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1.
J. Health Biol. Sci. (Online) ; 10(1): 1-8, 01/jan./2022. ilus
Article in Portuguese | LILACS | ID: biblio-1361739

ABSTRACT

Objetivos: contribuir para a compreensão do desenvolvimento histórico do conceito de ansiedade, das classificações dos transtornos ansiosos e suas manifestações clínicas, bem como para a atualização sobre o processo de avaliação diagnóstica. Métodos: todas as edições das classificações da Organização Mundial de Saúde (OMS) - CID e da Associação Psiquiátrica Americana (APA) - DSM foram examinadas, além de livros-texto de referência de psiquiatria clínica, de publicações sobre a história e a evolução desses diagnósticos e de publicações produzidas pelas equipes responsáveis pela revisão das classificações atuais. Resultados: entende-se por ansiedade um estado afetivo normal, como um sintoma ou um termo para nomear um grupo de transtornos mentais. Nas primeiras e subsequentes edições das classificações da OMS e da APA, entre 1948 e 1975, os quadros ansiosos faziam parte do grupo das psiconeurose/neuroses. A partir do DSM-III (1980), o grupo das neuroses foi fragmentado em diversos outros, entre os quais os transtornos de ansiedade, o que foi seguido pela CID-10 (1992), apesar de alguma distinção na composição dos subtipos. Para as últimas versões, houve um empenho de compatibilização entre as duas, contudo restaram diferenças: o DSM-5 (2013) adota critérios diagnósticos; a CID-11 (2019) utiliza descrições clínicas e diretrizes diagnósticas, além de abordagens dimensionais para alguns transtornos. Conclusão: ocorreram modificações nas classificações psiquiátricas atuais, no grupo dos transtornos de ansiedade, que precisam ser disseminadas e agregadas a estratégias de formação e qualificação profissionais, incrementando habilidades diagnósticas e permitindo uma comunicação mais uniforme e precisa na prática clínica.


Objectives: to contribute to the understanding of the historical development of the concept of anxiety, the classifications of anxiety disorders and their clinical manifestations, as well as to update on the diagnostic evaluation process. Methods: all editions of the classifications of the World Health Organization (WHO) - ICD and the American Psychiatric Association (APA) - DSM were examined, in addition to reference textbooks on clinical psychiatry, publications on the history and evolution of these diagnoses, and scientific articles produced by the teams responsible for reviewing the current classifications. Results: anxiety is understood as a normal affective state, as a symptom, or as a term to name a group of mental disorders. In the first and subsequent editions of the WHO and APA classifications, between 1948 and 1975, anxiety disorders were part of the psychoneuroses/neuroses group. As of DSM-III (1980) onwards, the neuroses group was fragmented into several others, including anxiety disorders, which was followed by ICD-10 (1992), despite some different choices of subtypes. For the latest versions, there was a compatibility effort between them. However, differences remained: DSM-5 (2013) adopts diagnostic criteria; ICD-11 (2019) uses clinical description and diagnostic guidelines, in addition to dimensional approaches for some disorders. Conclusion: modifications have occurred in current psychiatric classifications, in the group of anxiety disorders, which need to be disseminated and added to professional training and qualification strategies, increasing diagnostic skills and providing for more uniform and accurate communication in clinical practice.


Subject(s)
Anxiety , Anxiety Disorders , Psychiatry , Health , Health Strategies , Diagnosis , History , Mental Disorders
2.
Multimedia | Multimedia Resources | ID: multimedia-9912

ABSTRACT

A Secretaria Municipal da Saúde (SMS) de São Paulo realiza a capacitação e atualização dos profissionais da rede sobre o protocolo de atendimento da Monkeypox (Varíola dos Macacos).


