective: To evaluate the effectiveness of a computerized screening model, comparing it to the model currently used in the Dental Documentation and Screening Service of the Dentistry Department of the Federal University of Rio Grande do Norte. Methodology: The descriptive study consisted of a sample of 50 patients who were submitted to the screening model currently used in the abovementioned service and the computerized screening model. The effectiveness of the device was evaluated and a comparison was made between the models. Statistical analysis was made using the intra-class correlation index and a database created in Statistical Package for Social Sciences version 20.0, adopting a significance of 95% (p < 0.05). Results: An intra-class correlation coefficient of 0.578 was obtained with the significance level of p < 0.05. There was a positive and significant satisfactory correlation between the software results and the current screening model.Conclusions: There was agreement between the studied models and the use of these resources yield satisfactory results. Therefore, the advantage of using the computerized screening model was confirmed (AU).


Introducción: Ante la realidad virtual de los trámites burocráticos, surge la necesidad de diseñar programas de cribado en las clínicas docentes con el objetivo de enviar a los pacientes a la clínica más compatible con sus necesidades, reemplazando los registros físicos y electrónicos en una alternativa ambientalmente correcta.Objetivo: Evaluar la efectividad de un modelo de cribado informatizado, comparándolo con el modelo utilizado actualmente en el Servicio de Cribado y Documentación Dental del Departamento de Odontología de la Universidad Federal de Rio Grande do Norte.Metodología: El estudio realizado fue de tipo descriptivo, constituido por una muestra de 50 pacientes que fueron sometidos al modelo de cribado actualmente utilizado en el dicho servicio y al cribado mediante programa informatizado. Se evaluó la efectividad del dispositivo y se realizó una comparación entre los modelos. El análisis estadístico se realizó mediante el índice de correlación intraclase, utilizando una base de datos creada en el software Statistical Package for Social Sciences, versión 20.0, adoptando un nivel de significación del 95% (p< 0,05).Resultados: Luego del análisis estadístico, con correlación entre los resultados del software y el modelo de cribadoactual, se obtuvo un coeficiente de correlación intraclase de 0.578, con nivel de significancia, para evaluación de los datos obtenidos de (P<0.05). Fue posible mostrar que hubo una correlación positiva y significativa satisfactoria entre los resultados del software y el modelo de cribado actual. Conclusiones: Los resultados muestran concordancia entre los modelos de cribado estudiados y demuestran que el uso de estos recursos presenta resultados satisfactorios. En particular, demostrando la ventaja de usar el modelo de cribado computarizado (AU).


Subject(s)
Humans , Male , Female , Adolescent , Adult , Middle Aged , Aged , Schools, Dental , Database Management Systems , Triage , Electronic Health Records , Data Interpretation, Statistical
4.
Rev. Ciênc. Plur ; 8(3): 26478, out. 2022. graf, tab, maps
Article in Portuguese | LILACS, BBO | ID: biblio-1399030

ABSTRACT

Objetivo:Analisar a mortalidade por suicídio no estado de Pernambuco, no período de 2010 a 2019. Metodologia:Trata-se de um estudo descritivo e ecológico, com uma abordagem quantitativa. Foram utilizados dados secundários disponibilizados no Sistema de Informação sobre Mortalidade e no Instituto Brasileiro de Geografia e Estatística. O estudo calculou a Taxa de Mortalidade por Suicídio e considerou as seguintes variáveis: ano do óbito, localização geográfica, sexo, faixa etária e raça/cor. O processamento e análise dos dados ocorreram com auxílio das planilhas eletrônicas do Excel e do software SIG QGIS 3.16, sendo utilizadas medidas de frequência absolutas e relativas e apresentados em tabelas, figuras e mapa temático. Resultados:Nos últimos anos, Pernambuco vem apresentando um aumento namortalidade por suicídio, se destacando a prevalência na população masculina (77,33%), na faixa etária de 20 a 39 anos (40,95%) e na população negra (79,26%). Em relação adistribuição geográfica das taxas médias, o estado apresentou diferenças, destacando-se a Região de Saúde XI(Serra Talhada), seguida por Região de Saúde V (Garanhuns), Região de Saúde VII (Salgueiro) e Região de Saúde IX (Oricuri). Conclusões:A análise da mortalidade por suicídio foi importante para a construção do perfil das vítimas, possibilitando a identificação dos grupos vulneráveis e direcionando as intervenções. Além disso, destaca-se a importância da implementação e aprimoramento das políticas públicas voltadas para a prevenção do suicídio (AU).


Objective:To analyze suicide mortality in the state of Pernambuco, from 2010 to 2019. Methodology:This is a descriptive and ecological study, with a quantitative approach. Secondary data available from the Mortality Information System and the Brazilian Institute of Geography and Statistics were used. The study calculated the Suicide Mortality Rate and considered the following variables: year of death, geographic location, gender, age group and race/color. Data processing and analysis took place with the help of Excel spreadsheets and SIG software QGIS 3.16, using absolute and relative frequency measures and presented in tables, figures and thematic map. Results:In recent years, Pernambuco has shown an increase in suicide mortality, with the prevalence in the male population (77,33%), in the age group from 20 to 39 years old (40,95%) and in the black population standing out (79,26%). Regarding the geographical distribution of the average rates, the state showed differences, highlighting Health Region XI(Serra Talhada), followed by Health Region V (Garanhuns), Health Region VII (Salgueiro)and Health Region IX (Oricuri).Conclusions:The analysis of suicide mortality was important for the construction of the victims' profile, enabling the identification of vulnerable groups and directing interventions. In addition, the importance of implementing and improving public policies aimed at suicide prevention is highlighted (AU).


Objetivo: Analizar la mortalidad por suicidio en el estado de Pernambuco, de2010 a 2019.Metodología: Se trata de un estudio descriptivo y ecológico, con enfoque cuantitativo. Se utilizaron datos secundarios disponibles del Sistema de Información de Mortalidad y del Instituto Brasileño de Geografía y Estadística. El estudio calculó la Tasa de Mortalidad por Suicidio y consideró las siguientes variables: año de muerte, ubicación geográfica, sexo, grupo de edad y raza/color. El procesamiento y análisis de datos se llevó a cabo con la ayuda de hojas de cálculo de Excel y el software SIG QGIS 3.16, utilizando medidas de frecuencia absoluta y relativa y presentados en tablas, figuras y mapa temático.Resultados: En los últimos años, Pernambuco muestra aumento de mortalidad por suicidio, destacando la prevalencia en la población masculina (77,33%), en el grupo de edad de 20 a 39 años (40,95%) y en la población negra (79,26%). En cuanto a la distribución geográfica de las tasas medias, el estado presentó diferencias,destacándosela XIRegión Sanitaria (Serra Talhada), seguida de la Región Sanitaria V (Garanhuns), la Región Sanitaria VII (Salgueiro) y la Región Sanitaria IX (Oricuri).Conclusiones: El análisis de la mortalidad por suicidio fue importante para la construcción del perfil de las víctimas, posibilitando la identificación de los grupos vulnerables y orientando las intervenciones. Además, se destaca la importancia de implementar y mejorar las políticas públicas orientadas a la prevención del suicidio (AU).


