Sociodemographic, laboratory, image data and predictors of gravity risk in patients with COVID-19.

INTRODUCTION: The effects, severity, and prognosis of COVID-19 infections do not follow a linear pattern in different locations, but change according to the epidemiological data and social issues in each region. AIMS: The purpose of the current study is to provide the clinical and epidemiological standard of the population affected by COVID-19 in the city of Juiz de Fora, MG to better understand the disease and its risk factors, in order to enable more appropriate conduct for patients. METHODS: A retrospective observational study was carried out from March to August of 2020, with 266 participants admitted to the emergency department of the Instituto de Clínicas e Cirurgia de Juiz de Fora-Hospital Monte Sinai. Data were tabulated, analyzed, and classified according to the outcome using an ordinal regression model. RESULTS: Among the 266 admitted patients, the most common findings were ground-glass opacifications on chest CT (78.8%), cough (75.6%), fever (58.4%), and rhinorrhea (34.5%). There were greater severity and greater need for hospitalization and admission to the ICU in patients who were male, tachypneic at the time of admission, with older age, and with underlying diseases. CONCLUSION: Collected data allowed for a better understanding of the disease, its severity criteria, and its pattern of affection in Juiz de Fora, MG. More studies based on the analysis of the behavior of COVID-19 in different regions must be carried out, to improve treatment and support to local populations.

Ludwig's angina after severe thrombocytopenic purpura associated with dengue fever.

Here, we report a case of Ludwig's angina, which required surgery because of toothache. The patient had dengue and severe thrombocytopenia as confirmed by clinical and laboratory diagnoses. However, dengue is not included among the predisposing factors for Ludwig's angina.

Ludwig's angina after severe thrombocytopenic purpura associated with dengue fever

Here, we report a case of Ludwig's angina, which required surgery because of toothache. The patient had dengue and severe thrombocytopenia as confirmed by clinical and laboratory diagnoses. However, dengue is not included among the predisposing factors for Ludwig's angina.

[Effect of feeding competencies on the nutritional status of children with cerebral palsy]. / Efeito das competências alimentares no estado nutricional de crianças portadoras de paralisia cerebral.

The purpose of this study was to determine if the feeding competencies influence the nutritional status in a group of Portuguese children with cerebral palsy (CP). One hundred and five children, aged between 4 and 12 years, were studied. Nutritional status was determined through BMI for age (BMI_y), and subescapular (SSF) and tricipital skinfolds (TSF). Feeding competencies were evaluated using the seven levels of the Functional Feeding Assessment test (FFA). This study confirmed the high prevalence of malnutrition in children with CP, since 44,8% of the sample had a BMI_y bellow the 5th percentile (Pct5). Significant differences were observed between males and females, namely in malnutrition which was higher in females (52, 4% had a BMI_y

Anormalidades da repolarizaçäo ventricular determinadas por rápida reduçäo da pressäo arterial / Ventricular repolarization abnormalities in sudden reduction of blood pressure

Através do ECG, 25 pacientes com pressäo arterial diastólica acima de 120 mmHg foram estudados antes e depois do uso de nifedipina para normalizaçäo da pressäo. Em dois observou-se o aparecimento de alteraçöes isquêmicas no ECG secundárias a queda de pressäo de perfusäo coronariana.

Morfologia das extra-sístoles ventriculares e sua correlaçäo com a estrutura e funçäo ventricular / Morphology of ventricular premature beats and relation to ventricular structure and function

Para analisar a relaçäo entre a morfologia da ESV no ECG e os índices de funçäo ventricular ao ecocardiograma foram estudados 84 pacientes do ambulatório do Hospital Universitário da Universidade Federal de Juiz de Fora, que apresentavam ESV no ECG de rotina. Os pacientes foram divididos em dois grupos: GRUPO 1 - ESV com complexos QRS de duraçäo inferior a 0,14 s e traçado regular e ininterrupto ou com entalhe estreito (0,04 s); GRUPO 2 - ESV com complexo QRS de duraçäo superior a 0,14 s ou com entalhe largo (0,04 s) ou com saliências. As variáveis ecocardiográficas concernentes à funçäo e estrutura foram comparadas entre os grupos. O grupo 1 constitui-se de 55 pacientes, sendo 26 do sexo feminino e 29 do masculino, com idade média de 60 anos (27-83 anos). o GRUPO 2, com 29 pacientes apresentava 14 do sexo feminino e 15 masculino, com idade média de de 58 anos (30 a 83 anos). Examinando-se os resultados nota-se que ESV com complexos aberrantes tendem a ocorrer em pacientes com pior funçäo ventricular e cavidades de maior diâmetro. Estabelecendo como critério de aumento do VE diâmetro superior a 50 mm e disfunçäo ventricular fraçäo de ejeçäo inferior a 50 por cento, ESVs aberrantes podem apontar ventrículos com pior funçäo a maior tamanho com uma sensibilidade de 92 por cento e uma especificidade de 70 por cento. Em conclusäo, a importância de se verificar a morfologia das ESVs pode residir em ser este um método rápido, de baixo custo e näo invasivo, permitindo, ao lado de anamnese e exame físico, uma avaliaçäo inicial rápida da funçäo ventricular.