Subject(s)
Monkeypox , Mentoring , Therapeutics , Diagnosis
4.
Washington, D.C.; OPS; 2022-07-26.
in Spanish | PAHO-IRIS | ID: phr-56177

ABSTRACT

En esta guía se explica el funcionamiento de la herramienta de planificación y presupuestación para el diagnóstico de la tuberculosis (TB), que facilita el cálculo sistemático de las cantidades y los costos de los productos para los países que planifican encargar productos de diagnóstico e insumos de laboratorio del catálogo del Servicio Farmacéutico Mundial. La herramienta calcula las cantidades de productos requeridas, para lo cual usa el consumo anterior o métodos de proyección basados en la morbilidad para todos los productos de diagnóstico de TB respaldados por la Organización Mundial de la Salud, a fin de establecer metas para la ampliación de la escala de acuerdo con las características epidemiológicas del país y a partir de algoritmos. En las hojas de cálculo de Excel se proporcionan instrucciones preliminares, datos epidemiológicos y algoritmos, métodos de pruebas de diagnóstico e información sobre bioseguridad, limpieza, mantenimiento y reparación de equipos, así como un resumen del presupuesto.


Subject(s)
Tuberculosis , Antitubercular Agents , Extensively Drug-Resistant Tuberculosis , Diagnosis
5.
Article in Spanish | PAHO-IRIS | ID: phr-56147

ABSTRACT

[RESUMEN]. Introducción. El dengue, el chikunguña y el zika son enfermedades virales que representan una amenaza constante a la salud pública. Las tres arbovirosis pueden producir un cuadro clínico muy similar, lo que repre- senta un desafío para lograr un diagnóstico clínico adecuado y puede conllevar a un inadecuado manejo y generar eventos fatales. La guía Directrices para el diagnóstico y el tratamiento del dengue, el chikunguña y el zika es parte del esfuerzo de la Organización Panamericana de la Salud y los países de la Región de las Américas para evitar los casos graves y la muerte por estas enfermedades, en medio de un complejo panorama epidemiológico donde la presencia de múltiples factores favorece la dinámica de transmisión y ocasiona brotes y epidemias en los países de la Región. Objetivos. Sintetizar las recomendaciones incluidas en dicha guía, publicada por la OPS en 2022, con el fin de presentar el adecuado diagnóstico y tratamiento de estas arbovirosis y abordar aspectos sobre la imple- mentación de las recomendaciones. Métodos. Se llevó a cabo una síntesis de la guía y sus recomendaciones. Adicionalmente, se realizó una bús- queda sistemática en Pubmed, Lilacs, Health Systems Evidence, Epistemonikos y literatura gris de estudios desarrollados en América Latina y el Caribe con el fin de identificar barreras, facilitadores y estrategias de implementación. Se identificaron y construyeron indicadores de proceso y de resultado de la implementación de las recomendaciones. Resultados. Se presentan 12 recomendaciones aplicables a pacientes adultos y pediátricos con sospecha o confirmación de dengue, chikunguña o zika. Se presentan barreras, facilitadores y estrategias para su implementación. Conclusiones. Las recomendaciones proveen estrategias para el diagnóstico y el tratamiento oportunos de casos agudos de dengue, chikunguña y zika, así como consideraciones para su implementación.


[ABSTRACT]. Introduction. Dengue, chikungunya, and Zika are viral diseases that pose a constant threat to public health. These three arboviruses can produce very similar clinical pictures, which represents a challenge to achieving an accurate clinical diagnosis and can lead to inadequate management and even fatal outcomes. Guidelines for the Clinical Diagnosis and Treatment of Dengue, Chikungunya, and Zika is part of the effort by the Pan American Health Organization and the countries of the Region of the Americas to prevent severe cases and death from these diseases, in a complex epidemiological context in which multiple factors favor transmission dynamics and lead to outbreaks and epidemics in the countries of the Region. Objectives. Synthesize the recommendations in the PAHO guidelines, published in 2022, in order to present appropriate diagnosis and treatment of these arboviruses, and to address aspects of implementation of the recommendations. Methods. The guidelines and their recommendations were synthesized. In addition, a systematic search was conducted in PubMed, Lilacs, Health Systems Evidence, Epistemonikos, and gray literature for studies done in the Region of the Americas, in order to identify barriers, facilitators, and implementation strategies. Process and outcome indicators for implementation of the recommendations were identified and formulated. Results. We present 12 recommendations applicable to adult and pediatric patients with suspected or confir- med dengue, chikungunya, or Zika, along with barriers, facilitators, and strategies for their implementation. Conclusions. The recommendations provide strategies for timely diagnosis and treatment of acute cases of dengue, chikungunya, and Zika, as well as considerations for implementation of the strategies.


