A dinâmica das aulas de práticas corporais numa unidade básica de saúde do município de Santos-SP / The dynamics of the classes of body practices in a basic health unit / La dinámica de las clases de prácticas corporais en una unidad básica de salud

O objetivo do estudo consistiu em compreender a dinâmica das aulas de práticas corporais de uma Unidade Básica de Saúde de Santos-SP. Para tanto foi desenvolvida uma pesquisa etnográfica, isto é, a coleta de dados foi realizada por meio de observação participan- te. Observamos que as aulas obedeceram à organização clássica do treinamento desportivo. As aulas eram conduzidas pelo Profissional de Educação Física e ocorreram 2 vezes por semana com duração de 1 hora. O Profissional de Educação Física realizou uma prática com carac - terísticas acolhedora e escuta qualificada, concedendo atenção integral e contínua aos usuários. As aulas são desenvolvidas de modo coerente com as políticas públicas de saúde vigentes, sendo percebido ainda com- promisso, apreço e valorização do programa pelos usuários.

The objective of the study was to understand the dynamics of the classes of corporal practices of a Basic Health Unit from Santos-SP. For this, an ethnography was developed. Data collection was performed through participant observation. We observed that the classes followed the classic organization of sports training. The classes were conducted by the Physical Education Professional and took place twice a week for 1 hour. The Physical Education Professional performed a practice with welcoming characteristics and qualified listening, favoring integral and continuous attention to the users. The classes are developed in a way that is consistent with the current public health policies, and a commitment, appreciation and appreciation of the program by the users.

El objetivo del estudio consistió en comprender la dinámica de las clases de prácticas corporales de una Unidad Básica de Salud del Santos-SP. Para ello se desarrolló una etnografía. La recolección de datos fue realizada por medio de observación participante. Observamos que las clases obedecieron a la organización clásica del entrenamiento deportivo. Las clases eran conducidas por el Profesional de Educación Física y ocurrieron 2 veces por semana con una duración de 1 hora. El Profesional de Educación Física realizó una práctica con características acogedora y escucha calificada, favoreciendo atención integral y continua a los usuarios. Las clases se desarrollan de manera coherente con las políticas públicas de salud vigentes, siendo percibido aún un compromiso, aprecio y valoración del programa por los usuarios.

Día del Dentista, según la cosmovisión maya / Day of the dentist, according to the Mayan cosmovision

El día del odontólogo tradicionalmente se festeja el 9 de febrero, en conmemoración a Santa Apolonia, quien el 9 de febrero del año 248 d.C., por no renunciar a su fe cristiana, es martirizada quitándole los dientes. Sin embargo, existe una historia de origen maya, escrita en el Popol Vuh, la de Vucub Caquix, ave mítica antropomorfa, a quien se le extraen los dientes. Este hecho acontece antes de la creación del mundo, el 13 de agosto del año 3114 a.C. Este hallazgo surge al relacionar el Popol Vuh con las imágenes representadas en la vasija maya K 1226, la estela 25 de Izapa y las inscripciones de la estela de Cobá, Quintana Roo. Por lo anterior, proponemos que este acontecimiento podría tomarse en cuenta para conmemorar en México el día del dentista el 13 de agosto, puesto que ello sería una forma de revalorar y reafirmar nuestra identidad prehispánica (AU)

The dentist's day is traditionally celebrated on February 9, in commemoration of Santa Apolonia, who on February 9 of the year 248 AD, for not giving up her Christian faith, is martyred by taking her teeth. However, there is a story of Mayan origin, written in Popol Vuh, that of Vucub Caquix, a mythical anthropomorphic bird, whose teeth are extracted. This fact occurs before the creation of the world, on August 13, 3114 BC. This finding arises when the Popol Vuh is related to the images represented in the Mayan vessel K 1226, stela 25 of Izapa and the inscriptions of the stela de Cobá, Quintana Roo. Therefore, we propose that this event could be taken into account to commemorate August 13, as the day of the dentist, as a way to revalue and reaffirm our pre-Hispanic identity (AU)

San Valentín: patrón de los enamorados y epilepsia / Saint Valentine: Patron of lovers and epilepsy

