Metabolic and hormonal assessment of adolescent and young adult women with prior premature adrenarche

OBJECTIVE: Follow-up studies of girls with premature adrenarche have reported the development of polycystic ovary syndrome, insulin resistance, and dyslipidemia and a propensity to cardiovascular disease. The aim of this study was to analyze the presence of these conditions in patients previously treated at the Universidade Federal do Triângulo Mineiro. METHODS: A total of 130 medical records reported premature adrenarche. One hundred and twenty-two patients were invited to participate, of whom 54 accepted; 34 patients were selected, as they had reached their final height. Anthropometric, blood glucose, insulin, and lipid and hormonal profile (LH, FSH, estradiol, 17α-OH-progesterone, androstenedione, dehydroepiandrosterone sulfate, testosterone) data were obtained, the HOMA-IR index was calculated, and pelvic ultrasonography was performed. To characterize polycystic ovary syndrome and metabolic syndrome, the Rotterdam and International Diabetes Federation criteria, respectively, were used. Data were analyzed according to measures of dispersion, frequency and correlations of interest. RESULTS: The age of the participants ranged from 15.2 to 28.2 years/months; 23.5% of the patients were overweight, 11.8% were obese, 29.4% had a large waist circumference, and 8.8% were hypertensive. None of the patients had altered glucose levels, and insulin levels and HOMA-IR were elevated in 29.4% and 38.2% of the participants, respectively; 14.7% of the patients exhibited acanthosis nigricans. The lipid profiles of the participants were variable, and one patient (2.9%) had metabolic syndrome. Polycystic ovary syndrome was found in 41.2% of patients. CONCLUSION: The percentage of patients with polycystic ovary syndrome who also had overweight, obesity and insulin resistance corroborates the literature data about the need for follow-up aiming at interventions, especially for conditions associated with cardiometabolic risk.

Participação da equipe de enfermagem na assistência à dor do paciente queimado / Participation of the nursing team in pain management of burned patients

JUSTIFICATIVA E OBJETIVOS: São diversas as maneiras existentes para a assistência à dor em pacientes queimados o que exige emprego dos recursos disponíveis e específicos para o seu tratamento. O objetivo deste estudo foi refletir sobre a participação da equipe de enfermagem na assistência à dor do paciente queimado.CONTEÚDO: A dor relacionada à queimadura tem grande impacto na vida do paciente, sendo de competência do profissional de enfermagem uma adequada participação no seu gerenciamento.CONCLUSÃO: A participação da equipe de enfermagem é fundamental no processo, podendo influenciar no êxito e na eficácia do alívio da dor, no entanto,percebe-se a necessidade de investimentos em conhecimentos técnico-científicos e de sensibilização a esses cuidadores.

BACKGROUND AND OBJECTIVES: There are many ways to manage burned patients pain, which require the use of available and specific resources for the treatment of this pain. This study aimed at reflecting about the participation of the Nursing team in the management of burned patient's pain. CONTENTS: Burn-related pain has a major impact inpatients' life and the Nursing professional should havean appropriate participation in its management.CONCLUSION: The participation of the Nursing Team is critical to the process and may influence the success and effectiveness of pain relief; however, there is theneed for investments in technical-scientific knowledge and awareness of these caregivers.

Assistência de enfermagem e dor em pacientes ortopédicos na recuperação anestésica, no Brasil / Nursing assistance and pain in orthopedic patients during anesthetic recovery in Brazil

JUSTIFICATIVA E OBJETIVOS: A dor traz prejuízos na recuperação do paciente submetido à cirurgia ortopédica.O objetivo deste estudo foi descrever as informações relacionadas à experiência dolorosa de pacientes em pós-operatório de cirurgias ortopédicas na sala de recuperação pós-anestésica (SRPA) que podem contribuir para a assistência de Enfermagem.CONTEÚDO: Trata-se de estudo com abordagem qualitativa,as fontes para a coleta das informações foram as bases de dados da plataforma da BIREME, os objetos foram artigos que atenderam aos seguintes critériosde inclusão previamente estabelecidos, a coleta ocorreu mediante busca on-line, a abordagem das informações foi realizada pelo método da Hermenêutica Dialética.Após esta abordagem, as categorias levantadas foram:"O uso da anestesia regional diminui a intensidade dador pós-operatória em cirurgia ortopédica", "Terapiaspara o tratamento da dor pós-operatória em cirurgiaortopédica", A avaliação auxilia no gerenciamento da dor no pós-operatório de cirurgia ortopédica".CONCLUSÃO: O controle da dor pós-operatória é importante em pacientes ortopédicos e a anestesia regional pode proporcionar a analgesia preventiva para o pós-operatório imediato. O enfermeiro deve estabelecer o diagnóstico de enfermagem e as intervenções devem ser precedidas pela avaliação da intensidade, da qualidade e dos fatores que interferem na dor experimentada pelo paciente ortopédico.

BACKGROUND AND OBJECTIVES: Pain is noxious for the recovery of patients submitted to orthopedic surgery. This study aimed at describing information on the pain experience of patients in the postoperative period of orthopedic surgeries in the post-anesthetic recoveryunit (PACU), which may be useful for the Nursing assistance.CONTENTS: This is a qualitative study using BIREME's platform databases to collect information. The aims were articles meeting the following and previously established inclusion criteria and data were collected by on line search. Information was approached by the Dialectic Hermeneutics method. After this approach, the following categories were surveyed: "Regional anesthesia decreases postoperative pain in orthopedic surgeries", "Therapyfor postoperative pain of orthopedic surgeries", "Evaluationhelps pain management in the postoperative periodof orthopedic surgeries".CONCLUSION: Postoperative pain control is important for orthopedic patients and regional anesthesia may provide preventive analgesia for the immediate postoperative period. The nursing team shall establish the nursing diagnosis and interventions shall be preceded bythe evaluation of intensity, quality and factors interfering with pain felt by orthopedic patients.