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2.
s.l; National COVID-19 Clinical Evidence Taskforce; 2020. 215 p.
Monografia em Inglês | BIGG | ID: biblio-1116720

RESUMO

This guideline aims to provide specific, patient-focused recommendations on management and care of people with suspected or confirmed COVID-19. With the exception of chemoprophylaxis for the prevention of infection in people exposed to COVID-19, the guideline does not include other interventions used in the prevention of COVID-19 infection or transmission. Within each recommendation, the patient population of interest is specified.


Assuntos
Humanos , Masculino , Feminino , Gravidez , Criança , Adolescente , Adulto , Pessoa de Meia-Idade , Idoso , Antivirais/uso terapêutico , Plasma/imunologia , Pneumonia Viral/diagnóstico , Pneumonia Viral/tratamento farmacológico , Dexametasona/uso terapêutico , Diagnóstico Clínico/diagnóstico , Colchicina/uso terapêutico , Interferons/uso terapêutico , Infecções por Coronavirus/diagnóstico , Infecções por Coronavirus/tratamento farmacológico , Gravidade do Paciente , Darunavir/uso terapêutico , Betacoronavirus/efeitos dos fármacos , Hidroxicloroquina/uso terapêutico , Hipóxia/diagnóstico , Aleitamento Materno , Prática Clínica Baseada em Evidências/métodos
3.
Rev. cuba. pediatr ; 91(4): e796, oct.-dic. 2019.
Artigo em Espanhol | LILACS, CUMED | ID: biblio-1093734

RESUMO

Introducción: El método clínico es el método científico aplicado a la atención individual de un paciente. Su empleo en la especialidad de neonatología tiene características individuales, por la relación particular que se establece entre el médico, el recién nacido y los padres. Objetivo: Describir la importancia del método clínico en una especialidad tan joven como los cuidados intensivos neonatales. Métodos: Se realizó una revisión sobre el método clínico y su aplicación en neonatología. Se buscaron artículos de los últimos diez años en CUMED, LILACS, PubMED y Cochrane Library, en los idiomas español, inglés y portugués. Se utilizaron un total de 26 referencias bibliográficas. Resultados: En neonatología la simple relación médico-paciente se transforma en una más compleja que es la relación médico-paciente-padres. No existe ningún examen de laboratorio que supla la adecuada interrelación entre estos tres elementos, que constituyen la estrategia básica de la aplicación del método clínico en esta especialidad. La observación clínica comienza desde que los padres llegan a consulta con el neonato. Sus expresiones faciales y actitudes con el recién nacido son factores a considerar para hacer un buen diagnóstico clínico. Se relacionan los errores más frecuentes que se cometen durante el examen físico del recién nacido. Consideraciones finales: El método clínico en neonatología es una herramienta fundamental, pero con particularidades específicas porque los recién nacidos no tienen la posibilidad de la comunicación, de ahí que es muy importante saber escuchar a los padres y estar atentos a sus manifestaciones(AU)


Introduction: The clinical method is the scientific method applied to the individual care of a patient. Its application in the neonatology specialty has its own characteristics due to the particular relationship settled among the doctor, the newborn and the parents. Objective: To describe the importance of the clinical method in such a young specialty as it is neonate's intensive care. Methods: It was carried out a review on the clinical method and its application in neonatology. Articles of the last ten years were looked for in CUMED, LILACS, PubMED and Cochrane Library, in Spanish, English and Portuguese languages. They were used a total of 26 bibliographical references. Results: In neonatology the simple doctor-patient relationship becomes a more complex one that is the doctor-patient-parents relationship. There is no laboratory test that replaces the appropriate interrelation among these three elements that constitute the basic strategy for the application of the clinical method in Neonatology. Clinical observation begins since the parents arrive to a consultation with the newborn. Their facial expressions and attitudes with the newborn are factors to consider making a good clinical diagnosis and also the most frequent errors that are made during the physical exam of the newborn. Final considerations: The clinical method in neonatology is a fundamental tool but it has specific particularities because newborns don't have the ability of communication; that is why it is very important knowing how to listen to the parents and to be attentive to their manifestations(AU)


Assuntos
Humanos , Masculino , Feminino , Recém-Nascido , Unidades de Terapia Intensiva Neonatal/normas , Diagnóstico Clínico , Neonatologia/métodos
4.
Rev. cient. odontol ; 7(2): 141-151, jul.-dic. 2019. ilus, tab
Artigo em Espanhol | LILACS | ID: biblio-1046791

