ABSTRACT
During pregnancy, women undergo several physiological body changes. However, there are some pathologies that can interfere in this period. In Brazil, the main cause of maternal mortality stems from hypertensive disorders. The increased blood pressure gestational period may be due to a preexisting chronic hypertension or Gestational hypertension. Therefore, the hypertension during pregnancy may evolve to preeclampsia, eclampsia or HELLP Syndrome. Each of these disorders has consequences for the mother and the fetus, which can be fatal, in the most serious cases. The objective of this study is to recognize the profile of pregnant women hospitalized with eclampsia, whereas the knowledge of the signs that the pathology presents and the most frequent epidemiological profile to help in the early diagnosis, which directly impacts on the efficacy of the treatment, reducing morbidity and mortality. This study aimed to evaluate the information available in the Sistema de Internações Hospitalares (SIH) of the Sistema de Informações da Secretaria do Estado de Saúde de Mato Grosso and to analyze the increase of pregnant women with eclampsia, in addition to the epidemiological profile of this group. After analyzing the data, it was verified that Afro- Brazilian women, aged between 20-24 years old, are the most affected by eclampsia. In addition, most cases have been reported by private hospitals and more than 50 percent remain hospitalized for up to 3 days. Despite the limitations in the database, the recognition of the most frequent conditions during hospitalization contributes to a better approach to these cases. (AU)
Durante o período gestacional, a mulher passa por diversas mudanças fisiológicas. Entretanto, existem algumas patologias que podem interferir nesse período. No Brasil, a principal causa de mortalidade materna decorre das síndromes hipertensivas. O aumento dos níveis pressóricos na gravidez pode ser originada por hipertensão crônica prévia ou pela Doença Hipertensiva Específica da Gestação (DHEG). Sendo que, essa última pode evoluir para pré-eclâmpsia, eclampsia ou Síndrome HELLP. Cada uma dessas variações gera consequências para a mãe e o feto, podendo levar à morte, nos casos mais graves. O objetivo desse trabalho é reconhecer o perfil de internações das gestantes acometidas com eclâmpsia, uma vez que o conhecimento dos sinais que a patologia apresenta e o perfil epidemiológico mais frequente auxiliam na identificação precoce dos casos, o que impacta diretamente na eficácia do tratamento, reduzindo a morbimortalidade. Esse estudo, buscou avaliar informações disponíveis no Sistema de Internações Hospitalares (SIH) do Sistema de Informações da Secretaria do Estado de Saúde de Mato Grosso e analisar, por meio deste, a progressão das gestanteacometidas com eclampsia, além do perfil epidemiológico desse grupo. Após a análise das informações, verificou-se que as mulheres afro brasileiras, com idade entre 20 e 24 anos, são as mais acometidas pela patologia em estudo. Além disso, a maioria dos casos, foram notificados por hospitais particulares e mais da metade, permanece internada por até 3 dias. Apesar das limitações presentes no banco de dados, o reconhecimento das características mais frequentes durante a internação, contribui para uma melhor abordagem desses casos. (AU)
ABSTRACT
The aim of this study was to evaluate the push-out bond strength and interface permeability of glass-fiber posts in different regions of post space (cervical, middle, and apical) submitted to different irrigation solutions. Ninety single-rooted human teeth were submitted to endodontic treatment and divided into five groups, according to irrigation solutions: distilled water, 5.25% NaOCl, 25% polyacrylic acid, 2% chlorhexidine, and 23 ppm Ag NP dispersion. Each group was divided in 3 subgroups (n=6) according to cementation: SBU: Adper Scotchbond Universal + RelyX ARC; U200: RelyX U200; MCE: MaxCem Elite. Bond strength and sealing ability were measured in different areas of post space. The data was subjected to ANOVA and Fisher's test (a=0,05). The silver nanoparticle solution showed highest bond strength values and lowest interface permeability in all thirds analyzed for SBU group. In the U200 group, the highest bond strength values were found for sodium hypochlorite solution, with significant difference between this solution and polyacrylic acid. A decrease in bond strength values in cervical to apical direction was found for MCE group and the same behavior were found for others groups. Regarding interface permeability, use of silver nanoparticle solution resulted in lower values in cervical and apical thirds. There was a decrease in bond strength in cervical to apical direction. Different irrigation solutions and intraradicular depth influenced the bond strength and interface permeability of adhesive material to dentin substrate. Silver nanoparticle solution can effectively be used as an irrigation agent in post space prior to fiber post cementation process.