Subject(s)
Humans , Male , Female , Child, Preschool , Child , Adolescent , Adult , Middle Aged , Aged , Socioeconomic Factors , Suicide/statistics & numerical data , Mortality Registries/statistics & numerical data , Public Health , Mortality/trends , Brazil/epidemiology , Mental Health , Epidemiology, Descriptive , Data Interpretation, Statistical , Ecological Studies
5.
Rev. ADM ; 79(4): 193-197, jul.-ago. 2022. ilus, tab
Article in Spanish | LILACS | ID: biblio-1393292

ABSTRACT

Introducción: la prevención y control de infecciones (PCI) pretenden prevenir, detener y propagar enfermedades infecciosas en pacientes y trabajadores de la salud. Este enfoque debe comenzar con la formación y capacitación del profesional de la salud, inmunizaciones recomendadas y ejecución de medidas universales de protección. Objetivos: evaluar conocimientos, actitudes y prácticas en la prevención y control de infec- ciones de los estudiantes y pasantes de servicio social de la licenciatura en Estomatología de la UAM-X. Material y métodos: se realizó un estudio descriptivo, transversal y observacional mediante una encuesta anónima como instrumento para recolección de datos a una muestra de 108 alumnos y pasantes. Resultados: se encontró que al contestar el interrogatorio sobre «prevención y control de infecciones¼, 59.3% tuvo un nivel de conocimientos aceptable y 40.7% tuvo un nivel muy bueno. De los encuestados, 87% desinfecta y cambia las barreras de protección entre cada paciente, 9.3% al comenzar y finalizar el día; el restante 3.7%, cuando está visiblemente sucio o cuando hay derrame de sustancias de líquidos corporales. Conclusión: los encuestados tienen adecuados conocimientos y prácticas, lo que infiere que tienen el sustento teórico y habilidades para enfrentarse a la etapa postpandemia para la atención de pacientes (AU)


ntroduction: infection prevention and control (IPC) efforts to prevent, stopping and spreading infectious diseases in patients and healthcare workers. This approach should begin with education and training of the health professional, recommended immunizations and implementation of universal protective measures. Objectives: to evaluate knowledge, attitudes and practices in infection prevention and control stomatology career's students and social service interns UAM-X. Material and methods: a descriptive, cross-sectional and observational study was carried out using an anonymous survey as an instrument for data collection from a sample of 108 students and interns. Results: it was found that when answering the questionnaire on «infection prevention and control¼, 59.3% had an acceptable level of knowledge and 40.7% had a very good level. 87% of the respondents disinfect and change the protective barriers between each patient, 9.3% at the beginning and end of the day; the remaining 3.7% when visibly dirty or when there is spillage of body fluids. Conclusion: respondents have adequate knowledge and practices, inferring that they have the theoretical support and skills to face the post-pandemic stage of patient care (AU)


Subject(s)
Communicable Disease Control , Health Knowledge, Attitudes, Practice , Infection Control, Dental/methods , Protective Clothing , Schools, Dental , Students, Dental/psychology , Epidemiology, Descriptive , Cross-Sectional Studies , Surveys and Questionnaires , Data Interpretation, Statistical , Internship and Residency , Mexico
6.
Subj. procesos cogn ; 26(1): 1-21, ago. 2022.
Article in Spanish | LILACS | ID: biblio-1392516

ABSTRACT

Las últimas décadas favorecieron el proceso de transición demográfica. No obstante, la extensión de los años por vivir no siempre resultó acompañada por mejoras en la calidad de vida. A este respecto, desde la psicogerontología se ha priorizado el estudio de las variables salutogénicas. Tal es el caso del propósito en la vida y del apoyo social percibido, así como dela relación que ambos mantienen con el miedo a la muerte. Temas que cobran mayor relevancia en un contexto de pandemia. El presente trabajo se propone analizar la relación entre dichas variables en una muestra de 103 adultos mayores de CABA, de ambos sexos (Hombres=24,3%; Mujeres=75,7%), con edades entre60 y 83 años, a partir de un diseño cuantitativo-correlacional. Entre los principales resultados, se observan relaciones positivas de fuerte significatividad entre el propósito y el apoyo social y entre el miedo a la muerte y el miedo al COVID-19 AU


The last decades favored the process of demographic transition. However, the extension of the years to live was not always accompanied by improvements in the quality of life. In this regard, psychogerontology has prioritized the study of salutogenic variables. Such is the case of purpose in life and perceived social support, as well as the relationship that both maintain with the fear of death. Topics that become more relevant in a pandemic context. This paper aims to analyze the relationship between these variables in a sample of 103 older adults from CABA, of both sexes (Men=24.3%; Women=75.7%), aged between 60 and 83 years, from of a quantitative-correlational design. Among the main results, highly significant positive relationships are observed between purpose and social support and between fear of death and fear of COVID-19 AU


Subject(s)
Humans , Middle Aged , Aged , Aged, 80 and over , Social Support , Attitude to Death , COVID-19/epidemiology , Argentina , Surveys and Questionnaires/statistics & numerical data , Data Interpretation, Statistical , Sociodemographic Factors , Geriatric Psychiatry , Life Change Events
7.
Rev. Círc. Argent. Odontol ; 80(231): 6-13, jul. 2022. ilus, tab, graf
Article in Spanish | LILACS | ID: biblio-1391619

ABSTRACT

Este trabajo tuvo como objetivo conocer la fiabilidad de la impresora 3D (i3D) aditiva por Matriz de Proceso Digital de Luz (MDLP) Hellbot modelo Apolo®, a través de verificar la congruencia dimensional entre las mallas de modelos impresos (MMi) y su correspondiente archivo digital de origen (MMo), obtenido del software de planificación ortodontica Orchestrate 3D® (O3D). Para determinar su uso en odontología y sus posibilidades clínicas, fue comparada entre cinco i3D de manufactura aditiva, dos DLP, dos por estereolitografía (SLA) y una por Depósito de Material Fundido (FDM). La elección de las cinco i3D se fundamentó en su valor de mercado, intentando abarcar la mayor diversidad argentina disponible. Veinte modelos fueron impresos con cada i3D y escaneados con Escáner Intraoral (IOS) Carestream modelo 3600® (Cs3600). Las 120 MMi fueron importadas dentro del programa de ingeniería inversa Geomagic® Control X® (Cx) para su análisis 3D, consistiendo en la superposición de MMo con cada una de las MMi. Luego, una evaluación cualitativa de la desviación entre la MMi y MMo fue realizada. Un análisis estadístico cuidadoso fue realizado obteniendo como resultado comparaciones en 3d y 2d. Las coincidencias metrológicas en la superposición tridimensional permitieron un análisis exhaustivo y fácilmente reconocible a través de mapas colorimétricos. En el análisis bidimensional se plantearon planos referenciados dentariamente desde la MMo, para hacer coincidir las mediciones desde el mismo punto de partida dentaria. Los resultados fueron satisfactorios y muy alentadores. Las probabilidades de obtener rangos de variabilidad equivalentes a +/- 50µm fueron de un 40,35 % y de +/- 100µm un 71,04 %. Por lo tanto, te- niendo en cuenta las exigencias de congruencia dimensional clínicas de precisión y exactitud a las cuales es sometida nuestra profesión odontológica, se evitan problemas clínicos arrastrados por los errores dimensionales en la manufactura (Cam) (AU)