RESUMO

El Síndrome de Treacher Collins es una malformación craneofacial autosómica dominante (STC) que se presenta cuando el gen TCOF1 (5q32-q33.1) sufre una mutación. Su incidencia se estima en 1/50,000 nacidos y presenta manifestaciones en tejidos blandos y duros. Métodos: Seis individuos diagnosticados con STC, remitidos de la Asociación Treacher Collins México AC, para la realización de estudios imagenológicos prequirúrgicos. Objetivo: Describir las características clínicas, radiográficas y morfométricas de individuos con esta condición. Resultados: No existen suficientes estudios en los cuales se determinen patrones específicos en un mismo individuo, e incluso cuando se comparan entre sí, por lo que es necesario establecer protocolos para su manejo. Conclusiones: Las características clínicas del individuo con STC varían de acuerdo con la severidad de expresión genética, las cuales se pueden corroborar con fotografías, imágenes radiográficas y medidas morfométricas que nos orientaran en el manejo y planeación del tratamiento. (AU)


Treacher Collins Syndrome is a craniofacial, autosomal dominant, severe and complex malformation that occurs when the TCOF1 (5q32-q33.1) gene suffers a mutation. Its incidence is estimated at 1/50,000 births and shows manifestations in soft and hard tissues. Methods: Six individuals whit TCS diagnosis refer from Asociacion Treacher Collins México AC to do a pre-surgical imaging studies. Objective: Describe the clinical, radiographic and morphometric characteristics of individuals with this condition. Results: There are not enough studies that may establish specific patterns in the same individual and even when compared to each other, so it is necessary to establish protocols for their management. Conclusions: The clinical characteristics of the individual with TCS vary according to the severity of genetic expression, which can be corroborated with photographs, radiographic images and morphometric measurements that will guide us is the management and planning of treatment. (AU)


Assuntos
Humanos , Masculino , Feminino , Adolescente , Adulto , Diagnóstico Clínico , Tomografia Computadorizada de Feixe Cônico , Mandíbula/anormalidades , Disostose Mandibulofacial
5.
Rev. cuba. estomatol ; 56(3): e1904, jul.-set. 2019. tab, graf
Artigo em Espanhol | LILACS | ID: biblio-1093239

RESUMO

RESUMEN Introducción: La hemofilia es una enfermedad genética poco frecuente en la consulta odontológica. En algunas situaciones se presenta como una urgencia odonto-estomatológica, en la que el profesional debe relacionar las manifestaciones clínicas generales de la enfermedad, con una correcta semiología, paraclínicos y análisis genético-molecular, para diagnosticar y aplicar pertinentes terapéuticas dirigidas a resolver el motivo de consulta del paciente así como el manejo y control de sus complicaciones. Objetivo: Describir los principales aspectos fisiopatológicos generales y de importancia odontológica de la hemofilia, así como las herramientas diagnósticas desde el punto de vista clínico, paraclínico y genético-molecular. Métodos: Búsqueda bibliográfica en las bases de datos Pubmed, Proquest, Scielo y Elsevier, en idioma inglés y español, en las que se seleccionaron artículos publicados en un periodo de 13 años para un total de 50 (2005-2018), empleando los descriptores "hemophilia A, hemophilia B, diagnostic criteria, genetic, molecular, oral health, clinical diagnosis". Análisis e integración de la información: Los estudios han demostrado que la hemofilia, una condición genética y sistémica, tiene repercusiones bucales en el contexto de sus manifestaciones y complicaciones, lo que la hace importante para el odontólogo, debido a que debe ser diagnosticada desde el punto de vista genético-molecular y manejada interdisciplinariamente. Conclusiones: La implicación del diagnóstico genético-molecular por parte del genetista soporta la integración del hematólogo y el odontólogo para el manejo y control de la interconsulta cuando se trata de pautar procedimientos en pacientes con hemofilia(AU)


