ABSTRACT
Objetivo: analisar os estudos existentes e disponíveis sobre cuidados iniciais à saúde, na perspectivacultural. Métodos: revisão integrativa da literatura cujo delineamento é qualitativo e descritivo,realizada a busca em julho de 2014, nas Bases de dados e no Banco de teses da Coordenação deAperfeiçoamento de Pessoal Nível Superior, sendo que após a aplicação dos critérios de seleçãorestaram 19 publicações. Resultados: o país com maior número de publicações é o Brasil, porém aspesquisas sobre a temática estão presentes nos cinco continentes, embora as produções ainda sejampouco expressivas. A análise das produções referente aos cuidados iniciais à saúde dentro de umaperspectiva cultural, dentre os cuidados elencados estão às terapias complementares. ConsideraçõesFinais: estes achados apontam para a importância do profissional de saúde atuar considerando ocontexto cultural que envolve as práticas de cuidados iniciais à saúde.
Objective: to analyze existing and available studies on early health care from a cultural perspective.Methods: integrative review whose delineation is qualitative and descriptive, carried out the searchin July 2014, in the Databases and in the Thesis Bank of the Coordination of Improvement of Higher Education Personnel, and after the application of the selection criteria, there were 19 publications.Results: the country with the largest number of publications is Brazil, but research on the subjectis present in five continents, although the productions are still not very expressive. The analysis ofthe productions related to the initial health care from a cultural perspective, among the listed careare complementary therapies. Final considerations: these findings point to the importance of thehealth professional to act considering the cultural context that involves the initial health carepractices.
Subject(s)
Humans , Delivery of Health Care , Knowledge , Nursing , Medicine, TraditionalABSTRACT
Fourteen cases (9 female, 5 male) of proliferating trichilemmal cysts are reported. The patients age-range was 40-80, 12 being over 60. The cysts wee present for 2-50 years and enlarged in the months or years before the observation. Seven were ulcerated. In 4 with multiple lesions both proliferating and ordinary trichilemmal cysts were present. The histological features were typical in all but one patient (evolution towards squamous cell carcinoma?) with some variation from lesion to lesion and from area to area in the same tumour. The microscopic features suggest that the proliferating trichilemmal cyst must be considered an hamartoma of the terminal hair follicle, not only related to the isthmic segment of the outer root sheath but with some differentiation (smaller and more variable) towards the infundibular and matricial segments. The tumour is likely to be a proliferating trichilemmal cyst from the beginning and not a peculiar evolution of an ordinary, pre-existant, trichilemmal cyst.