Estudo da jornada da saúde sobre a COVID-19 e suas repercussões em Guaratinguetá / Estudio de la jornada da saúde sobre covid-19 y sus repercusiones en Guaratinguetá / Study of the jornada da saúde on covid-19 and its repercussions in Guaratinguetá

Objetivo: Entender a situação da COVID-19 em Guaratinguetá e suas repercussões na saúde física e mental da população local. Método: Estudo quantitativo descritivo, com coleta de dados por meio de um questionário aplicado aos pacientes atendidos durante a Jornada da Saúde em Guaratinguetá, realizado em outubro de 2020. Resultados: 2% dos entrevistados responderam que tiveram COVID-19 e 44% relataram conhecer alguém que teve a infecção. 82% relataram concordar com as medidas de prevenção. 51% dos entrevistados responderam que se sentiram mais ansiosos ou deprimidos durante este mesmo período. Conclusão: as repercussões da pandemia não se restringem aos casos de infecção, destacando a necessidade de cuidado com a saúde física e mental da população, um grande desafio para o sistema de saúde brasileiro, com repercussões a longo prazo(AU)

Objective: To understand the situation of COVID-19 in Guaratinguetá and the repercussions of the pandemic in the local population's physical and mental health. Method: Quantitative descriptive study, with data collected by a questionnaire applied to patients attending the Jornada da Saúde in Guaratinguetá held in October 2020. Results: 2% of interviewed answered that they had COVID-19 and 44% reported knowing someone who had the infection, 82% reported agreeing with the preventive measures, 51% replied that they felt more anxious or depressed during this same period. Conclusion: the repercussions of the pandemic are not restricted to cases of infection, emphasizing the need to care for the physical and mental health of the population, a major challenge for the Brazilian health system, with long term repercussions(AU)

Objetivo: Conocer la situación del COVID-19 en Guaratinguetá y su impacto en la salud física y mental de la población local. Método: Estudio descriptivo cuantitativo, con recolección de datos mediante cuestionario aplicado en pacientes atendidos durante la Jornada da Saúde en Guaratinguetá realizado en octubre de 2020. Resultados: 2% de los entrevistados ya havian tenido COVID-19 y 44% conocer a alguien que ya la havia tenido. El 82% informó estar de acuerdo con las medidas de prevención para la misma y 51% respondió sentirse más ansioso o deprimido durante la pandemia. Conclusión: las repercusiones de la pandemia no se limitan a los casos de infección, destacando la necesidad de cuidar la salud física y mental de la población, un gran desafío para el sistema de salud brasileño, con repercusiones a largo plazo(AU)

Air pollution influence on serum inflammatory interleukins: A prospective study in childhood-onset systemic lupus erythematous patients.

OBJECTIVE: To assess the effect of individual exposure, in real-time, to traffic-related pollutants on serum interleukin levels of childhood-onset lupus erythematous systemic (c-SLE) patients. METHODS: A longitudinal and observational design was conducted in 12 repeated measures of serum samples and clinical evaluations (totaling 108 measurements) of c-SLE patients over 30 consecutive months. Real-time, individual exposure to fine particles (PM2.5) and nitrogen dioxide (NO2) was measured with portable monitors. Generalized estimating equation was used to evaluate the association between exposure to PM2.5 and NO2 and the following serum cytokine levels on the 7 days preceding clinical assessment and serum collection: MCP1, IL-6, IL-8, IL-10, IL-17, IFN-alpha, and TNF-alpha. Disease activity and other risk factors were also controlled. RESULTS: An interquartile range (IQR) increase in PM2.5 daily concentration was significantly associated with increased levels of TNF-alpha on the third, fourth, and seventh day after exposure; IL-10 on the third and fourth day after exposure; IL-17 on the third and seventh day after exposure; and INF-alpha on the third day after exposure (p < 0.05). An IQR increase in 7-day moving average of PM2.5 was associated with a 6.2 pg/mL (95% CI: 0.5; 11.8; p = 0.04) increase in serum IFN-alpha level. An unexpected significant association was observed between an IQR increase in NO27-day cumulative concentration and a decrease of 1.6 pg/mL (95% CI: -2.6; -0.7; p < 0.001) in serum IL-17. CONCLUSION: Real-time exposure to PM2.5 prospectively associated with increased serum TNF-alpha, INF-alpha, IL-10, and IL-17 levels in c-SLE patients.

Compartment syndrome after distal biceps brachii tendon rupture in an athlete.

This is a case report of a previously healthy athlete who did not use oral anticoagulant, suffered a rupture of the distal biceps brachii tendon, and evolved with arm compartment syndrome. An emergency fasciotomy and the repair of the tendon were performed. After surgery the patient had a good recovery of the paresthesia and sensibility. This complication is rare and, when reported, is usually associated with patients who use anticoagulant therapy. Due to growth of rupture of distal biceps tendon cases, physicians should be aware that this complication must be treated as an emergency.

Compartment syndrome after distal biceps brachii tendon rupture in an athlete / Síndrome compartimental em paciente atleta após ruptura do tendão distal do músculo bíceps do braço

ABSTRACT This is a case report of a previously healthy athlete who did not use oral anticoagulant, suffered a rupture of the distal biceps brachii tendon, and evolved with arm compartment syndrome. An emergency fasciotomy and the repair of the tendon were performed. After surgery the patient had a good recovery of the paresthesia and sensibility. This complication is rare and, when reported, is usually associated with patients who use anticoagulant therapy. Due to growth of rupture of distal biceps tendon cases, physicians should be aware that this complication must be treated as an emergency.

RESUMO Relato de caso de paciente atleta, previamente hígido e que não utilizava anticoagulantes orais, com lesão do tendão distal do músculo bíceps braquial, que evoluiu com síndrome compartimental do braço. Realizaram-se fasciotomia de emergência e reparo cirúrgico do tendão, apresentando bom seguimento com recuperação da parestesia e sensibilidade. Essa complicação é bastante rara e, quando relatada, geralmente é associada a pacientes em uso de medicamentos anticoagulantes orais. Contudo, com o aumento da incidência de rupturas do tendão do músculo bíceps braquial, é preciso estar atento à tal complicação que deve ser conduzida como emergência.