ABSTRACT Introduction: Hemophilia is a genetic disease scarcely found in dental practice. On occasion it presents as a dental emergency in face of which the professional should relate the general clinical manifestations of the disease to an appropriate semiological, paraclinical and genetic-molecular analysis to diagnose the condition and apply relevant therapies aimed at solving the patient's main concern as well as managing and controlling its complications. Objective: Describe the main general pathophysiological features and aspects of dental interest of hemophilia, as well as the diagnostic tools related to the condition from a clinical, paraclinical and genetic-molecular perspective. Methods: A bibliographic search was conducted in the databases Pubmed, Proquest, Scielo and Elsevier of papers published in English and Spanish in a period of 13 years (2005-2018), using the search terms "hemophilia A", "hemophilia B", "diagnostic criteria", "genetic", "molecular", "oral health", "clinical diagnosis". A total 50 papers were selected. Data analysis and integration: Studies have shown that hemophilia, a genetic systemic condition, may have oral manifestations and complications. This makes it important to dentists, since the disease should be diagnosed from a genetic-molecular point of view and managed in an interdisciplinary manner. Conclusions: Genetic-molecular diagnosis by geneticists implies involvement of hematologists and dentists in the management and control of the condition via interconsultation, when it comes to deciding on procedures for hemophilic patients(AU)


Assuntos
Humanos , Diagnóstico Clínico , Saúde Bucal/normas , Hemofilia A/epidemiologia , Bases de Dados Bibliográficas
6.
Medicina (Ribeiräo Preto) ; 52(2)abr.-jun., 2019.
Artigo em Português | LILACS | ID: biblio-1025290

RESUMO

Modelo do estudo: Relato de caso. Importância do problema e comentários: A discinesia paroxística não cinesiogênica é um tipo de discinesia paroxística. É caracterizada por movimentos involuntários unilaterais ou bilaterais, do tipo coreico, distônico, balístico ou misto. É uma desordem rara e o diagnóstico precoce é crucial para seu tratamento e melhoria na qualidade de vida do indivíduo. O presente estudo relata um caso de Discinesia Paroxística Não Cinesiogênica e seus achados clínicos, além de apresentar breve revisão da literatura (AU)


Study type: Case report. Relevance and comments: Paroxysmal non-kinesigenic dyskinesia is a type of paroxysmal dyskinesia. It is characterized by involuntary unilateral or bilateral movements, of the choreic, dystonic, ballistic or mixed type. It is a rare disorder and the early diagnosis is crucial for the treatment and improvement of the individual's quality of life. The present report illustrates a case of paroxysmal non-kinesigenic dyskinesia and clinical findings, as well as a brief review of the literature (AU)


Assuntos
Humanos , Masculino , Pré-Escolar , Cafeína , Diagnóstico Clínico , Coreia , Discinesias , Transtornos dos Movimentos , Anticonvulsivantes
7.
Femina ; 47(4): 245-252, 20190430. ilus
Artigo em Português | LILACS | ID: biblio-1046515

RESUMO

O adenocarcinoma cervical é uma patologia grave cuja incidência tem aumentado, principalmente em pacientes jovens. Um diagnóstico oportuno, na assistência primária e secundária à saúde, com métodos convencionais, melhora sobremaneira o prognóstico da paciente, a um custo tolerável para países em desenvolvimento.(AU)


The cervical adenocarcinoma is a serious pathology whose incident has increased mainly in young patients. One opportunistic diagnosis, in primary and secondary health care, with conventional methods, greatly improves the prognosis of the patients, at a cost tolerable to developing countries.(AU)


Assuntos
Humanos , Feminino , Atenção Primária à Saúde , Atenção Secundária à Saúde , Adenocarcinoma/classificação , Neoplasias do Colo do Útero/diagnóstico , Colposcopia , Adenocarcinoma in Situ/diagnóstico , Diagnóstico Clínico , Fatores de Risco , Técnicas e Procedimentos Diagnósticos , Células Escamosas Atípicas do Colo do Útero/patologia
8.
Nursing (Säo Paulo) ; 22(251): 2887-2892, abr.2019.
Artigo em Português | LILACS, BDENF - Enfermagem | ID: biblio-998727

RESUMO

O objetivo desse estudo foi conhecer os facilidades e limitações dos enfermeiros para desenvolver o raciocínio clínico. Estudo quantitativo, descritivo, de corte transversal, que procurou averiguar as "facilidades e limitações dos enfermeiros no processo do raciocínio clínico" de 163 enfermeiros dos sete hospitais do Município de Dourados/MS, no primeiro semestre de 2016, sendo 79,8% são do sexo feminino, 65,4% são especialistas e 85,9% são do regime de Consolidação das Leis trabalhistas. Os participantes apontaram "educação permanente" (62%) como o principal facilitador e "pouco tempo para estudar" (45,39%) como a maior limitação para desenvolverem o raciocínio clínico. Conclui-se ser preciso criar estratégias na rede hospitalar que possibilitem aos enfermeiros se atualizarem dentro da própria instituição que trabalha e averiguar os fatores que contribuem para essa falta de tempo que o grande grupo optou como processo que limita o raciocínio clínico.(AU)