[RESUMO]. Introdução. Dengue, chikungunya e zika são doenças virais que representam uma ameaça constante à saúde pública. As três arboviroses podem produzir um quadro clínico muito semelhante, o que representa um desafio para se obter um diagnóstico clínico adequado, podendo levar a um manejo inadequado e eventos fatais. O documento Diretrizes para o diagnóstico e o tratamento da dengue, chikungunya e zika faz parte do esforço da Organização Pan-Americana da Saúde e dos países da Região das Américas para prevenir casos graves e mortes por essas doenças, em meio a um complexo panorama epidemiológico onde a presença de múltiplos fatores favorece a dinâmica de transmissão e causa surtos e epidemias nos países da Região. Objetivos. Sintetizar as recomendações do documento mencionado, publicado pela OPAS em 2022, a fim de apresentar o diagnóstico e o tratamento adequados dessas arboviroses e abordar aspectos da implemen- tação das recomendações. Métodos. Foi realizada uma síntese do documento e suas recomendações. Além disso, foi feita uma busca sistemática nas bases de dados PubMed, LILACS, Health Systems Evidence, Epistemonikos e na literatura cinzenta de estudos realizados na América Latina e no Caribe para identificar barreiras, facilitadores e estra- tégias de implementação. Foram identificados e construídos indicadores de processo e de resultado da implementação das recomendações. Resultados. Apresentam-se 12 recomendações aplicáveis a pacientes adultos e pediátricos com suspeita ou confirmação de dengue, chikungunya ou zika. Apresentam-se, ainda, barreiras, facilitadores e estratégias para sua implementação. Conclusões. As recomendações fornecem estratégias para o diagnóstico e o tratamento oportunos de casos agudos de dengue, chikungunya e zika, bem como considerações para sua implementação.


Subject(s)
Dengue , Chikungunya virus , Zika Virus Infection , Arbovirus Infections , Evidence-Based Medicine , Diagnosis , Therapeutics , Americas , Zika Virus Infection , Chikungunya virus , Arbovirus Infections , Evidence-Based Medicine , Diagnosis , Therapeutics , Americas , Zika Virus Infection , Chikungunya virus , Arbovirus Infections , Evidence-Based Medicine , Therapeutics
6.
Alerta (San Salvador) ; 5(2): 133-138, jul. 22, 2022.
Article in Spanish | LILACS, BISSAL | ID: biblio-1380068

ABSTRACT

Las disautonomías son el resultado de un mal funcionamiento del sistema nervioso autónomo, entre las cuales se encuentra el síndrome de taquicardia ortostática postural, un problema de salud variable y complejo que tiene una prevalencia considerable, principalmente en adolescentes y mujeres. Este produce una amplia variedad de signos y síntomas que son similares a los de otras patologías, lo que, sumado a la falta de pruebas diagnósticas específicas, muchas veces retrasa el diagnóstico. A pesar de la existencia de criterios estandarizados para determinar la presencia del síndrome, existe aún una brecha en el conocimiento acerca del mismo. Esto dificulta el abordaje del padecimiento y, por consiguiente, su tratamiento oportuno. Conocer más sobre este síndrome y los factores que dificultan su diagnóstico temprano permitiría mejorar la atención de los pacientes y su calidad de vida


Dysautonomias are the result of a malfunction of the autonomic nervous system, among which is the postural orthostatic tachycardia syndrome, a variable and complex health problem that has a considerable prevalence, mainly in adolescents and women. It produces a wide variety of signs and symptoms that are similar to those of other pathologies, which, added to the lack of specific diagnostic tests, often delays diagnosis. Despite the existence of standardized criteria to determine the presence of the syndrome, there is still a gap in knowledge about it. This hinders the approach to the condition and, consequently, its timely treatment. Understanding more about this syndrome and the factors that hinder its early diagnosis would improve patient care and quality of life


Subject(s)
Autonomic Nervous System , Diagnosis , Postural Orthostatic Tachycardia Syndrome , Tachycardia , El Salvador , Primary Dysautonomias
7.
Alerta (San Salvador) ; 5(2): 153-158, jul. 22, 2022. graf, tab
Article in Spanish | LILACS, BISSAL | ID: biblio-1380076

