RESUMO
Cognitive impairment and dementia affect dozens of millions of people worldwide and cause significant distress to patients and caregivers and a financial burden to families and health care systems. Careful history-taking, cognitive and physical examination, and supplemental neuroimaging and fluid-based biomarkers can accurately diagnose neurocognitive disorders. Management includes non-pharmacological and pharmacological treatments tailored to the etiology and to the individual.
Assuntos
Disfunção Cognitiva , Demência , Humanos , Idoso , Demência/diagnóstico , Demência/epidemiologia , Demência/terapia , Disfunção Cognitiva/diagnóstico , Disfunção Cognitiva/epidemiologia , Disfunção Cognitiva/terapia , Cuidadores/psicologia , Transtornos Neurocognitivos , NeuroimagemRESUMO
Access to spiritual support appears to be important in the hospital setting. The offer of spiritual support can be done by different providers such as doctors, nurses or chaplains. Who should initiate or coordinate this spiritual care. This study addresses the following questions: 1) How many patients accept spiritual proposition? 2) What is the better mode of proposition? The study's objectives are the assessment and comparison of the rates of acceptance to an offer of spiritual support made by nurses and chaplains. Two hundred twenty-three consecutive hospitalized patients hospitalized received a proposal of spiritual support and were randomly assigned to one of two conditions. Results revealed that 85.8% of patients accepted the offer in the chaplains' group and 38.5% in the nurses' group. Acceptance of the offer of spiritual support was positively associated with the proposal being made by the chaplains by the frequency of meditation and age, and negatively related to physical well-being.
Assuntos
Serviço Religioso no Hospital/métodos , Pacientes Internados/psicologia , Cuidados Paliativos/métodos , Assistência Religiosa/métodos , Relações Profissional-Paciente , Religião e Psicologia , Adulto , Idoso , Feminino , Humanos , Pacientes Internados/estatística & dados numéricos , Masculino , Pessoa de Meia-Idade , Relações Enfermeiro-Paciente , Papel Profissional , EspiritualidadeAssuntos
Alérgenos/imunologia , Cabelo/imunologia , Hipersensibilidade/diagnóstico , Lipocalinas/imunologia , Sciuridae , Adulto , Alérgenos/análise , Alérgenos/genética , Alérgenos/metabolismo , Motivos de Aminoácidos , Animais , Animais Domésticos , Western Blotting , Fezes/química , Cabelo/metabolismo , Humanos , Hipersensibilidade/sangue , Hipersensibilidade/imunologia , Imunoglobulina E/sangue , Lipocalinas/análise , Lipocalinas/genética , Lipocalinas/metabolismo , Masculino , Espectrometria de Massas , Proteômica , Homologia de Sequência , Testes CutâneosAssuntos
Antígenos de Plantas/imunologia , Cucurbita/imunologia , Ciclofilinas/imunologia , Hipersensibilidade Alimentar/diagnóstico , Hipersensibilidade Alimentar/imunologia , Antígenos de Plantas/metabolismo , Reações Cruzadas , Cucurbita/enzimologia , Cucurbitaceae/imunologia , Ciclofilinas/metabolismo , Feminino , Hipersensibilidade Alimentar/sangue , Hipersensibilidade Alimentar/fisiopatologia , Humanos , Imunoglobulina E/sangue , Imunoglobulina E/metabolismo , Imunomodulação , Espectrometria de Massas , Mimetismo Molecular , Extratos Vegetais , Prurido , Homologia de Sequência , Adulto JovemAssuntos
Alérgenos/química , Alérgenos/imunologia , Furões/imunologia , Hipersensibilidade/imunologia , Adulto , Alérgenos/análise , Alérgenos/isolamento & purificação , Sequência de Aminoácidos , Animais , Asma/imunologia , Teste de Degranulação de Basófilos , Western Blotting , Cabelo/química , Cabelo/imunologia , Humanos , Hipersensibilidade/diagnóstico , Imunoglobulina E/imunologia , Masculino , Dados de Sequência Molecular , Testes Cutâneos , Urina/químicaRESUMO
PURPOSE: This study was conducted to relate the histological diagnosis of chronic inflammatory periapical lesions with the radiographic images of these lesions. MATERIALS AND METHODS: A total of 70 biopsy specimens obtained during periapical surgery were stained with hematoxylin and eosin and examined under a microscope. Histological analysis established the diagnosis as granuloma, cyst, or scar tissue. The location of the lesion was recorded, as were the radiographic size (maximum and minimum diameter in mm and area in mm(2)) and the presence of radiopaque lamina around the lesion, using an image analyzing system. RESULTS: The distribution of the biopsy specimens was 65.7% granulomas, 25.7% scar tissue, and 8.6% cysts, 1 of which was a keratocyst. The largest lesions were cysts and epithelialized granulomas, with statistically significant differences. Radiopaque lamina was observed around 9 lesions; of these, only 2 were histologically diagnosed as cysts, with the rest as granulomas. CONCLUSIONS: Most of the apical lesions were granulomas. Cysts had the largest radiotransparent images; however, in the 70 cases studied, neither the radiographic size nor the presence of associated radiopaque lamina alone was sufficient to determine the type of lesion. Histological analysis is required.