The aim of this study was to know the facilities and limitations of nurses to develop clinical reasoning. A quantitative, descriptive, cross-sectional study that sought to ascertain the "facilities and limitations of nurses in the clinical reasoning process" of 163 nurses from the seven hospitals in the City of Dourados/MS, in the first half of 2016, of which 79.8 % are female, 65.4% are specialists and 85.9% are from the Consolidation of Labor Laws. Participants pointed to "permanent education" (62%) as the main facilitator and "little time to study" (45.39%) as the greatest limitation to develop clinical reasoning. It's concluded that is necessary to create strategies in the hospital network that allow nurses to update themselves within the institution that works and to investigate the factors that contribute to this lack of time that the large group has chosen as a process that limits the clinical reasoning.(AU)


El objetivo de este estudio fue conocer las facilidades y limitaciones de los enfermeros para desarrollar el raciocinio clínico. Estudio cuantitativo, descriptivo, de corte transversal, que buscó averiguar las "facilidades y limitaciones de los enfermeros en el proceso del raciocinio clínico" de 163 enfermeros de los siete hospitales del municipio de Dourados/MS, en el primer semestre de 2016, siendo 79,8 % son del sexo femenino, 65,4% son especialistas y 85,9% son del régimen de Consolidación de las Leyes laborales. Los participantes apuntaron "educación permanente" (62%) como el principal facilitador y "poco tiempo para estudiar" (45,39%) como la mayor limitación para desarrollar el raciocinio clínico. Es necesario crear estrategias en la red hospitalaria que posibilite que los enfermeros se actualicen dentro de la propia institución que trabaja y averiguar los factores que contribuyen a esa falta de tiempo que el gran grupo optó como proceso que limita el raciocinio clínico.(AU)


Assuntos
Humanos , Pesquisa em Enfermagem Clínica , Diagnóstico Clínico , Cuidados de Enfermagem , Educação Profissionalizante
9.
Av. odontoestomatol ; 35(2): 73-82, mar.-abr. 2019. ilus
Artigo em Espanhol | IBECS | ID: ibc-184311

RESUMO

Introducción: La radiología oral y maxilofacial (RMF) es la disciplina encargada del uso de rayos X y otros tipos de radiación para el diagnóstico de enfermedades y condiciones del área maxilofacial. El propósito de la presente revisión es analizar el aporte de la RMF al diagnóstico clínico. Revisión: Las legislaciones nacionales suelen establecer requisitos para autorizar el uso e instalación de equipos generadores de radiaciones ionizantes, sin embargo, falta regulación sobre la responsabilidad del diagnóstico radiográfico. Por esto, es necesario aplicar consideraciones éticas y principios de protección radiológica que garanticen el uso responsable de los exámenes radiográficos. Debiera existir una persona responsable del diagnóstico radiográfico, que debe ser un odontólogo con conocimientos en interpretación radiográfica y cursos de educación continua en RMF. La solicitud y toma radiográfica son acciones fundamentales que contribuyen a que el responsable del diagnóstico radiográfico realice uno correcto. La RMF actualmente es reconocida como especialidad en más de 50 países, sin embargo, existe la necesidad de reconocimiento en otros países. Debido a su formación profesional, la existencia de especialistas en RMF contribuye a mejores diagnósticos radiográficos, con el consecuente impacto en el diagnóstico clínico y tratamiento del paciente. Conclusiones: La RMF es una disciplina fundamental para determinar el diagnóstico clínico del paciente. Para que los exámenes radiográficos usados aporten al clínico tratante a brindar la mejor atención al paciente, es fundamental que estos exámenes cuenten con un correcto y completo diagnóstico realizado por un profesional con entrenamiento y conocimientos en RMF, idealmente especialista en RMF