ABSTRACT

La caries dental es un problema de salud pública que para el año 2016 afectaba a 3500 millones de personas. En los menores de seis años, la progresión de la lesión es más rápida, exponiéndolos a la caries de la temprana infancia y pérdidas dentales prematuras. Determinar el estado de salud/enfermedad del componente bucal de niños de parvularia de un centro escolar con vulnerabilidad social y económica del municipio de San Salvador, en el año 2018, según el índice y la prevalencia de la enfermedad de caries dental. El estudio es descriptivo, cuantitativo, de corte transversal, prospectivo. Las unidades de análisis son niños de cuatro y cinco años de edad, respetando todos los aspectos éticos y la confidencialidad. Se tomó el total del universo, conformado por 96 niños. Resultados. La frecuencia de caries dental en la población en estudio es del 95 %, el índice de dientes cariados, extraídos y obturados es de 6,38, que según la Organización Mundial de Salud es muy alto. La superficie dental más afectada es la oclusal, en los cuadrantes superiores, con un aproximado del 40 %, y en los inferiores, un aproximado del 20 %. La mayoría de la población en estudio padece de caries dental, siendo una minoría la que mantiene la cavidad bucal en estado óptimo


Dental caries is a public health problem, in 2016 it affected 3500 million people. In children under six years of age, the progression of the lesion is faster, exposing them to early childhood caries and premature dental loss. To determine the health/disease status of the oral component of nursery school children from a school with social and economic vulnerability in the municipality of San Salvador, in 2018, according to the index and prevalence of dental caries disease. The study is descriptive, quantitative, cross-sectional, prospective. The units of analysis are children between four and five years of age, respecting all ethical aspects and confidentiality. The total of the universe made up of 96 children was taken. Results. The frequency of dental caries in the study population is 95 %, the decayed, missing and filled caries index is 6,38, which according to the World Health Organization is very high. The most affected tooth surface is occlusal, in the upper quadrants with approximately 40 % and in the lower quadrants with approximately 20 %. The majority of the population under study suffers from dental caries, being a minority that maintains the oral cavity in an optimal state.


Subject(s)
Public Health , Minors , Diagnosis , Mouth , Prevalence , Dental Caries , Mouth Diseases
8.
Rev. colomb. cir ; 37(3): 455-468, junio 14, 2022. fig
Article in Spanish | LILACS | ID: biblio-1378744

ABSTRACT

Introducción. Debido a la rareza de la hernia obturatriz y la imposibilidad para desarrollar estudios controlados de alto grado de evidencia, la mayoría de la literatura al respecto proviene de reportes de casos. Lo anterior, aunado al poco conocimiento del área anatómica de presentación y el cuadro clínico, la convierte en la hernia con mayor mortalidad. Métodos. Se realizó una búsqueda de la literatura en las principales bases de datos, ilustrado con pacientes manejados en el Servicio de Cirugía general de la Clínica Santa María de Sincelejo, Colombia. Discusión. La hernia obturatriz se puede descubrir en mujeres ancianas con antecedentes de cirugía abdominal o multiparidad. El signo de Howship­Romberg, que se presenta en la mitad de los pacientes, puede acompañarse de dolor abdominal en hipogastrio, vómitos y distensión progresiva. La radiografía de abdomen simple muestra tardíamente niveles hidroaéreos con ausencia de gas en ampolla rectal, pero como es poco específica para demostrar el sitio de obstrucción, es preferible la Tomografía computarizada. Conclusión. La hernia obturatriz requiere alto índice de sospecha, que ayude a la detección temprana e intervención quirúrgica inmediata, para evitar las complicaciones.