The objective of this study was to determine the reliability of the Hellbot Apollo® model additive 3D printer (i3D) by Matrix Digital Light Processing (MDLP) by verifying the dimensional congruence between the printed model meshes (MMi) and their corresponding digital source file (MMo), obtained from the Orchestrate 3D® (O3D) orthodontic planning software. A comparison was made between five i3D of additive manufacturing, two DLP, two by stereolithography (SLA), and one by Fused Material Deposition (FDM), to determine its use in dentistry and its clinical possibilities. The choice of the five i3D was based on their market value, trying to cover most of the Argentinean diversity available. Twenty models were printed with each i3D and scanned with Carestream Intraoral Scanner (IOS) model 3600® (Cs3600). The 120 MMi were imported into the reverse engineering program Geomagic® Control X® (Cx) for 3D analysis, consisting of overlaying MMo with each MMi. Then, a qualitative evaluation of the deviation between MMi and MMo. Also, a careful statistical analysis was performed, resulting in 3d and 2d comparisons. Metrological coincidences in three-dimensional overlay allowed a comprehensive and easily recognizable analysis through colorimetric maps. In the two-dimensional analysis, dentally referenced planes were proposed from the MMo, to match the measurements from the same dental starting point. The results were satisfactory and very encouraging. The probabilities of obtaining ranges of variability equivalent to +/- 50µm were 40.35 % and +/- 100µm 71.04 %. Therefore, considering the demands of clinical dimensional congruence, precision, and accuracy to which our dental profession it is subjected, clinical problems caused by dimensional errors in manufacturing (Cam) are avoided (AU)


Subject(s)
Models, Dental , Printing, Three-Dimensional , Stereolithography , Orthodontics/methods , In Vitro Techniques , Algorithms , Software , Image Interpretation, Computer-Assisted/methods , Data Interpretation, Statistical , Evaluation Studies as Topic
8.
Cienc. act. fís. (Talca, En línea) ; 23(especial): 1-10, jun. 2022. tab
Article in Portuguese | LILACS-Express | LILACS | ID: biblio-1404101

ABSTRACT

RESUMO O objetivo da pesquisa foi avaliar o efeito de um Programa de Exercício Físico Oncológico - ONCOFITNESS na amplitude articular em pacientes com câncer submetidos à radioterapia. O estudo é um tipo de ensaio clínico prospectivo randomizado controlado no qual se compara o efeito e o valor de uma intervenção, com características profiláticas ou terapêuticas, em seres humanos. Os procedimentos consideraram as normas para realização de pesquisas em seres humanos com a aprovação do projeto pelo CEP/Hospital Mário Kröeff. A avaliação da flexibilidade foi realizada seguindo o protocolo LABIFIE, com goniômetro de aço da marca Lafayette® (EUA). O grupo experimental realizou uma intervenção com Oncofitness. Após esse período, foi realizada outra avaliação, seguindo os mesmos procedimentos. A análise estatística foi realizada no programa SPSS (Statistical Package for the Social Sciences) versão 20.0. A amostra foi composta por 30 homens com idade GE (X ̅ = 59,0 ± 2,0 anos) e GC (X ̅ = 60,0 ± 1,0 anos). Os dados revelaram que os ganhos do GE foram observados em: flexão do joelho (∆%=5,0%, p=0,0011x); em abdução do quadril (∆%=15,8%, p=0,003x); em rotação interna (∆%=8,1%, p=0,0129x) e em flexão de ombro, (∆%=8,3%, p=0,0185x). Não foi observado ganho no GC, pode-se verificar que o Oncofitness proporcionou a redução de alguns dos sintomas relacionados aos tratamentos oncológicos devido à melhora da amplitude articular.


RESUMEN El objetivo de la investigación fue evaluar el efecto de un Programa de Ejercicios Físicos Oncológicos - ONCOFITNESS en la amplitud articular en pacientes oncológicos sometidos a radioterapia. El estudio es tipo ensayo clínico controlado randomizado, prospectivo en que compara el efecto y valor de una intervención, con características profilácticas o terapéuticas, en seres humanos. Los procedimientos consideraron las normas para la realización de investigación en seres humanos con la aprobación del proyecto por el CEP/Hospital Mário Kröeff. La evaluación de la flexibilidad fue realizada siguiendo el protocolo del LABIFIE, con un goniómetro de acero da marca Lafayette® (EUA). El grupo experimental realizó una intervención con el Oncofitness. Después de ese periodo, se realizó otra evaluación, siguiendo los mismos procedimientos. El análisis estadístico fue realizado mediante el SPSS (Statistical Package for the Social Sciences) versión 20.0. La muestra fue de 30 hombres con edades GE (X ̅ = 59,0 ± 2,0 años) y GC (X ̅ = 60,0 ± 1,0 años). Los datos revelaron que fueron observadas ganancias GE en: flexión de rodillas (∆%=5,0%, p=0,0011x); en la abducción de cadera (∆%=15,8%, p=0,003x); en la rotación interna (∆%=8,1%, p=0,0129x) y en flexión de hombro, (∆%=8,3%, p=0,0185x). No fue observada ganancia en el GC, se puede verificar que el Oncofitness proporcionó la reducción de algunos de los síntomas relacionados a los tratamientos oncológicos por la mejora de la amplitud articular.


ABSTRACT The research aimed to evaluate the effect of an Oncology Physical Exercises Program - ONCOFITNESS on the joint range of cancer patients undergoing radiotherapy. The study is considered a randomized controlled clinical trial, being prospective in that it compares the effect and value of an intervention, with prophylactic or therapeutic characteristics, in human beings. The procedures met the standards for researching human beings, and the project was approved. CEP/Hospital Mário Kröeff. Flexibility measurement performed following the LABIFIE protocol, with a Lafayette® brand steel goniometer (USA). The experimental group performed an intervention with Oncofitness. After this period, another evaluation was carried out, following the same procedures. Statistical analysis was performed using SPSS (Statistical Package for the Social Sciences) version 20.0. Sample of 30 men aged GE (X ̅ = 59.0 ± 2.0 years) and CG (X ̅ = 60.0 ± 1.0 years). The data revealed that gains were observed in the EG in knee flexion (∆%=5.0%, p=0.0011x); in hip abduction (∆%=15.8%, p=0.003x); in internal rotation (∆%=8.1%, p=0.0129x) and in shoulder flexion, (∆%=8.3%, p=0.0185x). As was not observed in the CG, Oncofitness provided a reduction in some of the symptoms related to oncological treatments by improving joint range of motion.


