ABSTRACT
The IL-6 has been used for the characterization of the cytokine storm induced by SARS-CoV-2, but so far, no one has found out when and in whom the cytokine storm develops. Our study demonstrates how early and longitudinal clinical-based monitoring and dosing of five markers (C-reactive protein, IL-6, fibrinogen, ferritin and D-dimer) helped to identify whod developed the cytokine storm. The peak of IL-6 in pg/mL proportionally higher than the peak of CRP in mg/L was sufficient to define the timing of the evolution of cytokine storm syndrome. The administration of antibiotic therapy, anticoagulant therapy and pulse therapy resolved the infection and prevented the progressive deterioration of the lung function of the patients with potential for development of severe COVID-19.
ABSTRACT
Objetivo: Descrever as evidências científicas disponíveis na literatura sobre os cuidados paliativos de enfermagem a pacientes com feridas neoplásicas. Métodos: Trata-se de uma revisão integrativa, realizada no LILACS, MEDLINE e BDENF, a partir dos descritores: Oncologia, Cuidados Paliativos, Neoplasias Cutâneas. Resultados: Analisaram-se 8 artigos, organizados nas seguintes categorias: 1) Assistência de enfermagem no controle do odor e exsudato em feridas neoplásicas; 2) Cuidados paliativos de enfermagem no controle da dor e hemorragias em feridas neoplásicas; 3) Atuação assistencial de enfermagem aos impactos psicossociais em pacientes com feridas neoplásicas em tratamento paliativo; 4) A importância da educação permanente dos profissionais de enfermagem que atuam no cuidado paliativo de feridas neoplásicas. Conclusões: A enfermagem atua proporcionando assistência humanizada aos pacientes em cuidados paliativos, a fim de minimizar o desconforto das feridas neoplásicas.
Subject(s)
Humans , User Embracement , Home NursingABSTRACT
A 57-year-old man with chronic alcoholism was admitted to our hospital due to disturbance of consciousness and polyradiculitis. Laboratory examination revealed metabolic acidosis, hypokalemia and hypophosphataemia. Alcoholic ketoacidosis is a common disorder in alcoholic patients. All patients present with a history of heavy alcohol misuse, preceding a bout of particularly excesive intake, which had been terminated by nausea, vomiting and abdominal pain. The most important laboratory results are: normal or low glucose level, metabolic acidosis with a raised anion GAP, low or absent blood alcohol level and urinary ketones. The greatest threats to patients are: hypovolemia, hypokaliemia, hypoglucemia and acidosis. Alcohol abuse may result in a wide range of electrolyte and acid-base disorders including hypophosphataemia, hypomagnesemia, hypocalcemia, hypokalemia, metabolic acidosis and respiratory alkalosis. Disturbance of consciousness in alcoholic patients is observed in several disorders, such drunkenness, Wernicke encephalopathy, alcohol withdrawal syndrome, central pontine myelinolysis, hepatic encephalopathy, hypoglucemia and electrolyte disorders.
Subject(s)
Alcoholism/complications , Hypophosphatemia/complications , Ketosis/etiology , Nervous System Diseases/etiology , Acidosis/etiology , Alcohol Withdrawal Delirium/etiology , Alkalosis, Respiratory/etiology , Blood Glucose/metabolism , Humans , Male , Middle AgedABSTRACT
Wilkie syndrome is an unusual form of high gastrointestinal obstruction resulting from compression of the duodenum between the abdominal aorta and the superior mesenteric artery (SMA). The conditions that cause this syndrome can be classified into five categories: severe wasting diseases, severe injuries, diseases, deformity or trauma to the spine, dietary disorders and posoperative state. The symptoms include nausea, vomiting, distention postprandrial, epigastric pain and weight loss. Barium meal and arteriography were used as diagnostic tools, now CT-angiography is being used and shown higher diagnostic sensitivity. The diagnostic criteria are: dilated duodenum, compression of the duodenum by the SMA and aortomesenteric angle <20 degrees. Patients with acute syndrome often respond to conservative treatment (decompression, correction of dehydration and electrolyte imbalance and nutrition support). Most of the patients with chronic syndrome require surgical intervention. Duodenojejunostomy is the most effective surgical option, with a success rate of 90%.