Introduction. Due to the rarity of the obturator hernia and the impossibility to develop controlled studies with a high degree of evidence, most of the reference in the literature comes from case reports. This, coupled with little knowledge of the anatomical area of presentation and clinical picture, makes it the hernia with the highest mortality. Methods. A literature search was carried out in the main databases, illustrated with patients managed in the General Surgery Service of the Clínica Santa María de Sincelejo. Discussion. Obturator hernia can be discovered in elderly women with a history of abdominal surgery or multiparity. The Howship ­ Romberg sign occurs in half of the patients, it can be associated with lower abdominal pain, vomiting, and progressive distension. Plain abdominal X-ray shows delayed air-fluid levels with absence of gas in the rectal ampulla, but since it is not very specific to demonstrate the site of obstruction, computed axial tomography is preferable. Conclusion. Obturator hernia requires a high index of suspicion, which helps early detection and immediate surgical intervention, to avoid complications.


Subject(s)
Humans , Hernia, Obturator , Intestinal Obstruction , Tomography, X-Ray Computed , Abdominal Pain , Pelvic Pain , Diagnosis
9.
Rev. colomb. cir ; 37(3): 469-479, junio 14, 2022. fig
Article in Spanish | LILACS | ID: biblio-1378760

ABSTRACT

Introducción. En la actualidad, el trauma de recto continúa siendo una situación clínica compleja y temida por ser potencialmente mortal. Su detección y manejo temprano es la piedra angular para impactar tanto en la mortalidad como en la morbilidad de los pacientes. Hoy en día, aún existe debate sobre la aproximación quirúrgica ideal en el trauma de recto y las decisiones de manejo intraoperatorias se ven enormemente afectadas por la experiencia y preferencias del cirujano. Métodos. Se realizó una búsqueda de la literatura en las bases de datos de PubMed, Clinical Key, Google Scholar y SciELO utilizando las palabras claves descritas y se seleccionaron los artículos más relevantes publicados en los últimos 20 años; se tuvieron en cuenta los artículos escritos en inglés y español. Discusión. El recto es el órgano menos frecuentemente lesionado en trauma, sin embargo, las implicaciones clínicas que conlleva pasar por alto este tipo de lesiones pueden ser devastadoras para el paciente. Las opciones para el diagnóstico incluyen el tacto rectal, la tomografía computarizada y la rectosigmoidoscopía. El manejo quirúrgico va a depender de la localización, el grado de la lesión y las lesiones asociadas. Conclusión. El conocimiento de la anatomía, el mecanismo de trauma y las lesiones asociadas permitirán al cirujano realizar una aproximación clínico-quirúrgica adecuada que lleve a desenlaces clínicos óptimos de los pacientes que se presentan con trauma de recto.


Introduction. Currently, rectal trauma continues to be a complex clinical and potentially fatal situation. Its early detection and management is the cornerstone to avoid both mortality and morbidity of patients. Today there is still debate about the ideal surgical approach in rectal trauma, and intraoperative management decisions are greatly affected by the experience and preferences of the surgeon. Methods. A literature search was performed in the PubMed, Clinical Key, Google Scholar and SciELO databases using the keywords described. The most relevant articles published in the last 20 years were selected. Articles written in English and Spanish were considered.Discussion. The rectum is the organ less frequently injured in trauma; however, the clinical implications of overlooking this injury can be devastating for the patient. Options for diagnosis include digital rectal examination, computed tomography and rectosigmoidoscopy. Surgical management will depend on the location, degree of the injury and the associated injuries. Conclusion. Knowledge of the anatomy, the mechanism of trauma and the associated injuries will allow the surgeon to make an adequate clinical-surgical approach that leads to optimal clinical outcomes in patients presenting with rectal trauma.


Subject(s)
Humans , Rectum , Multiple Trauma , Sigmoidoscopy , Wounds and Injuries , Tomography, X-Ray Computed , Colorectal Surgery , Diagnosis
10.
Rev. colomb. cir ; 37(3): 499-504, junio 14, 2022. fig
Article in Spanish | LILACS | ID: biblio-1378846

ABSTRACT

Introducción. El trauma penetrante de cuello representa un evento desafortunado de baja incidencia y alta complejidad diagnóstica y terapéutica, lo que supone un reto para el cirujano general.Caso clínico. Paciente femenina de 20 años de edad, quien sufrió una herida cervical por proyectil de arma de fuego, desarrollando de forma secundaria una lesión aerodigestiva. Se realizó un tratamiento expectante en un hospital de alta complejidad, con una evolución favorable. Discusión. En la literatura existe un claro debate en cuanto al manejo de las lesiones penetrantes en cuello y la sospecha de lesión orgánica oculta. En nuestro paciente la lesión aerodigestiva fue tratada mediante observación y seguimiento clínico. Conclusiones. El manejo de un paciente con lesión aerodigestiva se puede corroborar mediante las imágenes diagnósticas y se puede tratar de forma expectante con un resultado exitoso, sin agregar morbilidad y con un impacto adecuado en el buen uso de los recursos disponibles