Subject(s)
Humans , Male , Adult , Middle Aged , Prostatic Neoplasms , Muscle Stretching Exercises/methods , Exercise , Data Interpretation, Statistical , Range of Motion, Articular
9.
Prensa méd. argent ; 108(3): 165-189, 20220000. tab, fig, graf
Article in Spanish | LILACS, BINACIS | ID: biblio-1373279

ABSTRACT

Introducción. Los adenomas gigantes de hipófisis (AGHs) son aquellos tumores con un diámetro máximo ≥4 cm en cualquier dirección, representando del 5% al 14% del total de los adenomas que se tratan quirúrgicamente. Su manejo terapéutico es desafiante ya que, debido a su extensión hacia otras estructuras cerebrales,está asociado a un riesgo mayor de complicaciones quirúrgicas, con una menor tasa de resección total. El objetivo de este trabajo fue evaluar el impacto de la cirugía endoscópica transesfenoidal en AGHs, analizando las variables asociadas a resultados visuales, endocrinológicos y según el grado de resección. Pacientes y Métodos. Se evaluó en 44 pacientes con AGHs(diámetro ≥4 cm y/o volumen ≥10 ml) la presentación visual, endocrinológica e imágenes. Se analizaron estadísticamente resultados visuales, endocrinológicos, grado de resección y complicaciones quirúrgicas. Resultados. Edad promedio de 48.8 años, 24 mujeres y 20 hombres. Presentación: déficit del campo visual (93.1%), hipopituitarismo (61.3%), cefalea (54.5%). Diámetro, volumen y extensión supraselar promedios: 4.8 cm, 20.3 ml, 1.8 cm, respectivamente. Campo visual: mejoría: 83.3%, sin cambios: 9.5%, mayormente en síntomas bilaterales (p<0.0001). Desmejoríavisual: 0%. En resección total: mayor posibilidad de mejoría visual (p=0.040). Buenos resultados endocrinológicos: 85.7%. Tasa de resección total: 52.3%. Resección subtotal: más frecuente con invasión del seno cavernoso (p=0.014). Sin diferencias en el grado de resección según diámetro, volumen, extensión supraselar, forma ni aspecto. Hipopituitarismo: 4.2%. Diabetes insípida: 9.5%, asociada a mayor diámetro (p=0.038) o extensión supraselar (p=0.010) y aspecto sólido (p=0.023). Fístula de LCR: 7.1%. Conclusión. La resección total puede lograrse en la mitad de los casos, siendo la limitante principal el grado de invasión del seno cavernoso y no el aspecto morfológico del AGH per se. Aun así, los resultados visuales y endocrinológicos son muy buenos. En resecciones incompletas se logra el control de la enfermedad mediante tratamientos complementarios


Introduction. Giant pituitary adenomas (sGAs) are those tumors with a maximum diame- ter ≥4 cm in any direction, representing 5% to 14% of all adenomas that are treated surgi- cally. Its therapeutic management is challenging since, due to its extension to other brain structures, it is associated with a higher risk of surgical complications, with a lower rate of total resection. Te objective of this work was to evaluate the impact of transsphenoidal endoscopic surgery on AGHs, analyzing the variables associated with visual and endocri- nological results and according to the degree of resection. Patients and Methods. Visual, endocrinological and imaging presentation were evaluated in 44 patients with sHAA (dia- meter ≥4 cm and/or volume ≥10 ml). Visual and endocrinological results, degree of resection and surgical complications were statistically analyzed. Results. Average age of 48.8 years, 24 women and 20 men. Presentation: visual field deficit (93.1%), hypopituitarism (61.3%), headache (54.5%). Average diameter, volume and suprasellar extension: 4.8 cm, 20.3 ml, 1.8 cm, respectively. Visual field: improvement: 83.3%, no changes: 9.5%, mostly in bilate- ral symptoms (p<0.0001). Visual impairment: 0%. In total resection: greater possibility of visual improvement (p=0.040). Good endocrinological results: 85.7%. Total resection rate: 52.3%. Subtotal resection: more frequent with invasion of the cavernous sinus (p=0.014). No differences in the degree of resection according to diameter, volume, suprasellar exten- sion, shape or appearance. Hypopituitarism: 4.2%. Diabetes insipidus: 9.5%, associated with greater diameter (p=0.038) or suprasellar extension (p=0.010) and solid appearance (p=0.023). CSF fistula: 7.1%. Conclusion. Total resection can be achieved in half of the cases, the main limitation being the degree of invasion of the cavernous sinus and not the morphological appearance of the HGA per se. Even so, the visual and endocrinological results are very good. In incomplete resections, disease control is achieved through com- plementary treatments


Subject(s)
Humans , Pituitary Gland/pathology , Postoperative Complications , Adenoma/pathology , Chi-Square Distribution , Data Interpretation, Statistical , Endoscopy/methods , Surgical Clearance , Margins of Excision , Hypophysectomy/methods
10.
Arq. bras. neurocir ; 41(1): 58-69, 07/03/2022.
Article in English | LILACS | ID: biblio-1362088

ABSTRACT

Introduction Vasospasm is a common and potentially devastating complication in patients with subarachnoid hemorrhage, causing high morbidity and mortality. There is no effective and consistent way to prevent or treat cerebral vasospasm capable of altering the morbidity and mortality of this complication. Animal and human studies have attempted to show improvement in aneurysmal vasospasm. Some sought their prevention; others, the treatment of already installed vasospasm. Some achieved only angiographic improvement without clinical correlation, others achieved both, but with ephemeral duration or at the expense of very harmful associated effects. Endovascular techniques allow immediate and aggressive treatment of cerebral vasospasm and include methods such as mechanical and chemical angioplasty. These methods have risks and benefits. Objectives To analyze the results of chemical angioplasty using nitroglycerin (GTN). In addition, to performa comprehensive review and analysis of aneurysmal vasospasm. Methods We describe our series of 77 patients treated for 8 years with angioplasty for vasospasm, either mechanical (with balloon), chemical (with GTN) or both. Results Eleven patients received only balloon; 37 received only GTN; 29 received both. Forty-four patients (70.1%) evolved with delayed cerebral ischemia and 19 died (mortality of 24.7%). Two deaths were causally related to the rupture of the vessel by the balloon. The only predictors of poor outcome were the need for external ventricular drainage in the first hours of admission, and isolated mechanical angioplasty. Conclusions Balloon angioplasty has excellent results, but it is restricted to proximal vessels and is not without complications. Chemical angioplasty using nitroglycerin has reasonable but short-lived results and further research is needed about it. It is restricted to vasospasm angioplasties only in hospitals, like ours, where better and more potent vasodilator agents are not available.


