RESUMO
This study provided a telehealth program for kindergarten and nursery teachers in charge of children with, or suspected of having, developmental disabilities. We examined teacher participation, behavior intervention plans (BIP), practice, and improvement of children's behavior. Six sessions of online lectures and two online consultations based on functional behavioral assessments (FBA) were held. All ten teachers conducted the FBA, and seven created the BIP. Additionally, six out of seven teachers recorded their children's problem behaviors, showing improvement in the problem behavior of these children. Moreover, the non-targeted problem behaviors also showed improvement following the intervention.
RESUMO
We describe the case of a 67-year-old male with liver cirrhosis who presented with fever and neck pain. Magnetic resonance imaging of the spine detected cervical vertebral osteomyelitis, and enhanced CT of the neck and spine revealed retropharyngeal abscess. The patient was treated with empirical antimicrobial therapy and surgical drainage due to significant airway involvement. Escherichia coli was cultured from the blood and pus in inferior cervical vertebrae which was a rare pathogen. Haematogenous spread may have resulted in cervical vertebral osteomyelitis and retropharyngeal abscess. With high mortality rates, early diagnosis of retropharyngeal abscess is required to avoid debilitating complications such as airway obstruction.
Assuntos
Vértebras Cervicais/microbiologia , Discite/etiologia , Infecções por Escherichia coli/etiologia , Cirrose Hepática Alcoólica/complicações , Abscesso Retrofaríngeo/etiologia , Idoso , Obstrução das Vias Respiratórias/etiologia , Antibacterianos/uso terapêutico , Bacteriemia/tratamento farmacológico , Bacteriemia/etiologia , Cefalosporinas/uso terapêutico , Discite/microbiologia , Discite/cirurgia , Suscetibilidade a Doenças , Drenagem , Substituição de Medicamentos , Infecções por Escherichia coli/tratamento farmacológico , Infecções por Escherichia coli/cirurgia , Humanos , Imageamento por Ressonância Magnética , Masculino , Cervicalgia/etiologia , Osteomielite/tratamento farmacológico , Osteomielite/microbiologia , Osteomielite/cirurgia , Oxigenoterapia , Abscesso Retrofaríngeo/diagnóstico por imagem , Abscesso Retrofaríngeo/microbiologia , Abscesso Retrofaríngeo/cirurgia , Tomografia Computadorizada por Raios XRESUMO
We report a case of renal embolism as an initial manifestation of Streptococcus dysgalactiae subspecies equisimilis (SDSE) endocarditis in a patient with chronic aortic dissection. A 37-year-old man who underwent total aortic arch replacement owing to aortic dissection, presented with a 3-h history of fever, chills, and acute right-sided flank pain. The endocarditis affected the native aortic valve and was complicated by a renal embolism. Blood culture results were positive for SDSE. Intravenous penicillin resulted in satisfactory clinical and echocardiographic recovery.
