Assuntos
Encefalite/diagnóstico , Neoplasias Ovarianas/diagnóstico , Receptores de N-Metil-D-Aspartato/sangue , Sialorreia/diagnóstico , Teratoma/diagnóstico , Adolescente , Autoanticorpos/sangue , Encefalite/sangue , Encefalite/complicações , Feminino , Humanos , Neoplasias Ovarianas/sangue , Neoplasias Ovarianas/complicações , Sialorreia/sangue , Sialorreia/etiologia , Teratoma/sangue , Teratoma/complicaçõesRESUMO
OBJECTIVE: To evaluate the effect of adenotonsillectomy on the oxygen saturation measures by nocturnal pulse oximetry in children with sleep breathing disorders (SBD). METHODS: A non-controlled clinical trial was performed. Thirty-one children with suspected SBD and a clinical indication for adenotonsillectomy were recruited. All of them underwent overnight oxygen saturation monitoring before and after surgery. RESULTS: Twenty-seven patients completed the study. The mean age was 5.2+/-1.8 years. Eighteen (66.7%) were male. The most prevalent symptoms were: snoring (100%), respiratory pauses (96.8%), nocturnal mouth breathing (96.8%), restless sleep (80%) and drooling (74.1%). Twenty-three children (85.2%) presented grade 3 or 4 tonsillar hyperplasia. There was a significant improvement in the postoperative oxygen desaturation index (ODI) (0.65; 0.5-1.3) compared with the preoperative index (1.63; 1.1-2.4) (p<0.001). CONCLUSION: Adenotonsillectomy improved the oxygen saturation measures by nocturnal pulse oximetry in children with sleep breathing disorders.
Assuntos
Adenoidectomia , Oxigênio/sangue , Síndromes da Apneia do Sono/cirurgia , Tonsilectomia , Tonsila Faríngea/patologia , Obstrução das Vias Respiratórias/sangue , Obstrução das Vias Respiratórias/cirurgia , Pré-Escolar , Feminino , Seguimentos , Humanos , Hiperplasia , Masculino , Respiração Bucal/sangue , Respiração Bucal/fisiopatologia , Oximetria , Tonsila Palatina/patologia , Sialorreia/sangue , Sialorreia/fisiopatologia , Síndromes da Apneia do Sono/sangue , Transtornos do Sono-Vigília/sangue , Transtornos do Sono-Vigília/fisiopatologia , Ronco/sangue , Ronco/fisiopatologia , Tonsilite/sangue , Tonsilite/cirurgiaRESUMO
More than 500 cases of watery mouth in newborn lambs were recorded in 11 flocks and a detailed examination was performed in more than 200 cases. The condition occurred predominantly in lambs aged 24 to 48 hours. The incidence in a flock varied from 1 per cent to 24 per cent and the mortality in affected lambs varied from 7 per cent to 83 per cent. A bacteraemia was found in 38 per cent of the affected lambs. There were no consistent abnormalities of clinical biochemistry or haematology. Watery mouth was more common in twins and especially in triplets than in single lambs. In twins the highest incidence of watery mouth was recorded in lambs born to ewes in poor body condition. Antibiotic given orally within 15 minutes of birth greatly reduced the incidence of watery mouth.
Assuntos
Doenças dos Ovinos/epidemiologia , Sialorreia/veterinária , Fatores Etários , Amoxicilina/uso terapêutico , Animais , Animais Recém-Nascidos , Peso Corporal , Feminino , Tamanho da Ninhada de Vivíparos , Masculino , Neomicina/uso terapêutico , Sepse/epidemiologia , Sepse/veterinária , Ovinos , Doenças dos Ovinos/sangue , Doenças dos Ovinos/prevenção & controle , Sialorreia/sangue , Sialorreia/epidemiologia , Sialorreia/prevenção & controle , Estreptomicina/uso terapêuticoRESUMO
A patient with recurrent vomiting, abdominal pain, and elevated serum amylase activity may have pancreatitis. Although elevated serum amylase levels are a sensitive indicator for acute pancreatitis, this test is not highly specific for pancreatic disease. A patient is described who illustrates the need for specific laboratory, historical, and occasional psychological evaluation in pediatric patients with elevated amylase values.