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Aged , Nitroglycerin/therapeutic use , Angioplasty, Balloon/methods , Vasospasm, Intracranial/diagnosis , Vasospasm, Intracranial/physiopathology , Vasospasm, Intracranial/therapy , Subarachnoid Hemorrhage/therapy , Vasodilator Agents/therapeutic use , Chi-Square Distribution , Survival Analysis , Regression Analysis , Data Interpretation, Statistical
11.
Arq. bras. neurocir ; 41(1): 1-6, 07/03/2022.
Article in English | LILACS | ID: biblio-1362064

ABSTRACT

Objectives To establish the success rate in endovascular internal carotid artery (ICA) stenosis recanalization using the double-layer stent Casper-RX (Microvention, Inc 35 Enterprise, Aliso Viejo, California, United States of America) and to identify the main comorbidities in individuals with ICA stenosis, morphological characteristics of the stenosis, diagnostic methods, intraoperative complications, as well as morbidity and mortality within 30 days of the surgical procedure. Materials and Methods Retrospective analysis of 116 patients undergoing ICA angioplasty with a degree of stenosis > 70% using Casper-RX stenting who underwent this procedure from April 2015 to December 2019. Results Technical success was achieved in 99.1% of the patients. Three of them had postprocedural complications: one transient ischemic attack (TIA) and two puncture site hematomas. A cerebral protection filter was not used in only two procedures, as these consisted of dissection of the carotid. There was satisfactory recanalization and adequate accommodation of the stents in the previously stenosed arteries, with no restenosis in 99.4% of the cases. Conclusion The endovascular treatment of extracranial carotid stenoses using the Casper-RX stent showed good applicability and efficacy. Although only two cases of thromboembolic complications occurred during the procedure, fu


Subject(s)
Carotid Artery, Internal/surgery , Stents , Carotid Stenosis/surgery , Postoperative Complications , Prognosis , Medical Records , Epidemiology, Descriptive , Retrospective Studies , Data Interpretation, Statistical , Treatment Outcome , Carotid Stenosis/diagnostic imaging , Angioplasty/methods , Endovascular Procedures/methods
12.
Arq. bras. neurocir ; 41(1): 26-34, 07/03/2022.
Article in English | LILACS | ID: biblio-1362072

ABSTRACT

Objective Glomus jugulare tumors, or tympanojugular paragangliomas, are rare, highly vascularized skull base tumors originated from paraganglion cells of the neural crest. With nonabsorbable embolic agents, embolization combined with surgery has become the norm. The authors assess the profile and outcomes of patients submitted to preoperative embolization in a Brazilian tertiary care hospital. Methods The present study is a single-center, retrospective analysis; between January 2008 and December 2019, 22 embolizations were performed in 20 patients in a preoperative character, and their medical records were analyzed for the present case series. Results Hearing loss was the most common symptom, present in 50% of the patients, while 40% had tinnitus, 30% had dysphagia, 25% had facial paralysis, 20% had hoarseness, and 10% had diplopia. In 7 out of 22 embolization procedures (31%) more than a single embolic agent was used; Gelfoam (Pfizer, New York, NY, USA) was used in 18 procedures (81%), in 12 of which as the single agent, followed by Embosphere (Merit Medical, South Jordan, UT, USA) (31%), Onyx (Medtronic, Minneapolis, MN, USA) (9%), and polyvynil alcohol (PVA) and Bead Block (Boston Scientific, Marlborough, MA, USA) in 4,5% each. The most common vessel involved was the ascending pharyngeal artery, involved in 90% of the patients, followed by the posterior auricular artery in 15%, the internal maxillary artery or the occipital artery in 10% each, and the superficial temporal or the lingual arteries, with 6% each. Only one patient had involvement of the internal carotid artery. No complications from embolization were recorded. Conclusions Preoperative embolization of glomus tumors is safe and reduces surgical time and complications, due to the decrease in size and bleeding.


Subject(s)
Paraganglioma/surgery , Paraganglioma/pathology , Embolization, Therapeutic/methods , Glomus Jugulare/pathology , Paraganglioma/diagnostic imaging , Medical Records , Retrospective Studies , Data Interpretation, Statistical , Skull Base Neoplasms/surgery , Endovascular Procedures/methods
13.
Arq. bras. neurocir ; 41(1): 43-50, 07/03/2022.
Article in English | LILACS | ID: biblio-1362077

ABSTRACT

Introduction Intracranial aneurysm (IA) is a major healthcare concern. The use of statin to reduce serum cholesterol has shown evidence to reduce cardiovascular risk in various diseases, but the impact on IA has not been described. This study aims to determine whether statin use, and serum cholesterol levels interfere with outcomes after IA event. Methods A cohort of patients with IA was analyzed. Patients social and demographics data were collected.Modified Rankin scale (mRS) score after 6months of follow-up was the endpoint. The data regarding statins use, presence or not of atherosclerotic plaque in radiological images and serum cholesterol of 35 patients were included in our study. Linear regression models were used to determine the influence of those 6 variables in the clinical outcome. Results The prevalence of atherosclerotic plaque, high cholesterol and use of statins was 34.3%, 48.5%, and 14.2%, respectively. Statins and serum cholesterol did not impact the overall outcome,measured by mRS after 6 months (p>0.05), but did show different tendencies when separated by IA rupture status. Serum cholesterol shows na important association with rupture of aneurysm (p»0.0382). High cholesterol and use of statins show a tendency for worse outcome with ruptured aneurysm, and the opposite is true for unruptured aneurysm. The presence of atherosclerotic plaques was not related with worse outcomes. Conclusions Multiple and opposite mechanisms might be involved in the pathophysiology of IA. Ruptured aneurysms are associated with higher levels of serum cholesterol. Serum cholesterol and statins use were not correlated with worse outcomes, but further studies are important to clarify these relationships.


Introdução Aneurisma intracranial (AI) é uma grande preocupação para a saúde. Evidências apontam que o uso de estatina para reduzir o colesterol sérico diminui o risco cardiovascular em diversas doenças, mas o impacto em AI ainda não foi descrito. Este estudo almeja determinar se o uso de estatina e o nível sérico de colesterol interferem no desfecho clínico após a ocorrência de AIs. Métodos Uma coorte de pacientes com AI foi analisada. Os dados sociodemográficos dos pacientes foram coletados. Ao final de 6 meses de acompanhamento, aplicou-se a escala modificada de Rankin (mRS). Os dados sobre uso de estatina, existência de placa aterosclerótica em imagens radiológicas, e colesterol sérico de 35 pacientes foram incluídos no estudo. Modelos de regressão linear foram usados para determinar a influência dessas 6 variáveis nos desfechos clínicos. Resultados A prevalência de placa aterosclerótica, colesterol elevado, e uso de estatina foram respectivamente 34,3%, 48,5% e 14,2%. Estatina e colesterol sérico não impactaram nos desfechos medidos pela mRS em 6 meses (p > 0,05), mas mostraram diferentes tendências quando separados pelo estado de ruptura do AI. Colesterol sérico apresenta uma importante associação com ruptura de aneurisma (p » 0,0382). Colesterol elevado e uso de estatinas representam uma tendência a piores desfechos para aneurismas rompidos, e o oposto é verdade para os não rompidos. A presença de placa aterosclerótica não está relacionada com piores resultados. Conclusões Mecanismos múltiplos e opostos podem estar envolvidos na patofisio logia do AI. Aneurismas rompidos estão associados com maiores níveis de colesterol sérico. Colesterol sérico e estatinas não foram correlacionados com piores desfechos, mas mais estudos são importantes para clarificar a relação entre esses fatores


