ABSTRACT
Este artigo tem como objetivo conhecer o perfil dos usuários dos Serviços de Saúde como instrumento auxiliar para o planejamento das ações de gerência em Undiades de Saúde. Este estudo mostra aspectos demográficos e nosológicos de usuários da Unidade de Saúde Joaõ Cândido situada em Curitiba. Foram analisados dados demográficos e de morbidade dos prontuários de pacientes que compareceram a consulta médica de março a agosto de 2005. Dos 5783 pacientes atendidos neste período, 69,9 por cento tinham idade entre 15 e 65 anso, 9,9 por cento eram maiores de 65 anos, 8,4 por cento eram crianças de 6 a 15 anos, 7,3 por cento eram crianças de 1 a 6 anos e 5 por cento eram menores de 1 ano. 67,7 por cento dos pacientes eram do sexo feminino. O diagnóstico mais frequente foi CID J, referente a "Doenças do aparelho Respiratório
Subject(s)
Primary Health Care , Statistical Data , Community Health Planning , Unified Health System/organization & administrationABSTRACT
A enterocolite necrosante é a doença gastrointestinal adquirida mais frequente do período neonatal, especialmente em recém-nascidos prematuros. Mesmo em centros especializados a taxa de mortalidade é alta e varia de 20 por cento a 40 por cento. OBJETIVO - descrever a experiência do serviço de Cirurgia do Hospital Universitário Evangélico de Curitiba no tratamento da enterocolite necrotizante / Necrotizing enterocolitis is a gastrointestinal pathology more frequently acquired during neonatal period, mainly in premature newborns. Even in especialized center, the mortality rate varies from 20 per cent to 40 per cent. Aim - describe the experience of the service on the necrotizing enterocolitis treatment...
Subject(s)
Male , Female , Infant, Newborn , Humans , Enterocolitis, Necrotizing/surgery , Risk Factors , Infant, Newborn , Infant, PrematureABSTRACT
BACKGROUND: Studies have investigated the consequences of intrauterine malnutrition on birth weight and overall survival but not on wound healing. This study aims to assess the influence of in utero malnutrition on wound healing of newborn rats. METHODS: Pregnant Wistar rats were divided into 2 groups. Study rats were given 50% of the food intake of controls throughout pregnancy in a pair-fed manner. The body weight and length of the newborns were measured. Newborns were breast-fed until day 21, when a laparotomy was performed. The effect of the laparotomy was assessed by measure of the wound strength and collagen deposition at postoperative day (POD) 7 (n = 15) and POD 21 (n = 15). RESULTS: The body weight and length of newborns of malnourished mothers were significantly smaller at birth compared with controls (respectively, 4.5 +/- 0.1 g vs 5.8 +/- 0.1 g, p = .0003 and 4.6 +/- 0.1 cm vs 5.2 +/- 0.1 cm, p = .0003). Maximum, rupture, and tensile strength of malnourished newborns were smaller than controls on POD 7 (0.281 +/- 0.031 vs 0.470 +/- 0.031, p = .0061, 0.112 +/- 0.06 kgf vs 0.173 +/- 0.08 kgf, p = .0495 and 0.019 +/- 0.002 kgf/mm2 vs 0.024 +/- 0.003 kgf/mm2, p = .050, respectively). On POD 21, only tensile strength remained lower (0.044 +/- 0.003 kgf/mm2 vs 0.058 +/- 0.003 kgf/mm2, p = .0477). Type I collagen deposition of malnourished newborns was similar to controls on POD 7 (57.69 +/- 10.06 vs 48.34 +/- 15.65, p = .3187) and on POD 21 (75.6 +/- 7.21 vs 80.0 +/- 9.92, p = .4212). CONCLUSIONS: In utero malnutrition decreases the abdominal wound strength of newborn rats but not the collagen deposition, suggesting that breast-feeding nutrition is effective in recovering the collagen deposition but not overall wound strength.
