RESUMO
BACKGROUND: We investigate the outcomes of pregnancy in women who undergone restrictive-malabsorptive procedure at Centro da Obesidade Mórbida-Hospital São Lucas (COM HSL-PUCRS), Porto Alegre, Brazil. METHODS: All pregnancies started after the bariatric surgery and with estimated due date until June 2008 were eligible for the study. Only the first pregnancy of each patient was included in the data analysis. Data was collected from medical records. RESULTS: Forty seven pregnancies were identified in 41 women. Eight of them were ineligible. There were 30 complete pregnancies and nine miscarriages (23%). Cesarean delivery was performed in 69% of the complete pregnancies. Mature infants occurred in 93.1%. Twelve pregnancies (30.8%) occurred in the first year after surgery. Vitamin B12 was low in 53.4% patients; folic acid in 16.1%, iron in 6.7%, ferritin in 41.7%, calcium in 16.7%, and albumin in 10.3% of the patients. Nineteen women (79.2%) had no complication during the pregnancy and two (8.3%) presented with internal hernia. The average of newborns weight and length on delivery were 3,037 g and 48.07 cm, respectively. Children from pregnancies started in the first year of post operatory had similar outcomes of children from pregnancies started after 1 year of surgery. CONCLUSIONS: Pregnancy after bariatric surgery is safe and has fewer complications than pregnancy in morbidly obese women. However, the recommendation to delay the pregnancy for at least 12-18 months post-operatively should be kept.
Assuntos
Derivação Gástrica , Obesidade/cirurgia , Complicações na Gravidez , Resultado da Gravidez , Adulto , Brasil , Feminino , Seguimentos , Humanos , Recém-Nascido , Masculino , Equipe de Assistência ao Paciente , Gravidez , Fatores de TempoRESUMO
Introdução: A ressuscitação cardiopulmonar (RCP) precoce depende da disponibilidade e da funcionalidade do equipamento de reanimação, que deve estar pronto para uso imediato, além do treinamento da equipe, o que pode ser feito através dos cursos em Suporte Básico de Vida (SBV) e Suporte Avançado de Vida (SAV). Objetivo: Capacitar profissionais e acadêmicos da área de saúde em SBV. Metodologia: Curso teórico-prático com simulação em manequins. Realização de pré e pós-teste, comparando-se os resultados. Resultados: Foram treinadas 348 pessoas do Hospital Escola (HE) da UFPel. O número de acertos no pré-teste variou entre 55 e 65% (média de 63%) e no pós-teste variou entre 75 e 93% (média de 84%), portanto um acréscimo de 21% nos acertos. Conclusão: O treinamento qualificou os profissionais e acadêmicos que atuam no HE no atendimento em vítimas de parada cardiorrespiratória (AU)
Introduction: The precocious cardiopulmonary resuscitation (CPR) depends on avaliability and functionality of the reanimation equipment, which must be ready for immediate use, and on the training of the team, which can be made through the Basic Life Support (BLS) and Advanced Life Support (ALS) courses. Objective: enable the health professionals and medical students in BLS. Methodology: Theoretical-practical course with simulations in mannequins. Pre and post-test were done and the results before and after the course were compared. Results: 348 people from Medical School Hospital (MSH) were trained. The correct answers percentage in the pre-test was from 55 to 65% (avarage was 63%) and in the post-test was from 75 to 93% (avarage was 84%), there was a 21% increase in the percentage of correct answers. Conclusion: The training qualified health professionals and medical studentes, who work in MSH, in charge of CPR (AU)
Assuntos
Suporte Vital Cardíaco Avançado/educação , Parada Cardíaca/terapia , Pacientes Internados , Brasil/epidemiologia , Reanimação Cardiopulmonar/métodos , Suporte Vital Cardíaco Avançado/métodos , Parada Cardíaca/mortalidadeRESUMO
Os autores descrevem um caso de fibrodisplasia ossificante progressiva, doença hereditária caracterizada por calcificações heterotópicas do tecido conectivo, geralmente induzida por trauma, gerando imobilidade permanente das articulações. Hálux valgo, clinodactilia e polegares curtos são as principais malformações congênitas associadas. Manifesta-se na infância, sendo o diagnóstico clínico-radiológico importante, pois procedimentos invasivos exacerbam a doença. Tratamentos disponíveis são apenas paliativos, tendo a prevenção relevância nesse contexto.
The authors describe a case of fibrodysplasia ossificans progressiva, a hereditary disease characterized by heterotopic ossification of the connective tissues, usually triggered by trauma, resulting in permanent immobility of the joints. Hallux valgus, clinodactyly and short thumbs are the main associated congenital anomalies. Fibrodysplasia ossificans progressiva usually develops during early childhood. Clinical and radiological diagnosis is essential, since invasive procedures exacerbate the disease. Only palliative treatments are available and prevention plays an important role in patients with fibrodysplasia ossificans progressiva.