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Intracranial Aneurysm , Cholesterol/analysis , Hydroxymethylglutaryl-CoA Reductase Inhibitors/analysis , Plaque, Atherosclerotic/epidemiology , Linear Models , Cohort Studies , Data Interpretation, Statistical
14.
Arq. bras. neurocir ; 41(1): 19-25, 07/03/2022.
Article in English | LILACS | ID: biblio-1362069

ABSTRACT

Introduction Vagal nerve stimulation (VNS) is an adjuvant therapy used in the treatment of patients with refractory epilepsy who are not candidates for resective surgery or who have limited results after surgical procedures. Currently, there is enough evidence to support its use in patients with various types of epilepsy. Therefore, the present study was conducted to explore the possibility of optimizing therapy by reducing the consumption of the system's battery. Methods The prospective and double-blind analysis consisted in the evaluation of 6 patients submitted to VNS implantation for 3 months, followed by adjustment of the stimulation settings and continuity of follow-up for another month. The standard protocol was replaced by another with a frequency value of 20 Hz instead of 30 Hz to increase battery life. The safety of this procedure was evaluated through the assessment of two main variables: seizures and side effects. Results The stimulation at 20 Hz showed 68% reduction in the incidence of seizures (p»0.054) as well as low incidence of side effects. Conclusion The present study suggests that the reduction of the stimulation frequency from 30 to 20 Hz is a safe procedure, and it does not compromise the effectiveness of therapy.


Subject(s)
Humans , Male , Female , Child, Preschool , Child , Adolescent , Seizures/therapy , Vagus Nerve/anatomy & histology , Vagus Nerve Stimulation/adverse effects , Drug Resistant Epilepsy/therapy , Quality of Life , Seizures/prevention & control , Locus Coeruleus , Data Interpretation, Statistical , Treatment Outcome , Vagus Nerve Stimulation/methods , Implantable Neurostimulators
15.
Arq. bras. neurocir ; 41(1): 14-18, 07/03/2022.
Article in English | LILACS | ID: biblio-1362068

ABSTRACT

Objectives The present study aims to categorize the prevalence of intracranial tumors surgically treated at the neurosurgery service of Hospital Universitário Evangélico Mackenzie (HUEM) between 2016 and 2018. Material and Methods This survey included patients surgically treated due to primary or metastatic intracranial neoplasia between 2016 and 2018 at a referral center in the city of Curitiba. These patients were analyzed for epidemiological, histopathological, and topographic data, and they underwent an assessment of the outcome at the time of hospital discharge. Results Atotal of 96patientsmet the inclusion criteria. Themost prevalent tumorwas the glioma, with 39.6% of the sample, with glioblastoma being themost prevalent histological type. Brainmetastases andmeningiomas represented, respectively, 21.9%and 18.8%of the total. There was a predominance of supratentorial and intra-axial tumors in our sample. Conclusion Glioma was the most commonly found tumor, directly associated with high morbidity and mortality. The development of new and more effective drugs with action directed at themolecular level of intracranial tumorsmay be the path to a longer survival and improvement in the quality of life of these patients.


Subject(s)
Skull Neoplasms/epidemiology , Supratentorial Neoplasms/epidemiology , Glioblastoma/epidemiology , Neoplasm Metastasis/diagnosis , Skull Neoplasms/surgery , Skull Neoplasms/physiopathology , Health Profile , Medical Records , Retrospective Studies , Data Interpretation, Statistical , Glioblastoma/mortality
16.
Rev. colomb. gastroenterol ; 37(1): 58-64, Jan.-Mar. 2022. tab, graf
Article in English | LILACS | ID: biblio-1376906

ABSTRACT

Abstract Introduction: Pancreatitis is a frequent pathology in our environment, mostly related to benign biliary pathology. It can progress to severe forms in 10-15 % of cases, where the pancreatic tissue becomes necrotic and forms large collections with risk of infection. We do not have epidemiological data about the incidence or management of this complication in Colombia. Aim: This study aims to study the prevalence of infected pancreatic necrosis and describe the cases identified in a quaternary care hospital between 2014 and 2021. Materials and methods: A cross-sectional observational study. We analyzed records of patients diagnosed with stage 2 pancreatitis. Those cases with infected pancreatic necrosis that underwent debridement plus laparoscopic and open surgical drainage at Hospital Universitario Mayor Méderi in Bogotá, Colombia, between January 2014 and January 2021 were studied. A convenience sampling was carried out without calculating the sample size. We collected the patients' demographic and clinical variables, performing a descriptive statistical analysis in Excel. Qualitative variables were described through absolute and relative frequencies, while quantitative ones were expressed through measures of central tendency and dispersion based on their distribution. Results: We analyzed 1020 episodes of pancreatitis, finding pancreatic necrosis in 30 patients, i.e., a period prevalence of 2.9 %. Of the patients, 83 % (n = 25) underwent open drainage, with 48 % (n = 12) mortality. About laparoscopic management, the reduction in postoperative organ failure was 40 % (n = 2), with a 30 % shorter hospital stay than the open drainage approach. Those patients with a level of procalcitonin (PCT) lower than 1.8 ng/mL had less mortality. Conclusions: The laparoscopic approach shows promising results regarding final morbidity and mortality.


Resumen Introducción: la pancreatitis es una patología frecuente en nuestro medio, mayormente relacionada con la patología biliar benigna. Esta puede progresar a formas severas en 10 %-15 % de los casos, en donde el tejido pancreático se necrosa y forma grandes colecciones, con riesgo de infección. En Colombia no conocemos los datos epidemiológicos acerca de la incidencia de este tipo de complicaciones, ni del manejo de las mismas. Objetivo: este estudio tiene como objetivo estudiar la prevalencia de la necrosis pancreática infectada y describir los casos identificados en un hospital de alto nivel de complejidad entre 2014 y 2021. Métodos: estudio observacional de corte transversal. Se analizaron los registros de pacientes diagnosticados con pancreatitis en segunda etapa. Se estudiaron aquellos casos que presentaron necrosis pancreática infectada y se sometieron a desbridamiento más drenaje quirúrgico por vía laparoscópica y abierta en el Hospital Universitario Mayor Méderi de Bogotá, Colombia, entre enero de 2014 y enero de 2021. Se realizó un muestreo por conveniencia, sin cálculo de tamaño de muestra. Se recolectaron variables demográficas y clínicas de los pacientes. Se realizó un análisis estadístico descriptivo de las variables obtenidas en Excel. Las variables cualitativas se describieron a través de frecuencias absolutas y relativas; mientras que las cuantitativas se expresaron mediante medidas de tendencia central y de dispersión en función de su distribución. Resultados: se analizaron 1020 episodios de pancreatitis y se evidenció necrosis pancreática en 30 pacientes, es decir, una prevalencia de período de 2,9 %. De los pacientes, 83 % (n = 25) se llevó a drenajes por vía abierta, con un 48 % (n = 12) de mortalidad. En relación con el manejo por vía laparoscópica, la reducción en la falla orgánica posoperatoria fue de 40 % (n = 2), con un 30 % menos de duración en la estancia hospitalaria, comparado con la vía abierta. Aquellos pacientes que presentaron un nivel de procalcitonina (PCT) menor de 1,8 ng/mL tuvieron menos mortalidad. Conclusiones: el abordaje laparoscópico muestra resultados prometedores en cuanto a la morbilidad y mortalidad final observada.