Introduction: Oral and maxillofacial radiology (MFR) is the discipline that deals with the use of X-rays and other kinds of radiation for the diagnosis of diseases and conditions of the maxillofacial region. The aim of the present review is to analyze the contribution of MFR to the clinical diagnosis. Review: National laws usually establish the requirements to authorize the use and installation of ionizing radiation generating equipment, nevertheless, there is a lack of regulation regarding the responsibility of the radiographic diagnosis. Because of this, it is necessary to apply ethical considerations and principles of radiation protection to guarantee the responsible use of the radiographic examinations. There should be a person responsible of the radiographic diagnosis, who must be a dentist with knowledge in radiographic interpretation and with continuing education courses in MFR. The radiographic request and taking are fundamental actions that contribute the responsible of radiographic diagnosis to elaborates a correct diagnosis. Nowadays, MFR is recognized as a specialty in more than 50 countries, however, there is a need of its acknowledgment in other countries. Due to the MFR specialist training, his/her existence contributes to a better radiographic diagnosis, with the consequent impact on clinical diagnosis and patient treatment. Conclusions: MFR is a fundamental discipline for determining the clinical diagnosis of the patient. In order the radiographic exams contribute the treating clinician to offer the best clinical attention to the patient, it is fundamental these exams have a correct and complete radiographic diagnosis, performed by a professional with training and knowledge in MFR, ideally an MFR specialist


Assuntos
Humanos , Diagnóstico Clínico/tendências , Radiografia Dentária/instrumentação , Radiografia Panorâmica/instrumentação , Radiografia Dentária/métodos , Radiografia Panorâmica/métodos , Ortodontia Corretiva/métodos
10.
Rev. cuba. pediatr ; 91(1): e634, ene.-mar. 2019. tab
Artigo em Espanhol | LILACS | ID: biblio-985594

RESUMO

Introducción: Las valvulopatías congénitas son un grupo de entidades en las cuales la principal alteración anatomofuncional está en las válvulas cardiacas. Objetivo: Caracterizar los pacientes pediátricos nacidos vivos con diagnósticos de valvulopatías congénitas. Métodos: Se realizó una investigación descriptiva retrospectiva a partir de los registros de valvulopatías congénitas del Servicio de Cardiología del Hospital Pediátrico Universitario José Luis Miranda en Santa Clara, Cuba, en el periodo de 2005 a 2016. La población estuvo conformada por los 147 niños nacidos vivos con diagnóstico de valvulopatías congénitas. Se empleó un muestreo no probabilístico intencional por criterios y la muestra quedó conformada por 143. La recogida de la información se realizó a través de la revisión documental de las historias clínicas. Resultados: La tasa de incidencia de la valvulopatías congénitas fue de 1,5 x 1 000 nacidos vivos, predominó la estenosis pulmonar que agrupó el 70,6 por ciento de los diagnosticados. Se encontró predominio del sexo masculino con 50,3 por ciento, se determinó que 45,5 por ciento de los casos se diagnosticaron antes de los 29 días de nacido, período que incluye un diagnóstico prenatal. Conclusiones: El desarrollo del diagnóstico prenatal de las cardiopatías congénitas ha posibilitado la disminución de la incidencia de las malformaciones más complejas. El conocimiento de las enfermedades congénitas del corazón contribuye a operar de forma segura y con resolución anatómica completa a muchos de estos niños en el período prenatal o cuando son lactantes pequeños, para evitar el deterioro global de estos cuando la cardiopatía no está resuelta(AU)


Introduction: The congenital valvulopatías is a group of entities in which the main alteration anatomofuncional is in the heart valves. Objective: To characterize the pediatric patients with diagnostic of born congenital valvulopatías. Methods: He/she was carried out a retrospective descriptive investigation starting from the registrations of congenital valvulopatías of the service of Cardiology of the Hospital Pediatric University student José Luis Miranda in the period of 2005 at the 2016. The population was conformed by the 147 alive born children with diagnostic of congenital valvulopatías, a sampling was not used intentional probabilístico by approaches, being conformed the sample by 143. The collection of the information was carried out through the documental revision of the clinical histories. Results: The rate of incidence of the congenital valvulopatías was of 1,5 x 1000 born alive, the lung estenosis prevailed containing to 70,6 percent of those diagnosed he/she was prevalence of the masculine sex in 50,3 percent, it was determined that 45,5 percent of the cases was diagnosed before the 29 days where a prenatal diagnosis is included. Conclusions: The development of the prenatal diagnosis of the congenital cardiopatías has facilitated the decrease of the incidence of the most complex malformations. The knowledge of the congenital illnesses of the heart contributes to operate in a sure way and with complete anatomical resolution to many of these children in the prenatal period or when they are small nurslings, to avoid the global deterioration of these when the cardiopatía is not resolved(AU)