St. Valentine of Terni a third-century Roman saint was known as the patron saint of lovers. He had the reputation of healing the sick and is said to have restored the sight of Julia the daughter of Asterius his jailer. Valentine had been imprisoned for secretly marrying couples disobeying the edict of roman Emperor Claudius II. The edict forbade roman soldiers to marry for it was thought marriage would diminish their efficiency in the battlefield. Asterius converted to Christianity after his daughter was healed. Valentine and Asterius were beheaded by order of Emperor Claudius II. Before his execution on February 14, 271 AD. Valentine wrote a love letter to Julia signed "from your Valentine" giving rise to the celebration of St. Valentine's Day. But St. Valentine's role as the patron saint of epilepsy is less widely known, for epilepsy was defined as an incurable disease thought of as a supernatural event such as a curse or a possession by an evil spirit. Since there was no cure for epilepsy healing was only possible by divine intervention and saints were called upon to intercede for these patients. While Valentine is widely known as the patron of lovers, very few people know he also was helpful and beneficent to people with epilepsy in ancient times.

San Valentín de Terni, un santo romano del siglo tercero, fue conocido como el patrono de los enamorados. Se dice que tenía el don de curar y sanó la ceguera de Julia la hija de Asterio, su carcelero. Valentín había sido encarcelado por celebrar matrimonios en secreto desobedeciendo el edicto promulgado por el emperador romano Claudio II. El edicto prohibía que los soldados romanos se casaran porque se pensaba que el vínculo del matrimonio disminuía su eficacia en el campo de batalla. Asterio adoptó la fe cristiana después de la curación de su hija. Valentín y Asterio fueron decapitados por orden de Claudio. Antes de su ejecución el 14 de febrero del an˜ o 271 a. C. le escribió una carta de amor a Julia en la que firmó «de tu Valentín¼ y dio origen a la celebración del Día de San Valentín. Pero el papel como patrono de la epilepsia es menos conocido, pues era definida como una enfermedad incurable asociada con eventos sobrenaturales como una maldición o a la posesión por un espíritu maligno. Puesto que no existía una curación, la única alternativa con que contaban quienes sufrían epilepsia era una intervención divina y se les pedía a los santos que intercedieran por ellos. Mientras que se conoce ampliamente a Valentín como el patrono de los enamorados, muy pocos saben, que también ayudó y benefició a los pacientes epilépticos en la antigüedad

The Effect of Pravastatin on Insulin Resistance in Hyperglycemic Patients / 임상당뇨병

BACKGROUND: The effect of pravastatin on insulin resistance (IR) is controversial and poorly studied in prediabetes. METHODS: This study was performed in hyperglycemic patients at Saint Carollo Hospital from January 1, 2013 to December 31, 2015. Among them, we selected 40 patients (24 prediabetes and 16 new onset diabetes [NOD]) who had been treated with pravastatin 20 mg daily for 2 or 4 months and in whom fasting insulin and fasting glucose had been measured before and after administration of pravastatin. IR was defined as a fasting insulin level ≥ 12.94 µU/mL, homeostasis model for IR (HOMA-IR) ≥ 3.04 or quantitative insulin sensitivity check index (QUICKI) ≤ 0.32. RESULTS: Pravastatin treatment decreased total cholesterol and low-density lipoprotein cholesterol levels by 25.2% and 32.3% respectively (P = 0.000 for all), but did not affect fasting insulin level, HOMA-IR, or QUICKI in total, prediabetes, and NOD groups. Prevalence of IR was significantly different between prediabetes and NOD groups both before and after pravastatin treatment (0% versus 37.5%, P = 0.001), but pravastatin treatment did not affect the prevalence of IR in the prediabetes or NOD group. Fasting glucose level was not significantly different before and after pravastatin treatment in prediabetes (106.8 ± 6.4 mg/dL versus 103.8 ± 8.4 mg/dL, P = 0.223) but was significantly different in the NOD group (171.5 ± 70.1 mg/dL versus 124.4 ± 26.7 mg/dL, P = 0.017). CONCLUSION: Pravastatin treatment did not affect IR or fasting glucose level in hyperglycemic patients. Therefore, we suggest pravastatin can be prescribed to hypercholesterolemic patients with hyperglycemia.