Subject(s)
Humans , Male , Female , Pancreatitis , Pancreatitis, Acute Necrotizing , Debridement , Infections , Patients , Demography , Incidence , Prevalence , Sampling Studies , Data Interpretation, Statistical , Mortality , Sample Size , Hospitals
17.
Rev. Ciênc. Plur ; 8(2): e23767, mar. 2022. tab, graf
Article in Portuguese | LILACS, BBO | ID: biblio-1367887

ABSTRACT

Introdução: Ambientes urbanos como áreas verdes, praças, parques e escolas estão se tornando cada vez mais propícios ao aparecimento de animais peçonhentos, dentre eles as lagartas urticantes. Acidentes com algumas lagartas urticantes podem ser graves, podendo leva ao óbito, como no caso do gênero Lonomia.Objetivo:descrever o perfil epidemiológico dos acidentes envolvendo lagartas urticantes no município de Chapecó, Santa Catarina e identificar espécies vegetais hospedeiras destas lagartas.Metodologia:Foram coletados os dados epidemiológicos dos acidentes com lagartas urticantes registrados no período entre 2016 e 2017. Os dados foram obtidos junto ao Sistema de Informação de Agravos de Notificação.Foram analisadas as variáveis sexo, idade, parte do corpo acometida, os meses que houve as notificações, a ocupação dos indivíduos que tiveram contato com a lagarta, local em que residem, escolaridade e a espécie da lagarta envolvida. Ainda, foram identificados os espécimes coletados pelo setor de Vigilância em Saúde Ambiental, bem como foram identificadas as plantas hospedeira sem que foram encontrados.Resultados:Foram registrados 377 acidentes envolvendo majoritariamente o sexo feminino e a faixa etária entre 20 a 49 anos.As partes do corpo mais acometidas foram o pé (17,0%), mão (12,9%) e cabeça (11,4%). Foram identificadas seis espécies de plantas associadas à ocorrência de lagartas urticantes Conclusões:O estudo contribui com informações epidemiológicas sobre os acidentes causados por lepidópteros em um município de grande porte. Ressalta-se, a importância de ampliar as pesquisas em relação às plantas hospedeiras e a divulgação dos resultados visando a prevenção de acidentes (AU).


Introduction:Urban environments such as green areas, squares, parks and schools are becoming more and more favorableto the appearance of venomous animals, including urticatingcaterpillars. Accidents with some stinging caterpillars can be serious and can lead to death, as in the case of the genus Lonomia. Objective:to describe the epidemiological profile of accidents involving stinging caterpillars in the municipality of Chapecó, Santa Catarina and to identify host plant species of these caterpillars. Methodology:Epidemiological data on stinging caterpillar accidents recorded in the period between 2016 and 2017were collected. The data were obtained from the Sistema de Informação de Agravos de Notificação. The variables sex, age, body part affected, the months of the notifications, the occupation of the individuals who had contact with the caterpillar, the place where they live, education and the species of the caterpillar involved were analyzed. Still, the specimens collected by the Environmental Health Surveillance sector were identified, as well as the host plants in which they were found. Results:There were 377 accidents involving mostly females and the age group between 20 and 49 years. The parts of the body most affected were the foot (17.0%), hand (12.9%) and head (11.4%). Six species of plants were identified associated with the occurrence of stinging caterpillars.Conclusions:The study contributes with epidemiological information on accidents caused by Lepidoptera in a large municipality. The importance of expanding research in relation to host plants and the dissemination of results aimed at preventing accidents are emphasized (AU).


Introducción: Los entornos urbanos como áreas verdes, plazas, parques y escuelas son cada vez más propicios para la aparición de animales venenosos, incluidas las orugas urticantes. Los accidentes con algunas orugas pueden ser graves y provocar la muerte, como en el caso del género Lonomia.Objetivo: describir el perfil epidemiológico de los accidentes por orugasurticantes en el municipio de Chapecó, Santa Catarina e identificar especies de plantas hospedadoras de estas orugas.Metodología: Se recolectaron datos epidemiológicos sobre accidentes de orugas urticantes registrados en el período entre 2016 y 2017. Los datos se obtuvieron del Sistema de Informação de Agravos de Notificação(SINAN). Se analizaron las variables sexo, edad, parte del cuerpo afectada, los meses delas notificaciones, la ocupación de los individuos que tuvieron contacto con lasorugas, el lugar donde viven, educación y la especie de oruga involucrada. Aún así, se identificaron los especímenes recolectados por el sector de Vigilancia de Salud Ambiental, así como las plantas hospedantes en las que se encontraron.Resultados: Se produjeron 377 accidentes que afectaron en su mayoría a mujeres y al grupo de edad entre 20 y 49 años. Las partes del cuerpo más afectadas fueron el pie (17,0%), mano (12,9%) y cabeza (11,4%).Se identificaron seis especies de plantas asociadas con la ocurrencia de orugas urticantes.Conclusiones: El estudio presentainformación epidemiológica sobre accidentes causados por lepidópteros en un municipio de gran tamaño. Se destacala importancia de ampliar la investigación en relación con las plantas hospedantes y la difusión de resultados orientados a la prevención delosaccidentes (AU).


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Health Profile , Public Health Surveillance/methods , Accident Prevention/instrumentation , Lepidoptera , Animals, Poisonous , Brazil/epidemiology , Data Interpretation, Statistical
18.
Rev. Ciênc. Plur ; 8(2): e25243, mar. 2022. tab
Article in Portuguese | LILACS, BBO | ID: biblio-1368175

ABSTRACT

Introdução:As doenças do aparelho respiratório se configuram como o segundo principal motivo de internações hospitalares no Brasil entre 2013 e 2017. Objetivo:Analisar a morbimortalidade de doenças do aparelho respiratório da população brasileira, segundo faixa etária,no período compreendido entre os anos de 2015 a 2019. Metodologia:Trata-se de um estudo do tipo ecológico, retrospectivo, realizado sobre o território brasileiro. Os dados foram coletados a partir do Departamento de Informática do Sistema Único de Saúde, nas seções de Morbidade Hospitalar, de Mortalidade e População Residente. Foram analisados os dados entre 2015 a 2019 e de todas as faixas etárias. Resultados:Ao investigar a mortalidade por doenças do sistema respiratório entre os anos de 2015 e 2019, as cinco causas mais frequentes foram: influenza e pneumonia; doenças crônicas das vias aéreas inferiores; outras doenças do aparelho respiratório; outras doenças respiratórias que afetam principalmente interstício; doenças pulmonares devidas a agentes externos, nessa ordem. Enquanto as cinco causas de morbidades mais frequentes foram: pneumonia; outras doenças do aparelho respiratório; bronquite, enfisema e outras doenças pulmonares obstrutivas crônicas; asma; bronquite aguda e bronquiolite aguda. Conclusões:Verificou-se que a pneumonia, influenza, doenças respiratórias do trato inferior e outras doenças crônicas respiratórias foram as mais prevalentes entre a população respectivamente. Dentre o público mais acometido, foi possível constatar que o público infantil e a população idosa foram os mais atingidos tanto na mortalidade quanto na morbidade (AU).