Assuntos
Humanos , Masculino , Feminino , Recém-Nascido , Lactente , Diagnóstico Clínico/diagnóstico , Comunicação Atrioventricular/epidemiologia , Doenças das Valvas Cardíacas/congênito , Doenças das Valvas Cardíacas/epidemiologia , Epidemiologia Descritiva , Estudos Retrospectivos , Ultrassonografia Pré-Natal/métodos , Doenças do Recém-Nascido/diagnóstico por imagem
11.
Rev. cuba. pediatr ; 91(1)ene.-mar. 2019. tab
Artigo em Espanhol | CUMED | ID: cum-73697

RESUMO

Introducción: Las valvulopatías congénitas son un grupo de entidades en las cuales la principal alteración anatomofuncional está en las válvulas cardiacas. Objetivo: Caracterizar los pacientes pediátricos nacidos vivos con diagnósticos de valvulopatías congénitas. Métodos: Se realizó una investigación descriptiva retrospectiva a partir de los registros de valvulopatías congénitas del Servicio de Cardiología del Hospital Pediátrico Universitario José Luis Miranda en Santa Clara, Cuba, en el periodo de 2005 a 2016. La población estuvo conformada por los 147 niños nacidos vivos con diagnóstico de valvulopatías congénitas. Se empleó un muestreo no probabilístico intencional por criterios y la muestra quedó conformada por 143. La recogida de la información se realizó a través de la revisión documental de las historias clínicas. Resultados: La tasa de incidencia de la valvulopatías congénitas fue de 1,5 x 1 000 nacidos vivos, predominó la estenosis pulmonar que agrupó el 70,6 por ciento de los diagnosticados. Se encontró predominio del sexo masculino con 50,3 por ciento, se determinó que 45,5 por ciento de los casos se diagnosticaron antes de los 29 días de nacido, período que incluye un diagnóstico prenatal. Conclusiones: El desarrollo del diagnóstico prenatal de las cardiopatías congénitas ha posibilitado la disminución de la incidencia de las malformaciones más complejas. El conocimiento de las enfermedades congénitas del corazón contribuye a operar de forma segura y con resolución anatómica completa a muchos de estos niños en el período prenatal o cuando son lactantes pequeños, para evitar el deterioro global de estos cuando la cardiopatía no está resuelta(AU)


Introduction: The congenital valvulopatías is a group of entities in which the main alteration anatomofuncional is in the heart valves. Objective: To characterize the pediatric patients with diagnostic of born congenital valvulopatías. Methods: He/she was carried out a retrospective descriptive investigation starting from the registrations of congenital valvulopatías of the service of Cardiology of the Hospital Pediatric University student José Luis Miranda in the period of 2005 at the 2016. The population was conformed by the 147 alive born children with diagnostic of congenital valvulopatías, a sampling was not used intentional probabilístico by approaches, being conformed the sample by 143. The collection of the information was carried out through the documental revision of the clinical histories. Results: The rate of incidence of the congenital valvulopatías was of 1,5 x 1000 born alive, the lung estenosis prevailed containing to 70,6 percent of those diagnosed he/she was prevalence of the masculine sex in 50,3 percent, it was determined that 45,5 percent of the cases was diagnosed before the 29 days where a prenatal diagnosis is included. Conclusions: The development of the prenatal diagnosis of the congenital cardiopatías has facilitated the decrease of the incidence of the most complex malformations. The knowledge of the congenital illnesses of the heart contributes to operate in a sure way and with complete anatomical resolution to many of these children in the prenatal period or when they are small nurslings, to avoid the global deterioration of these when the cardiopatía is not resolved(AU)


Assuntos
Humanos , Masculino , Feminino , Recém-Nascido , Lactente , Diagnóstico Clínico/diagnóstico , Comunicação Interventricular/epidemiologia , Doenças das Valvas Cardíacas/congênito , Doenças das Valvas Cardíacas/epidemiologia , Epidemiologia Descritiva , Estudos Retrospectivos , Ultrassonografia Pré-Natal/métodos , Doenças do Recém-Nascido
12.
Med. leg. Costa Rica ; 36(1): 101-109, ene.-mar. 2019.
Artigo em Espanhol | LILACS | ID: biblio-1002563