Effect of psychoeducation on self-esteem and self-efficacy among college students

Authors suggest efforts are needed to further explore the usefulness and utilization of psychoeducation at the community and professional levels as applied to various settings and populations. In addition, if developed and implemented carefully, psychoeducational interventions have promising application on other life challenges across levels of the public health, social, and educational systems. This quasiexperimental three group pre-test post-test study aims to investigate the effect of psychoeducation on the self-esteem and self-efficacy of college students. A total of 105 college students (35 subjects per group) who were enrolled at Saint Louis University, Baguio City, Philippines were included as sample. Sampling technique was purposive. The Rosenberg's Self-esteem Scale and Schwarzer's General Selfefficacy Scale were used as data gathering tools. A self-made psychoeducational module that was validated by experts in mental health and psychiatric nursing was utilized as intervention. SPSS version 20 was used for the statistical analysis. The results on the post-test scores of both treatment arms (informational and comprehensive model) were significantly higher compared to control group after eight sessions of psychoeducation. The researchers therefore conclude that both psychoeducation models (informational and comprehensive) showed evidence of effectiveness in increasing the self-esteem and self-efficacy levels of college students. 

Fr. Taeseok Lee: the friend of poor children, Saint Don Bosco of Tonj

No abstract available.

Effect of psychoeducation on self-esteem and self-efficacy among college students

Authors suggest efforts are needed to further explore the usefulness and utilization of psychoeducation at the community and professional levels as applied to various settings and populations. In addition, if developed and implemented carefully, psychoeducational interventions have promising application on other life challenges across levels of the public health, social, and educational systems. This quasiexperimental three group pre-test post-test study aims to investigate the effect of psychoeducation on the self-esteem and self-efficacy of college students. A total of 105 college students (35 subjects per group) who were enrolled at Saint Louis University, Baguio City, Philippines were included as sample. Sampling technique was purposive. The Rosenberg's Self-esteem Scale and Schwarzer's General Selfefficacy Scale were used as data gathering tools. A self-made psychoeducational module that was validated by experts in mental health and psychiatric nursing was utilized as intervention. SPSS version 20 was used for the statistical analysis. The results on the post-test scores of both treatment arms (informational and comprehensive model) were significantly higher compared to control group after eight sessions of psychoeducation. The researchers therefore conclude that both psychoeducation models (informational and comprehensive) showed evidence of effectiveness in increasing the self-esteem and self-efficacy levels of college students. 

Medical laboratory science and nursing students' perception of academic learning environment in a Philippine university using Dundee Ready Educational Environment Measure (DREEM) / 보건의료교육평가

PURPOSE: This study aimed to compare the perception of the academic learning environment between medical laboratory science students and nursing students at Saint Louis University, Baguio City, Philippines. METHODS: A cross-sectional survey research design was used to measure the perceptions of the participants. A total of 341 students from the Department of Medical Laboratory Science, School of Natural Sciences, and the School of Nursing answered the Dundee Ready Education Environment Measure (DREEM) instrument from April to May 2016. Responses were compared according to course of study, gender, and year level. RESULTS: The total mean DREEM scores of the medical laboratory science students and nursing students did not differ significantly when grouped according to course of study, gender, or year level. Medical laboratory science students had significantly lower mean scores in the sub-domains 'perception of learning' and 'perception of teaching.' Male medical laboratory science students had significantly lower mean scores in the sub-domain 'perception of learning' among second year students. Medical laboratory science students had significantly lower mean scores in the sub-domain 'perception of learning.' Nursing students identified 7 problem areas, most of which were related to their instructors. CONCLUSION: Medical laboratory science and nursing students viewed their academic learning environment as 'more positive than negative.' However, the relationship of the nursing instructors to their students needs improvement.