Subject(s)
Superior Mesenteric Artery Syndrome/therapy , Adult , Angiography , Anorexia Nervosa/complications , Anorexia Nervosa/diagnosis , Dehydration/therapy , Diagnostic and Statistical Manual of Mental Disorders , Duodenum/pathology , Humans , Male , Nutritional Support , Superior Mesenteric Artery Syndrome/diagnosis , Superior Mesenteric Artery Syndrome/surgery , Tomography, X-Ray ComputedABSTRACT
El objetivo del trabajo fue analizar comparativamente el crecimiento en relación con la menarca entre niñas de dos poblaciones urbanas argentinas. Se realizó un estudio antropométrico transversal, descriptivo-comparativo en 2.474 escolares comprendidas entre 8,0 y 16,9 años procedentes de Santa Rosa (SR) y La Plata (LP). Se registraron presencia de menarca y las variables antropométricas peso corporal, estaturas total y sentado, perímetro braquial, pliegues subcutáneos tricipital y subescapular. Fueron calculados índices de masa corporal, subescapular/tricipital y áreas muscular y adiposa del brazo. El grupo de estudio fue dividido en 4 grupos según ciudad y presencia de menarca. La caracterización socio-ambiental establecida mediante encuesta estructurada indicó diferencias significativas entre ciudades para condición de tenencia, características constructivas y servicios de las viviendas, cobertura de salud, asistencia monetaria, nivel educativo y ocupación laboral de los progenitores marcando un mayor bienestar en las jóvenes de SR. La menarca a una edad promedio de 12,7 años fue más prevalente en SR (40,6%) que en LP (33,7%) (c2=12,9; p< 0,05) que en general permanecieron en la comparación post hoc por edad en los grupos madurativos pre-menarca y post-menarca. La presencia de un tamaño corporal reducido, a expensas de menor estatura total, área muscular y longitud de piernas en las jóvenes de LP, asociados a una menor prevalencia de menarca en esta ciudad, representaría el costo adaptativo a un ambiente de menor bienestar.
Argentina. The aim of this study was to analyze growth in relation to menarche in girls from two Argentinean urban populations. We performed a comparative-descriptive cross sectional study in 2474 schoolchildren between 8.0 and 16.9 years old from Santa Rosa (SR) and La Plata (LP) cities. We registered the presence of menarche and anthropometrics variables of body weight, total and sitting heights, arm circumference, triceps and subscapular skinfolds. Body mass index, subscapular / triceps index and muscle and fat arm areas were calculated. The study group was divided into 4 groups according to the city and menarche. The socio-environmental structured survey indicated significant differences between cities with these variables: tenure status, building materials and services, health care coverage, cash assistance, educational level and parents occupation, therefore establishing a higher welfare in youngsters of SR. Menarche at a mean age of 12.7 years old was more prevalent in SR (40.6%) than in LP (33.7%) (c2=12.9; p.
Subject(s)
Adolescent , Child , Female , Humans , Body Composition , Growth/physiology , Menarche/physiology , Sexual Maturation/physiology , Argentina , Cross-Sectional Studies , Socioeconomic Factors , Urban PopulationABSTRACT
An epidemiological study was conducted to determine the occurrence of psychiatric and related disorders, according to the International Classification of Diseases, among adolescents treated in an emergency room of a teaching hospital in Ribeirão Preto, São Paulo, Brazil from 1988 to 1993. Adolescents studied represented 23% of the cases treated during this period. Neurotic Disorders (300), Suicide and self-inflicted Lesions (E950-E959), and Schizophrenic Psychoses (295) predominated among females. Signs and Symptoms related to alcohol and drugs (291, 292, 303, 304, 305), Schizophrenic Psychoses (295) and Neurotic Disorders (300) predominated among males. Adolescents studied were predominantly in the 20 to 24 and 15 to 19 year range, in this order.
ABSTRACT
This study reports the results of a survey carried out in the psychiatric emergency service of the University Hospital of Ribeirão Preto, Brazil (1988-1990) with the purpose of characterizing psychiatric disorders related to the consumption of alcohol. The sample included data on a total of 1,082 patients diagnosed during this period. A total of 576 cases were diagnosed with "alcohol dependency syndrome", 379 with "alcohol psychosis", and 127 patients with "alcohol without dependency". The majority of patients were male and the age group most affected was 25-44 years for both sexes. The study calls attention for the importance of alcohol abuse as a public health problem.
