RESUMO
BACKGROUND: The aim was to examine the interval since first symptoms until final diagnosis of squamous cell carcinoma (SCC) in the head and neck region in southern Brazil. MATERIAL AND METHODS: The individuals were prospectively selected and underwent anamnesis, physical examination and interview in the first medical consultation at a Cancer Hospital from south of Brazil. RESULTS: From 488 patients who underwent clinical examination, 105 were included in the study with diagnosis of SCC. Patients average interval from first symptoms to final diagnosis was 152 days (median 86; max:1105; min: 1), the average professional interval was 108 days (median: 97; max:525; min: 1) , and the average total period interval was 258 days (median: 186; max:1177; min: 45). Factors statistically associated with patient and diagnosis itinerary intervals were smoking and poorly adapted dentures and distance from home to hospital, respectively. CONCLUSIONS: The identification of the itinerary characteristics of this specific population may reflect in more effective public policies, such as primary and secondary prevention programs, aiming to increase the survival of oncological patient. Furthermore, the knowledge of the variables that influence the late diagnosis minimizes patient's journey in search of care to cancer centers through health programs.
Assuntos
Carcinoma de Células Escamosas , Neoplasias de Cabeça e Pescoço , Brasil/epidemiologia , Carcinoma de Células Escamosas/diagnóstico , Carcinoma de Células Escamosas/epidemiologia , Neoplasias de Cabeça e Pescoço/diagnóstico , Neoplasias de Cabeça e Pescoço/epidemiologia , Humanos , Pescoço , FumarRESUMO
Com o objetivo de facilitar o manuseio imediato do colostoma, os autores apresentam a tecnica do suporte subcutaneo da alca intestinal, utilizada num total de trinta pacientes.Apresenta as complicacoes precoces e tardias da tecnica, observando-se uma incidencia de oito precoces e duas tardias
Assuntos
Pessoa de Meia-Idade , Humanos , Masculino , Feminino , ColostomiaRESUMO
Com o proposito de verificar as interacoes medicamentosas mais frequentes em nosso meio, realizou-se o estudo de 1.200 prescricoes de pacientes internados em diversas clinicas de Curitiba no ano de 1981.Observou-se um total de 455 interacoes medicamentosas, sendo 156 (34,3%) de importancia clinica menor, 262 (57,6%) de importancia clinica relativa e 37 (8,1%) de importancia clinica maior. Existe, portanto, elevado indice de interacoes medicamentosas, grande parte das quais potencialmente prejudiciais aos pacientes