Comparison of Safety after Percutaneous Coronary Intervention Between Octogenarians and Counterparts with Coronary Artery Disease

BACKGROUND: Elderly patients usually have comorbid and poor general conditions. They are more likely to have complex coronary lesions with cardiac dysfunction. Percutaneous coronary intervention (PCI) in octogenarians remains controversial. In this study, we determined the safety after PCI for octogenarians and their younger counterparts with coronary artery disease. METHODS: We reviewed 1,057 patients (110 octogenarians vs. 947 younger counterparts) who underwent PCI for coronary artery disease at Saint Carollo Hospital. We analyzed the baseline characteristics, angiographic findings, in hospital mortality, and post procedural complications between the two groups. RESULTS: The mean ages of octogenarians and younger counterparts were 83.1+/-4.5 years and 62.6+/-10.3 years, respectively. The octogenarian group had a significantly (p<0.001) higher ratio of female patients compared to their younger counterpart group (57.3% vs. 27.5%). However, the octogenarian group had a significantly (p=0.035) lower ratio of patients with history of diabetes mellitus compare to their younger counterpart group (22.7% vs. 32.6%). Incidence of acute myocardial infarction in octogenarians was significantly (p<0.001) higher than that in the younger counterparts (43.7% vs. 18.0%). There was no significant difference in admission duration, major complication, or in-hospital mortality between two groups. CONCLUSION: Our results revealed that hospital mortality and incidence of major complications in octogenarians who underwent invasive PCI were not higher than those in their younger counterparts, suggesting that PCI could be safely used in patients aged 80 years or older. However, long-term follow-up data are needed.

A saint in the history of Cardiology / Un santo en la historia de la Cardiología

Niels Stensen (1638-1686) was born in Copenhagen. He took courses in medicine at the local university under the guidance of Professor Thomas Bartholin and later at Leiden under the tutelage of Franz de la Boé (Sylvius). While in Holland, he discovered the existence of the parotid duct, which was named Stensen's duct or stenonian duct (after his Latinized name Nicolaus Stenon). He also described the structural and functional characteristics of peripheral muscles and myocardium. He demonstrated that muscular contraction could be elicited by appropriate nerve stimulation and by direct stimulation of the muscle itself and that during contraction the latter does not increase in volume. Toward the end of 1664, the Academic Senate of the University of Leiden awarded him the doctor in medicine title. Later, in Florence, he was admitted as a corresponding member in the Academia del Cimento (Experimental Academy) and collaborated with the Tuscan physician Francesco Redi in studies relating to viviparous development. In the Tuscan capital, he converted from Lutheranism to Catholicism and was shortly afterwards ordained in the clergy. After a few years, he was appointed apostolic vicar in northern Germany and died in the small town of Schwerin, capital of the Duchy of Mecklenburg-Schwerin on November 25, 1686.

Niels Stensen (1638-1686) nació en Copenhague, siguió cursos de medicina en la universidad local bajo la tutoría del profesor Thomas Bartholin y, más tarde, en Leyden con Franz de la Boé (Sylvius). En Holanda descubrió la existencia del conducto parotideo, al que los catedráticos de la universidad mencionada dieron el nombre de conducto stenoniano (de su nombre latinizado: Nicolaus Steno). Demostró asimismo las características estructurales y funcionales de los músculos periféricos y del miocardio. Comprobó que la contracción muscular puede reproducirse no solo por estimulación del nervio correspondiente, sino también por estimulación directa del mismo músculo y que, durante la contracción, este último no aumenta de volumen. Hacia fines del ano 1664, le fue otorgado el título de doctor en medicina por el Senado Académico de la Universidad de Leyden. Más tarde, en Florencia, fue admitido como miembro correspondiente en la <

Martirio de Santa Apolonia / Saint Apollonia´s martyrdom

En el Museo de Arte de Zaragoza, España, es posible contemplar cuatro pinturas que reflejan el martirio de Santa Apolonia. De alto contenido religioso, estas imágenes formaban parte de un retablo incluido en las calles laterales de la antigua iglesia de San lorenzo

Anorexia santa e anorexia contemporânea:o mesmo transtorno em épocas distintas? / Anorexia mirabilis and contemporary anorexia: the same disorder in different periods?

Este estudo visa a analisar até que ponto é possível relacionar algumas santas da Idade Média, tidas como as santas anoréxicas e reveladoras de práticas rigorosas de jejum, com as anoréxicas da contemporaneidade, considerando-as como possuidoras do mesmo transtorno. O recurso metodológico utilizado refere-se a um estudo teórico da biografia de três dessas santas consideradas anoréxicas, confrontando-as com estudos referentes à anorexia nervosa presente nas mulheres da contemporaneidade. Percebe--se que há pontos em comuns entre ambas, mas não é possível equipará-las, uma vez que os ideais que as mesmas almejam são bastante divergentes, além de ser distinto o contexto histórico-cultural na qual se inserem...

