RESUMO
Sickle cell disease is an autosomal recessive disease that primarily affects persons of African ancestry. The hallmark of the disease is hemolytic anemia and vaso-occlusive crisis. Patients often have recurrent and severely painful episodes that necessitate the use of opioids. The reluctance of some health care providers to prescribe narcotics has resulted in adversarial relationships with some patients. The socio-cultural disparity between patients and providers may play a role. However, the lack of knowledge and understanding of the underlying pathophysiology of the disease and pain are the key issues. Education, research and hands-on experience, resulting in changes in attitudes and behaviors, will ultimately lead to a more empathic approach to the sickle cell patient.
Assuntos
Analgésicos Opioides/uso terapêutico , Anemia Falciforme/tratamento farmacológico , Atitude do Pessoal de Saúde , Dor/tratamento farmacológico , Relações Médico-Paciente , População Negra , HumanosAssuntos
Anestesia Dentária/métodos , Anestesia Local/métodos , Iontoforese/métodos , Pré-Escolar , Feminino , HumanosRESUMO
Sodium cloxacillin was used to treat 107 cows affected with acute mastitis and 138 affected with subclinical mastitis. Based on the application of conservative bacteriologic criteria, the cure rate was 53% for acute staphylococci mastitis and 65% for subclinical staphylococci mastitis. The cure rate for Streptococcus agalactiae infections was 91% in acute conditions and 92% in subclinical conditions. The cure rate was 73% for the acute infections and 88% in cases of subclinical infections when Streptococcus spp. "non ag" was the cause. Daily milk production had no effect on response rate. No adverse reactions due to treatment were reported by any investigator.