Introduction. Penetrating neck trauma represents an unfortunate event with a low incidence and high diagnostic and therapeutic complexity, which represents a challenge for the general surgeon. Clinical case. A 20-year-old female patient, who suffered a cervical wound from a firearm projectile, secondarily developing an aerodigestive lesion. An expectant treatment was carried out in a high complexity hospital, with a favorable evolution.Discussion. In the literature there is a clear debate regarding the management of penetrating neck injuries and suspected occult organic injury. In our patient, the aerodigestive injury was treated by observation and clinical follow-up.Conclusions. The management of a patient with aerodigestive injury can be corroborated by diagnostic images and can be treated expectantly with a successful result, without adding morbidity and with an adequate impact on the proper use of available resources


Subject(s)
Humans , Wounds, Gunshot , Neck , Therapeutics , Wounds and Injuries , Observation , Diagnosis
15.
Multimedia | Multimedia Resources | ID: multimedia-9667

ABSTRACT


Subject(s)
Influenza, Human , Diagnosis
16.
Washington, D.C.; PAHO; 2022-05-05.
| PAHO-IRIS | ID: phr--55956

ABSTRACT

De Alcohol, Smoking and Substance Involvement Screening Test (ASSIST) werd voor de Wereldgezondheidsorganisatie (WGO) ontwikkeld door een internationale groep onderzoekers en clinici als een technisch instrument om te helpen bij de vroegtijdige identificatie van gezondheidsrisico's en stoornissen in verband met middelengebruik in de eerstelijnsgezondheidszorg, de algemene medische zorg en andere omgevingen. Het WHO ASSIST-project is gericht op de ondersteuning en bevordering van screening en korte interventies door gezondheidswerkers ten aanzien van het gebruik van psychoactieve middelen om stoornissen door middelengebruik te voorkomen, bijtijds te herkennen en te beheersen in de gezondheidszorg, met als uiteindelijk doel de ziektelast die wereldwijd aan het gebruik van psychoactieve middelen kan worden toegeschreven, te verminderen.


Subject(s)
Substance Abuse Detection , Primary Health Care , Substance-Related Disorders , Diagnosis
17.
Washington, D.C.; PAHO; 2022-05-04.
| PAHO-IRIS | ID: phr-55953

ABSTRACT

De Alcohol, Smoking and Substance Involvement Screening Test (ASSIST) werd voor de Wereldgezondheidsorganisatie (WGO) ontwikkeld door een internationale groep onderzoekers en clinici als een technisch instrument om te helpen bij de vroegtijdige identificatie van gezondheidsrisico's en stoornissen in verband met middelengebruik in de eerstelijnsgezondheidszorg, de algemene medische zorg en andere omgevingen. Het WHO ASSIST-project is gericht op de ondersteuning en bevordering van screening en korte interventies door gezondheidswerkers ten aanzien van het gebruik van psychoactieve middelen om stoornissen door middelengebruik te voorkomen, bijtijds te herkennen en beheersen in de gezondheidszorg, met als uiteindelijk doel de ziektelast die wereldwijd aan het gebruik van psychoactieve middelen kan worden toegeschreven, te verminderen.