RESUMO

Resumen La hernia diafragmática (HD) consiste en un trastorno en el desarrollo del músculo diafragmático, produciéndose el paso de contenido abdominal a la cavidad torácica. Las principales son hernia de Bochdalek, Morgagni y Hiatal.1 Malformación congénita que afecta a 1 de cada 2 200 recién nacidos. Está asociada a elevada morbimortalidad, principalmente por hipoplasia pulmonar e hipertensión.2 La ecografía prenatal determina el diagnóstico, pronóstico y terapia. La cirugía consiste en cerrar el defecto, siendo el objetivo del tratamiento mantener un adecuado intercambio gaseoso, evitar o minimizar la hipoplasia y la hipertensión pulmonar.1 Las hernias diafragmáticas presentes en el momento del nacimiento se diagnostican fácilmente. En contraste, el diagnóstico de las hernias después del periodo neonatal es muy variable, puede conducir a evaluaciones clínicas y radiológicas erróneas.3


Abstract The diaphragmatic hernia is a disorder in the development of the diaphragm, causing the passage of the abdominal contents into the thoracic cavity. The main ones are Bochdalek, Hiatal and Morgagni hernias1. Congenital malformation that affects 1 in 2 200 newborns. It is associated to high morbidity and mortality mainly due to lung hypoplasia and hypertension.2 Prenatal ultrasound determines the diagnosis, prognosis and therapy. The surgical procedure consists ofthe closure of the defect. The goal of the treatment is to maintain adequate gas exchange, to prevent or minimize hypoplasia and pulmonary hypertension.1 Congenital diaphragmatic hernias present at birth are readily recognized. In contrast, the diagnosis of diaphragmatic hernia after the neonatal period varies considerably owing to misleading clinical and radiologic features.3


Assuntos
Humanos , Pediatria , Diafragma , Diagnóstico Clínico , Cavidade Torácica , Hérnias Diafragmáticas Congênitas/diagnóstico por imagem , Hérnia Diafragmática
13.
Distúrb. comun ; 31(1): 95-103, mar. 2019. ilus, tab
Artigo em Português | LILACS | ID: biblio-996267

RESUMO

A Esclerose Sistêmica é uma doença autoimune sistêmica, progressiva, de etiologia desconhecida e relativamente rara. Caracteriza-se pela excessiva deposição de colágeno no tecido conjuntivo, pelo espessamento da pele, comprometimento de órgãos nobres internos e do sistema estomatognático. Objetivo: Caracterizar o frênulo e os aspectos da língua de indivíduos com esclerose sistêmica. Método: Trata-se de um estudo exploratório clínico, observacional, do tipo relato de casos. Foi realizada avaliação clínica do frênulo e dos aspectos da língua com um grupo de estudo composto por onze sujeitos, de ambos os sexos, oriundos do serviço de Reumatologia do Hospital Universitário em parceria com o grupo de estudo em motricidade orofacial, ambos da Universidade Federal de Sergipe, e de um grupo controle pareado em número, idade e sexo, sem doenças reumáticas, selecionados por conveniência. O período de coleta dos dados foi de três meses (de setembro a dezembro de 2017). Resultados: A amostra do grupo de estudo revelou alterações clínicas na espessura, no tamanho e na coloração do frênulo, como também nos aspectos da língua de indivíduos com esclerose sistêmica, tais como hipertonia, alteração do formato da ponta da língua quando em elevação, telangiectasia entre outros de menor ocorrência. Conclusão: As características alteradas do frênulo e da língua dos sujeitos com essa afecção evidenciam o comprometimento do sistema estomatognático e a importância da atuação fonoaudiológica na Reumatologia.