Introduction:Introduction: Respiratory diseases are the second main reason for hospital admissions in Brazil between 2013 and 2017. Objective:To analyze the morbidity and mortality of respiratory diseases of the Brazilian population, according to age group, in the period from 2015 to 2019. Methodology:This is an ecological, retrospective study conducted on the Brazilian territory. Data were collected from the Informatics Department of the Unified Health System, in the Sections of Hospital Morbidity, Mortality and Resident Population. Data were analyzed between 2015 and 2019 and all age groups. Results:When investigating mortality from respiratory system diseases between 2015 and 2019, the five most frequent causes were: influenza and pneumonia; chronic diseases of the lower airways; other diseases of the respiratory system; other respiratory diseases that mainly affect interstitium; diseases due to external agents, in that order. Conclusions:It was found that pneumonia, influenza, respiratory diseases of the lower tract and other chronic respiratory diseases were the most prevalent among the population, respectively. Among the most affected public, it was possible to observe that the child's public and the elderly population were the most affected in both mortality and morbidity (AU).


Introducción: Las enfermedades respiratorias son la segunda razón principal de los ingresos hospitalarios en Brasil entre 2013 y 2017. Objetivo: Analizar la morbilidad y mortalidad de las enfermedades respiratorias de la población brasileña, según el grupo de edad, en el período comprendido entre 2015 y 2019.Metodología: Se trata de un estudio ecológico y retrospectivo realizado en territorio brasileño. Los datos fueron recogidos del Departamento de Informática del Sistema Unificado de Salud, en las Secciones de Morbilidad Hospitalaria, Mortalidad y Población Residente. Los datos se analizaron entre 2015 y 2019 y todos los grupos de edad. Resultados: Al investigar la mortalidad por enfermedades del sistema respiratorio entre 2015 y 2019, las cinco causas más frecuentes fueron: gripe y neumonía; enfermedades crónicas de las vías respiratorias inferiores; otras enfermedades del sistema respiratorio; otras enfermedades respiratorias que afectan principalmente al intersticio; enfermedades debidas a agentes externos, en ese orden.Mientras que las cinco causas más frecuentes de morbilidad fueron: neumonía; otras enfermedades del sistema respiratorio; bronquitis, enfisema y otras enfermedades pulmonares obstructivas crónicas; asma; bronquiolitis aguda y bronquiolitis aguda. While the five most frequent causes of morbidities were: pneumonia; other diseases of the respiratory system; bronchitis, emphysema and other chronic obstructive pulmonary diseases; asthma; acute bronchitis and acute bronchiolitis. Conclusiones: Se encontróque la neumonía, la influenza, las enfermedades respiratorias de las vías inferiores y otras enfermedades respiratorias crónicas eran las más prevalentes entre la población, respectivamente. Entre el público más afectado, se pudo observar que el público del niño y la población de edad avanzada eran los más afectados tanto en la mortalidad como en la morbilidad (AU).


Subject(s)
Humans , Male , Female , Respiratory System/anatomy & histology , Respiratory Tract Diseases/pathology , Brazil/epidemiology , Indicators of Morbidity and Mortality , Retrospective Studies , Data Interpretation, Statistical , Ecological Studies , Age Groups
19.
Rev. ADM ; 79(1): 12-19, ene.-feb. 2022. ilus, graf
Article in Spanish | LILACS | ID: biblio-1361307

ABSTRACT

El objetivo del presente estudio fue medir la curvatura vestíbulo-lingual de los conductos de las raíces mesiales de primeros molares inferiores en personas adultas del estado de Chihuahua, por medio de la técnica de tomografía computarizada de haz cónico (CBCT, por sus siglas en inglés) y usando el software de análisis 3D EndoTM (Dentsply/Sirona USA). Se llevó a cabo la medición por dos observadoras, empleando dos métodos diferentes, Schneider y 3D EndoTM (Dentsply/Sirona USA). Los resultados obtenidos tuvieron valores mayores a los 100 grados con la técnica 3D EndoTM y a los 20 grados con la técnica de Schneider. No se detectó una diferencia estadística significativa al comparar los diferentes conductos entre sí (AU)


The objective of the present study was to measure the vestibule-lingual curvature of the ducts of the mesial roots of lower first molars, of adults from the state of Chihuahua. Using the cone beam computed tomography (CBCT) technique and using the 3D analysis software EndoTM (Dentsply/Sirona USA). The measurement was carried out by two observers using two different methods, Schneider and 3D EndoTM (Dentsply/Sirona USA). The results obtained had values greater than 100 degrees with the 3D EndoTM technique and at 20 degrees with the Schneider technique. No statistically significant difference was detected when comparing the different ducts with each other (AU)


Subject(s)
Humans , Dental Pulp Cavity , Cone-Beam Computed Tomography , Molar , Software , Data Interpretation, Statistical , Imaging, Three-Dimensional , Mexico
20.
Rev. ADM ; 79(1): 20-27, ene.-feb. 2022. ilus, tab
Article in Spanish | LILACS | ID: biblio-1361506

ABSTRACT

Los sistemas cementantes han mejorado notablemente, los objetivos que persiguen los nuevos cementos es que la adhesión sea duradera y conseguir siempre que sea posible una interface cerrada con un sellado perfecto. Se han podido desarrollar nuevas técnicas y nuevos materiales de cementación que han ido perfeccionando la unión del material restaurador al diente. En el presente estudio se compara la fuerza de adhesión a dentina de cementos de autograbado y cementos de grabado total para comprobar los efectos positivos en el grabado de la dentina. Para el estudio se utilizaron dos cementos a base de resina (RelyX U200 Clicker 3M y RelyX Ultimate 3M). Se encapsularon 40 molares en acrílico en dos grupos de 20 muestras para la aplicación de dos sistemas cementantes de autograbado (grupo 1) y de grabado total (grupo 2), respectivamente, se desgastaron hasta descubrir la dentina; siguiendo las especificaciones del fabricante se colocó el cemento en cada grupo, y después se sometieron a pruebas de cizalla en una máquina de ensayo universal Instron. La medida expresada en megapascales (MPa) fue: grupo 1 = 7.5569 y grupo 2 = 12.6444. En este caso fueron analizados dos grupos, tomándose la primera significancia bilateral. Se realiza la prueba en t de Student, con 95% de intervalo de confianza en la diferencia, demostrando así que el cemento RelyX Ultimate 3M tiene mayor fuerza de adhesión que el cemento RelyX U200 Clicker 3M. Nuestra investigación fue factible y llegamos a nuestro propósito, en el cual comprobamos la mayor adhesión de cementos de grabado total, los cuales son sometidos a un previo tratamiento del diente (AU)


Subject(s)
Humans , Adolescent , Adult , Acid Etching, Dental , Cementation , Dentin-Bonding Agents , Resin Cements , Shear Strength , Tensile Strength , Data Interpretation, Statistical , Dentin/drug effects
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