RESUMO
INTRODUCTION: Sialorrhoea is an important sign in children with central nervous system conditions that seriously affects health and quality of life. Kinesiotaping is presented as a non-invasive alternative that is useful in controlling the swallowing of saliva. AIM: To examine the efficacy of kinesiotaping as a therapeutic resource in the control of sialorrhoea. PATIENTS AND METHODS: A bibliographic search was carried out in the databases Scopus, PubMed, Web of Science, Cochrane Library, Science Direct and Google Scholar, using the terms «bandages¼, «tape¼, «kinesiotaping¼, «sialorrea¼, «deglutition¼, «drooling¼ and «swallowing difficulty¼, and the methodological quality was evaluated with Form-Quantitative Studies and the Oxford scale. RESULTS: Ten studies were selected for review: six of which applied kinesiotaping in the suprahyoid area and four in the area of the orbicularis muscle of the lips. All studies show significant differences in the use of different treatment techniques, but without any significant differences between kinesiotaping and other techniques. CONCLUSIONS: Studies of high methodological quality are scarce; however, significant improvements in outcomes and no adverse effects are reported, which may have a positive influence on the clinical features and on day-to-day therapy.
TITLE: Efectos del kinesiotaping en el control de la sialorrea en niños con patologías del sistema nervioso central: revisión sistemática.Introducción. La sialorrea es un signo importante en los niños con patologías del sistema nervioso central que afecta gravemente a la salud y a la calidad de vida. El kinesiotaping se presenta como una alternativa no invasiva útil para el control de la deglución de la saliva. Objetivo. Examinar la eficacia del kinesiotaping como recurso terapéutico en el control de la sialorrea. Pacientes y métodos. Se realizo una búsqueda bibliográfica en las bases de datos Scopus, PubMed, Web of Science, Cochrane Library, Science Direct y Google Académico, usando los términos «bandages¼, «tape¼, «kinesiotaping¼, «sialorrea¼, «deglutition¼, «drooling¼ y «swallowing difficulty¼, y se valoró la calidad metodológica con la Critical Review Form-Quantitative Studies y la escala de Oxford. Resultados. Se seleccionaron diez estudios para la revisión: seis aplicaron kinesiotaping en la zona suprahioidea y cuatro en la zona del músculo orbicular de los labios. Todos los estudios muestran diferencias significativas con el uso de las diferentes técnicas de tratamiento, sin establecer diferencias significativas entre otras técnicas y el kinesiotaping. Conclusiones. Los estudios de alta calidad metodológica son escasos; sin embargo, se describen mejoras significativas en los resultados y sin efectos adversos, lo que puede influir positivamente en la clínica y en la terapia cotidiana.
Assuntos
Fita Atlética , Sialorreia/terapia , Adolescente , Doenças do Sistema Nervoso Central/complicações , Criança , Pré-Escolar , Feminino , Humanos , Masculino , Sialorreia/etiologiaRESUMO
El embarazo localizado dentro de una cicatriz de cesárea previa es el menos frecuente de los embarazos ectópicos y no existe un tratamiento estándar. Se presenta el caso de una paciente de sexo femenino de 33 años de edad, que ingresó por el servicio de emergencias de Ginecología y Obstetricia del Hospital Obrero Nº2, con reporte ecográfico de embarazo de 6,3 semanas, a nivel de cicatriz de cesárea previa, con embrión único con actividad cardiaca; por la solicitud de la paciente de preservar la fertilidad se le ofreció tratamiento médico con metotrexato.
The pregnancy located within the previous cesarean section scar is the less frequent of the ectopics pregnancies and a standard treatment doesn't exist. We present the case of a 33 year-old female patient admitted by the Servicio de Emergencias de Ginecología y Obstetricia del Hospital Obrero Nº2, with ultrasonography report of pregnancy of 6,3 weeks, and ectopic cesarean scar pregnancy, with single embryo with heart activity; By the request of the patient to preserve fertility were offered treatment medical with metotrexato.