This study aims to assess the possible correlation between some female saints of the Middle Ages, known as anorexic saints because of their severe fasting practices, with the contemporary anorexic women, considering both as sufferers from the same disorder. The methodology consists of a theoretical study of the biography of three anorexic saintsand contrast of this information with the studies of anorexia nervosa in the contemporary world.. The results point to some characteristics in common, but not enough to consider their disorders as equal, as the ideals involved are diverging and they do not share the same historic and cultural background...

Ex-votos: manifestação de fé e cultura popular em Juazeiro do Norte ­ CE / Former votes: manifestation of faith and popular culture in Juazeiro do Norte­CE

Introdução: Ex-votos são objetos deixados em salas de milagres dos santuários das igrejas católicas, como forma de agradecimento a um milagre alcançado. Os objetos são apresentados em diversas formas, partes do corpo humano, fotografias, cartas, quadros pictóricos, dentre outros objetos que identifiquem a graça recebida. No Brasil, trata-se de uma tradição que surgiu no século XVIII. Em Juazeiro existe o casarão que foi construído em 1907 pelo Padre Cícero Romão Batista, na Colina do Horto. Objetivos: O presente estudo tem como objetivo analisar os ex-votos doados aos santos em favor de uma súplica atendida em Juazeiro do Norte ­ CE, elucidando a diversidade de significados desses objetos religiosos. Metodologia: É um estudo quantitativo de natureza exploratória. A pesquisa foi realizada no período de 22 de abril a 10 de maio de 2012 com 20 pessoas escolhidas aleatoriamente, por meio de uma entrevista semiestruturada contendo 14 questões. Realizada no Horto, situado em Juazeiro do Norte, estado do Ceará. Resultados: Fizeram parte do estudo 20 sujeitos, entre esses 13 mulheres (65%) e 7 homens (35%), ficando notório a predominância feminina no âmbito da pesquisa. A população investigada é constituída na sua totalidade (100%) por nordestinos, compreendendo entre cearenses (65%), pernambucanos (20%), alagoanos (10%) e norte rio grandense (5%). Em relação as graças desejadas, pôde-se observar que o grande contingente almeja a cura de doenças como prioridade (13 pessoas). Conclusão: O estudo nos permite concluir que o sujeito, ao passar por momentos críticos, procura por um poder sagrado que possa dar um significado a sua vida. Isso ocorre em especial pelas condições de vida e pela precariedade financeira dos devotos, que buscam, através da religião, ao invés de outras práticas políticas, um sentido para seu sofrimento, sua doença e a resolução de diversas situações diárias que necessitam de uma justificativa e de um significado.

A Statistical Survey of Nail Disease: Nail Clinic of the Yeouido Saint Mary's Hospital, 2000~2010 / 대한피부과학회지

BACKGROUND: Nail diseases reflect systemic diseases or other dermatologic diseases and also have many kinds of primary diseases on the nail apparatus itself. Recently, the proportion of the nail disorder is steadily increasing among many dermatologic diseases. Although there have been many studies about nail disorders, there have been no studies on the long-term observation of nail disorder in Korea. OBJECTIVE: The purpose of this study was to analyze recent changes in the incidence of nail disorders and compare the incidence with previously reported data. METHODS: We retrospectively reviewed the medical records of 3,384 patients with nail disorders who visited Yeouido Saint Mary's Hospital during the last 11 years (2000~2010). RESULTS: There were 1,504 patients with onycomycosis (44%) among 3,384 patients with nail disorders. Among 1,504 patients, 809 were male and 695 were female and the ratio of men to women was 1:0.86. There were 1,880 patients with various nail diseases except onychomycosis; infectious or inflammatory disease (10.1%), traumatic nail disorder (7.1%), nail involvement in dermatological disease (5.7%), pigmentary disorder (3.4%), nail tumor (3.3%), nail involvement in systemic disease (2.1%), medication-induced nail disorder (0.6%), congenital disease (0.3%), other nail disease (23.1%) including twenty-nail dystrophy (3.2%). CONCLUSION: Most results were compatible with those of other previous studies, but the ratio of onycomycosis to total nail disorder was slightly decreased, and patients with drug induced nail disease, nail tumor and twenty-nail dystrophy increased slightly. Due to increasing average life expectancy and improvements in the quality of life, patients with nail disease that visit the hospital are increasing constantly. To correspond with this tendency, more concern, and prospective and large-scale study are necessary.