Subject(s)
Substance Abuse Detection , Illicit Drugs , Primary Health Care , Substance-Related Disorders , Diagnosis , Mental Health
18.
Lima; Perú. Ministerio de Salud; May. 2022. 39 p. ilus, graf.
Monography in Spanish | MINSAPERÚ | ID: biblio-1369415

ABSTRACT

La norma contiene los procesos, procedimientos y condiciones especificas para la atención prehospitalaria y el transporte asistido de pacientes con diagnóstico o sospecha de COVID-19


Subject(s)
Health , Diagnosis , Prehospital Care , COVID-19 , Methods
19.
Rev. Ciênc. Méd. Biol. (Impr.) ; 21(1): 134-137, maio 05,2022. fig
Article in English | LILACS | ID: biblio-1370811

ABSTRACT

Introduction: although reports on dental erosion have appeared in literature for a long time, there is currently a growing interest among researchers and clinicians about this matter. Potential risk factors for loss of dental hard tissue are changed lifestyle and eating patterns, with increased consumption of acid foods and beverages. Case report: an atypical tooth wear on the buccal surfaces of the mandibular teeth in a 45-year-old woman referred for orthodontic treatment, associated with the frequent consumption of whiskey and lemon, is reported. A comprehensive approach, such as the recognition of dental erosion joined with a careful investigation about eating habits was performed. Ultrastructural examination of replicas of the teeth showed practically structureless enamel and dentin surfaces. Conclusion: the screening for dental erosion in patients seeking orthodontic treatment is advisable to be a usual procedure. Recommendations for treatment and prophylactic measures are made emphasizing the need of multiprofessional attention.


Introdução: embora relatos sobre erosão dentária já apareçam há bastante tempo na literatura, existe atualmente interesse crescente entre pesquisadores e clínicos sobre esse assunto. Fatores que representam riscos potenciais para a perda de tecido duro do dente são as mudanças no estilo de vida e no padrão de alimentação, com o aumento no consumo de alimentos e bebidas ácidas. Relato de caso: lesões atípicas de desgaste dentário na superfície vestibular das unidades inferiores, em uma mulher com 45 de idade, encaminhada para tratamento ortodôntico, associadas ao consumo frequente de uísque e limão, foram relatadas. Uma abordagem abrangente, como o reconhecimento da erosão dentária, em conjunção com a investigação cuidadosa dos hábitos alimentares, foi realizada. O exame por meio da microscopia eletrônica de varredura, realizada em réplicas dos dentes, revelou superfícies de esmalte e dentina praticamente desprovidos de elementos estruturais. Conclusão: sugere-se que uma avaliação direcionada à busca por erosão dentária em pacientes que procuram por tratamento ortodôntico seja um procedimento rotineiro. A atenção multiprofissional, envolvendo o tratamento e o uso de medidas preventivas, é essencial para a adequada atuação junto ao paciente.


Subject(s)
Humans , Female , Middle Aged , Tooth Abrasion , Tooth Erosion , Diagnosis , Alcoholic Beverages , Acidity
20.
European heart journal. Acute cardiovascular care ; 11(supl.1): 173-173, May 3, 2022. ilus
Article in English | Sec. Est. Saúde SP, CONASS, SESSP-IDPCPROD, Sec. Est. Saúde SP | ID: biblio-1369859

ABSTRACT

BACKGROUND/INTRODUCTION: cardiovascular disease (CVD) is the leading cause of death in the world, with acute myocardial infarction (AMI) being the main responsible for this leadership. One of the determining factors in the outcome of Acute Coronary Syndrome (ACS) is the time to start treatment. An extremely promising path for obtaining earlier diagnosis and treatment has been the use of technological innovations in emergency care units. PRUPOSE: this study was carried out to assess the impact of applying a technology hub in the chest pain scenario in the emergency room, regarding the feasibility and potential reduction of time for diagnosis and treatment of ACS. METHODS: data obtained from 10 hospitals in the public health system in Brazil, which implemented the technology hub in the last 7 months (May to October 2021), were analyzed. This technology hub uses Artificial Intelligence (AI) to identify electrocardiograms (ECGs) with a high probability of alterations, which must be reported within 5 minutes by the cardiologist on shift (24/7) on the platform. RESULTS: 5,506 ECGs were entered into the platform, of which 53.77% (2,961) were considered abnormal; of these, 9.92% (294) had alterations compatible with ischemic events (currents of injury or myocardial ischemia). The median time for the ECG report made by the specialist was 2 minutes and 51 seconds. CONCLUSION: the implementation of a technology hub in the chest pain scenario in the emergency room proved to be feasible and has great potential for reducing the distance between symptoms and the treatment of patients with ACS.


Subject(s)
Artificial Intelligence , Acute Coronary Syndrome , Diagnosis
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