Assuntos
Gravidez Ectópica , Metotrexato/administração & dosagemRESUMO
Una urgencia puede definirse como "una situación clínica que precisa de una atención sanitaria inmediata". Actualmente se observa un aumento desmedido en la utilización de los servicios de urgencias, lo cual afecta a la calidad de la atención y los costes, ya que se ha estimado que el coste de una enfermedad no urgente atendida en el Servicio de Urgencia hospitalario es entre 2,5 y 3 veces mayor que si la misma fuera atendida en una consulta. El objetivo es describir la demanda asistencial del Servicio de Urgencias del Hospital Distrital de Hernandarias (HDH) del año 2015. El estudio fue descriptivo, transversal y retrospectivo, realizado en el HDH, desde 01 de enero al 31 de diciembre del 2015. La fuente de datos, fueron los registros del Departamento de Estadística del HDH, siendo excluidas las consultas extramurales, externas y los casos pediátricos. De acuerdo a la prioridad de atención fueron clasificadas en emergencias, urgencias y consulta normal y los motivos de consulta fueron clasificados por causa médica, quirúrgica y traumas. Fue garantizada la confidencialidad de los pacientes. Durante el 2015 fueron atendidos 95.099 casos, 23.967 registrados como urgencias de adultos. El 70 % (15.815) fueron mujeres. El promedio de edad fue de 41 años. El 95% (22.160) de los pacientes provino de la ciudad de Hernandarias. Los meses con mayor demanda fueron agosto 12% (2930), julio (2701) y setiembre (2540) 11%, enero presento 2% (484). Los días de mayor afluencia fueron los miércoles (17%) y martes (16%). El motivo de consulta fueron Urgencias 71%, 9% Emergencias 9% y Consultas 20%. Los motivos de consultas fueron debidas a casos médicos (85%), traumas 9% y por causas quirúrgicas 6%. El 69% (16.638) fueron internados. Se debe realizar una correcta utilización de los servicios de urgencias para optimizar el servicio.
An urgency can be defined as "a clinical situation that needs immediate health care." There is currently an excessive increase in the use of Emergency Services, which affects the quality of care and costs, since it has been estimated that the cost of a non-urgent case taken care of in the Hospital Emergency Service is between 2.5 and 3 times greater than if the same case was taken care of in a consultation. The objective of this research is to describe the demand of the Emergency Department of the District Hospital of Hernandarias (HDH) of 2015. This study was descriptive, cross-sectional and retrospective, performed in the HDH, from january the 1st to december 31st, 2015. The data source was the records of the HDH Department of Statistics, excluding external consultations and pediatric cases. According to the priority of attention they were classified in emergencies, urgencies and normal consultation. The reasons for consultation were medical, surgical and trauma. Confidentiality of patients was guaranteed. During 2015, 95,099 cases were treated, 23,967 were registered as adult emergencies. 70% (15,815) were male. The average age was 41 years old. 95% (22,160) of the patients came from the city of Hernandarias. The months with the highest demand were August with 12% (2930), July (2701) and September (2540) 11%. January presented 2% of the cases (484). The days of greater affluence were wednesday (17%) and tuesday (16%). The reasons for consultation were 71% urgencies, 9% emergencies 9% and 20% consultations. The motives were due to medical cases (85%), trauma 9% and surgery cases in a 6%. 69% (16,638) were hospitalized. There must be a correct use of Emergencies Services in order to optimize it.
Assuntos
Serviço Hospitalar de Admissão de Pacientes , Serviço Hospitalar de Admissão de Pacientes/estatística & dados numéricos , ParaguaiRESUMO
A reactivity and selectivity study of O,O-diethyl 2,4-dinitrophenyl phosphate () and O,O-diethyl 2,4-dinitrophenyl thionophosphate () with a series of thiols of low molecular weight: N-acetyl cysteine (NAC), l-cysteine (Cys), homocysteine (Hcys), glutathione (GSH), and d-penicillamine (Pen) was conducted. Results show that (i) these nucleophiles only attack at the aromatic moiety of both triester derivatives, (ii) a kinetic control product by sulfhydryl attack of thiols was observed in the reactions of both triesters with Cys and Hcys, followed by an intramolecular amine attack leading to a thermodynamic control product. The kinetic study leads to the proposal of Meisenheimer complex formation and then proton transfer to the reaction media as the mechanism of these reactions.
RESUMO
Meckel's diverticulum is the most common congenital abnormality of the gastrointestinal tract. It is found in 2.00% of the population and is more frequent in children. Invagination is an unusual complication that can cause secondary intestinal intussusception. This event is extremely rare and only a few cases have been reported. We present the case of a 19-year-old male who presented with chronic abdominal pain and weight loss of 23 Kg 6 months prior to hospital admittance. The last episode manifested as intense abdominal pain, nausea, vomiting, and diarrhea with a 6-hour progression. Imaging studies established the diagnosis of bowel obstruction and ileocolic intussusception. Laparotomy with ileocolic resection was performed without reducing the intussusception. The histopathologic study reported inverted Meckel's diverticulum at the base of the ileocolic intussusception. Intestinal intussusception in adults, secondary to inverted Meckel's diverticulum is rare and should be considered in the differential diagnosis of patients presenting with abdominal pain and bowel obstruction.