Evaluation of changes in random blood glucose and body mass index during and after completion of chemotherapy in children with acute lymphoblastic leukemia / 소아과

PURPOSE: Improved survival of patients with childhood acute lymphoblastic leukemia (ALL) has drawn attention to the potential for late consequences of previous treatments among survivors, including metabolic syndrome. In this study, we evaluated changes in 3 parameters, namely, random blood glucose, body mass index (BMI), and Z score for BMI (Z-BMI), in children with ALL during chemotherapy and after completion of treatment. METHODS: Patients newly diagnosed with ALL from January, 2005 to December, 2008 at Saint Mary's Hospital, The Catholic University of Korea, who completed treatment with chemotherapy only were included (n=107). Random glucose, BMI, and Z-BMI were recorded at 5 intervals: at diagnosis, before maintenance treatment, at completion of maintenance treatment, and 6 and 12 months after completion of maintenance treatment. Similar analyses were conducted on 2 subcohorts based on ALL risk groups. RESULTS: For random glucose, a paired comparison showed significantly lower levels at 12 months post-treatment compared to those at initial diagnosis (P<0.001) and before maintenance (P<0.001). The Z-BMI score was significantly higher before maintenance than at diagnosis (P<0.001), but decreased significantly at the end of treatment (P<0.001) and remained low at 6 months (P<0.001) and 12 months (P<0.001) post-treatment. Similar results were obtained upon analysis of risk group-based subcohorts. CONCLUSION: For a cohort of ALL patients treated without allogeneic transplantation or cranial irradiation, decrease in random glucose and Z-BMI after completion of chemotherapy does not indicate future glucose intolerance or obesity.

Exogenous Surfactant Therapy in Neonates with Respiratory Failure Due to Pulmonary Hemorrhage / 대한주산의학회잡지

PURPOSE: The study assessed the effect of exogenous surfactant on oxygen and ventilator requirements and long-term prognosis of neonates with respiratory deterioration due to pulmonary hemorrhage. METHODS: From March 2007 to March 2011, neonates with respiratory deterioration due to pulmonary hemorrhage in Saint Mary's Hospital were identified from the database. Among 20 patients with pulmonary hemorrhage, 10 patients received surfactant therapy and the other 10 did not. We compared outcomes of these two groups. The primary outcome was changes in respiratory status following surfactant therapy, as reflected by oxygen index (OI), fractional inspired oxygen (FiO2) and mean airway pressure (MAP). Secondary outcomes were the duration of ventilation, nasal continuous positive airway pressure (NCPAP), oxygen inhalation days, progression to severe bronchopulmonary dysplasia or death, and retinopathy of prematurity, which required laser therapy. RESULTS: Surfactant treatment group had higher FiO2, MAP, and OI than the non-treatment group during pulmonary hemorrhage. But, there were no differences in FiO2, MAP, and OI after 2 hours of pulmonary hemorrhage between the two groups. There were no significant side effects during surfactant treatment in the surfactant treatment group. Surfactant treatment group had fewer ventilator days, NCPAP days (P<0.05) and a tendency towards shorter oxygen days than the non-treatment group (P=0.09). Also, the surfactant treatment group had less severe bronchopulmonary dysplasia (BPD) or death than the non-treatment group (10% vs. 70%, P<0.05). CONCLUSION: Exogenous surfactant appears to be a useful adjunctive therapy with neonates of severe respiratory deterioration due to pulmonary hemorrhage. Also, exogenous surfactant treatment dose not seen to be associated with any significant side effects during the therapy.

