Colecistectomias: análise de um hospital escola / Cholecystectomies - analysis in a school hospital

Introdução: A colecistopatia calculosa atinge cerca de 20% da população ocidental adulta, e dela 15% tornam-se sintomáticos. No Brasil foram realizadas, entre 12/2019 e 11/2020, 138.154 colecistectomias pelo Sistema Único de Saúde Objetivo: Levantar dados das colecistectomias realizadas em 2 anos em um hospital escola, analisando o perfil epidemiológico dos pacientes e resultados operatórios. Método: Foram analizadas 942 colecistectomias. Compararam-se os procedimentos eletivos com os de urgência quanto à necessidade de drenagem, reoperação, complicações pós-operatórias e da ferida operatória. Resultados: Do total, 75,9% eram mulheres com média de 48,2 anos de idade. Procedimentos urgentes foram realizadas em 34,9%. Houve mais complicações nas urgências e nos que necessitaram de drenagem. Houve mais complicações na ferida operatória nos pacientes submetidos à reoperação. Conclusão: A análise dos dados mostrou independência de 5 variáveis na evolução pós-operatória das colecistectomias e elas interferiram negativamente quer por si só, quer em associação. Foram elas: drenagem vs. porta de entrada; drenagem vs. reoperação; porta de entrada vs. complicações pós-operatórias; reoperação vs. complicações no pós-operatório; e reoperação vs. complicações na ferida operatória.

Introduction: Calculous cholecystopathy affects about 20% of the Western adult population, and 15% of them become symptomatic. About 138.154 cholecystectomies were performed between 12/2019 and 11/2020 at Brazil, by the public health system. Objective: To collect data from cholecystectomies performed during 2 years in a teaching hospital, analyzing the epidemiological profile of patients and operative results. Method: 942 cholecystectomies were analyzed. Elective and emergency procedures were compared regarding the need for drainage, reoperation, postoperative and wound complications. Results: Of the total, 75.9% were women with a mean age of 48.2 years. Urgent procedures were performed in 34.9%. There were more complications in emergencies and in those requiring drainage. There were more complications in the surgical wound in patients undergoing reoperation. Conclusion: Data analysis showed independence of 5 variables in the postoperative evolution of cholecystectomies and they negatively interfered either by themselves or in combination. They were: drainage vs. hospital entrance; drainage vs. reoperation; hospital entrance vs. postoperative complications; reoperation vs. postoperative complications; and reoperation vs. complications in the surgical wound.

Uso "off label" de plantas medicinais para tratamento do diabete melito / "Off label" use of medicinal plants for the treatment of diabetes mellitus

As plantas medicinais são de fácil aquisição sem receita médica. Algumas delas possuem comprovação científica para o efeito hipoglicemiante, outras não. O objetivo deste estudo foi conhecer a prevalência e o perfil do paciente que usa plantas medicinais como coadjuvantes no tratamento do diabete. Foram entrevistados 140 diabéticos e pré-diabéticos agrupados em quem fazia o uso dessa alternativa e os que não. Em conclusão, a prevalência foi de 15,7%, maior em mulheres. A medicação prescrita foi metformina. A planta mais utilizada foi a pata-de-vaca. O grupo em uso referiu melhora glicêmica com a terapia complementar quando questionados sobre a glicemia uma semana antes e na semana de uso

Medicinal plants are easily available without a prescription. Some of them have scientific proof for the hypoglycemic effect, others do not. The objective of this study was to know the prevalence and profile of patients who use medicinal plants as adjuncts in the treatment of diabetes. A total of 140 diabetics and pre-diabetics were interviewed, grouped into those who used this alternative and those who did not. In conclusion, the prevalence was 15.7%, higher in women. The medication prescribed was metformin. The most used plant was the pata-de-vaca. The group in use reported glycemic improvement with the complementary therapy when asked about the glycemia one week before and in the week of use

Coronavirus disease 2019 pandemic and anxiety: a longitudinal study in 287 Brazilians.

OBJECTIVE: The aim was to study the prevalence of symptoms of anxiety and post-traumatic stress in a sample of Brazilians and their relationship with sex, age, and work situation, and compare if these symptoms change with 8 weeks of quarantine. METHODS: Online survey to collect epidemiological data and apply the Beck Anxiety Inventory (BAI) and Impact of Event Scale-Revised (IES-R). Eight weeks later, the researchers requested the same requirements to complete the BAI and IES-R and compare the results. RESULTS: The sample of 287 answered the first and second questionnaires, being 72.8% women, with a median age of 22 years. In the first interview, the median BAI was 12 (7-19) and the median IES-R was 27.0 (15-40); in the second, the median BAI was 11 (6-22) and the IES-R was 30 (15-41) with p<00001 and 0.09, respectively. Anxiety levels were worse in females (p<0.0001 for both BAI and IES-R) and in those who worked/studied in the area of health (p=0.001 for BAI and 0.01 for IES-R). There was a negative correlation between age and anxiety (p<0.0001 for BAI and IES-R). CONCLUSIONS: A high prevalence of anxiety that lowered after 8 weeks were found. Anxiety was worse in females, in younger people, and in those who worked/studied in the area of health.