Clinical Study of Influenza B-Associated Myositis / 소아알레르기및호흡기학회지

PURPOSE: Influenza B-associated myositis is an infrequent and poorly known complication of influenza B virus infection in children. The aim of this study was to describe the clinical and laboratory manifestations, diagnosis, and outcomes of influenza B-associated myositis in Korean children. METHODS: A retrospective analysis was conducted in patients aged <16 years who had been diagnosed with influenza B-associated myositis at the Catholic University Bucheon Saint Mary's Hospital between April 2010 and May 2010. RESULTS: Overall, 16 cases were analyzed. Influenza B-associated myositis typically occurred in preschool-aged children with a 3:1 male predominance. The mean age was 4.6 years (range, 3 to 7 years). The median interval between onset of influenza infection and onset of influenza B-associated myositis was 3 days (range, 1 to 7 days). Only the calf muscles were involved in all patients. Blood creatine phosphokinase concentration was elevated in most patients. Median duration to clinical recovery was 3 days (range, 1 to 4 days). No patient had rhabdomyolysis, renal failure, or related sequelae. All patients had a favorable outcome without administration of antiviral drugs. CONCLUSION: Clinical and laboratory findings of influenza B-associated myositis are very characteristic and allow a rapid diagnosis during the influenza season. Outcomes of influenza B-associated myositis are good with only proper supportive treatment.

Outcome of childhood acute promyelocytic leukemia treated using a modified AIDA protocol / 대한혈액학회지

BACKGROUND: Combination treatment with all-trans-retinoic acid (ATRA) and anthracycline-based chemotherapy has led to major advances in the treatment of acute promyelocytic leukemia (APL). METHODS: In this study, we reviewed the outcome of pediatric APL patients treated using a modified AIDA protocol at our institution. RESULTS: Between May 1999 and December 2007, 23 patients were diagnosed with APL at the Department of Pediatrics, Saint Mary's Hospital, The Catholic University of Korea. Eleven patients were male (48%) (median age at diagnosis, 11 (range, 2-14) years). The treatment protocol consisted of remission induction (achieved by coadministration of ATRA and idarubicin), 3 courses of consolidation treatment, and 2 years of maintenance treatment during which ATRA was also administered. Three patients died early during remission induction due to CNS hemorrhage. The remaining 20 patients achieved complete remission (CR), with an overall CR rate of 87%. Two patients relapsed and died, and another patient died of pneumonia unrelated to APL. Four patients (17%) were diagnosed with ATRA syndrome, and all patients showed resolution of symptoms. The event-free survival (EFS) and overall survival (OS) of the cohort were 78.3+/-8.6% and 76.3+/-9.5%, respectively. Initial WBC count at diagnosis was the only significant prognostic factor for the rate of CR (P=0.039) and OS (P=0.039). CONCLUSION: A modified AIDA protocol for the treatment of childhood APL leads to improved EFS and OS, with limited ATRA syndrome-associated toxicity. Active monitoring and treatment of patients with high initial WBC counts may help in reducing mortality.

Camilo, o protetor dos enfermos / Camilo, the protector of the sick

Camilo de Léllis nasceu em 25 de maio de 1550, em Bucchianico, Itália. A mãe morrera quando ele tinha 13 anos de idade e o pai, um militar quase sempre ausente de casa. Camilo perdeu sua herança à custa de jogos de baralho em más companhias. Alistou-se no exército. Foi acometido de úlcera na perna e no pé direitos, abandonou o exército. Ingressou na Ordem Franciscana. Em um hospital de Roma soube que a ferida era incurável. Dedicou se aos cuidados de pacientes como voluntário e, ordenado padre em 1584, constitui uma irmandade para aquele fim. Faleceu em 1614, foi canonizado em 1746 como patrono dos doentes. Atualmente, a Ordem dos Ministros dos Enfermos que fundara atua em 35 países, incluso o Brasil.

Camilo de Léllis was born in 1550 May 25, in Bucchianico, Italy. His mother died when he was thirteen, and his father, a military man, was almost always absent. Due to bad companies, he had lost all his assets by gambling. Afterward, he made his enrollment in the Army. However, an ulcer damned severely his right foot and leg and so he left the Army and joined the Franciscan Order. In a hospital in Rome, he knew his wound had no cure. He started to help other patients as a volunteer. In 1584, he was ordered a priest and constituted a brotherhood to take care of patients. He died in 1614 and was canonized as patron of the patients in 1746. Currently, the brotherhood he founded exists in35 countries including Brazil.