Systemic sclerosis is a progressive, systemic autoimmune disease of unknown and relatively rare etiology. It is characterized by excessive deposition of collagen in the connective tissue, by the thickening of the skin, involvement of internal noble organs and the stomatognathic system. Objective: To characterize the frenulum and aspects of the tongue of individuals with systemic sclerosis. Method: This is a clinical, observational, case-report exploratory study. A clinical study of the frenum and aspects of the tongue was carried out with a study group composed of eleven subjects, of both sexes from the Rheumatology Department of the University Hospital in partnership with the study group on orofacial motor, both from the Federal University of Sergipe, and a control group matched in number, age and sex, without rheumatic diseases, selected for convenience. The data collection period was three months (from September to December 2017). Results: The study group sample revealed clinical changes in the thickness, size and color of the lingual frenum, as well as in the language aspects of individuals with systemic sclerosis, such as hypertonia, altered tongue tip shape when elevated, telangiectasia among others with lesser occurrence. Conclusion: The altered characteristics of the frenulum and the tongue of the subjects with this affection evidences the impairment of the stomatognathic system and the importance of Speech, Language and Hearing Sciences performance in Rheumatology.


La Esclerosis Sistémica es una enfermedad autoinmune sistémica, progresiva, de etiología desconocida y relativamente rara. Se caracteriza por la excesiva deposición de colágeno en el tejido conjuntivo, por el espesamiento de la piel, comprometimiento de órganos nobles internos y del sistema estomatognático. Objetivo: Caracterizar el frenillo y los aspectos de la lengua de individuos con esclerosis sistémica. Metodo: Se trata de un estudio exploratorio clínico, observacional, del tipo relato de casos. Se realizó una evaluación clínica del frenillo y de los aspectos de la lengua con un grupo de estudio compuesto por once sujetos, de ambos sexos, oriundos del servicio de Reumatología del Hospital Universitario en asociación con el grupo de estudio en motricidad orofacial, ambos de la Universidad Federal de Sergipe y de un grupo control pareado en número, edad y sexo, sin enfermedades reumáticas, seleccionados por conveniencia. El período de recolección de datos fue de tres meses (de septiembre a diciembre de 2017). Resultados: La muestra del grupo de estudio reveló alteraciones clínicas en el grosor, el tamaño y la coloración del frenillo, así como en los aspectos de la lengua de individuos con esclerodermia sistémica, tales como hipertonía, alteración del formato de la punta de la lengua cuando en elevación, telangiectasia entre otros de menor ocurrencia. Conclusión: Las características alteradas del frenillo lingual de los sujetos con esa afección evidencian el deterioro del sistema estomatognático y la importancia de la actuación fonoaudiológica en la Reumatología.


Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Idoso , Escleroderma Sistêmico , Diagnóstico Clínico , Fonoaudiologia , Freio Lingual
14.
Pesqui. bras. odontopediatria clín. integr ; 19(1): 4344, 01 Fevereiro 2019. tab
Artigo em Inglês | LILACS, BBO - Odontologia | ID: biblio-997890

RESUMO

Objective: To determine compatibility between clinical diagnosis and the pathological reports of biopsies from oral lesions. Material and Methods: In this descriptive study, 1146 clinical files of patients referring to Tabriz Faculty of Dentistry from 2004 to 2016 were retrieved and evaluated. The kappa coefficient was calculated for each file for compatibility of clinical and pathological diagnosis. Results: In relation to clinical (40.2%) and pathological (39.2%) diagnosis, irritational lesions of soft tissues exhibited the highest frequency. In 72.3% of cases, the clinical and pathological diagnosis were compatible and in 27.7% of cases these diagnosis were not compatible. The highest compatibility rates were detected for irritational lesions of soft tissues (81.5%) and mucocutaneous lesions (76.9%). There was no compatibility for osseous malignant tumors, inflammatory tissues, granulation tissues, metastatic lesions and hematologic disorders. Conclusion: Approximately one-third of clinical and histopathological diagnosis were not compatible. Therefore, to reach a correct diagnosis, the clinical, radiographic and histopathological views should be evaluated simultaneously.


Assuntos
Humanos , Neoplasias Bucais/diagnóstico , Diagnóstico Clínico/diagnóstico , Técnicas de Laboratório Clínico/métodos , Diagnóstico Bucal , Irã (Geográfico) , Registros Médicos , Epidemiologia Descritiva , Interpretação Estatística de Dados
15.
Pesqui. bras. odontopediatria clín. integr ; 19(1): 4543, 01 Fevereiro 2019. tab
Artigo em Inglês | LILACS, BBO - Odontologia | ID: biblio-997899

RESUMO

Objective: To compare self-perceived information and clinically diagnosed dental caries status among Indonesian children aged 12­15 years. Material and Methods: In this cross-sectional study, a questionnaire was used to obtain self-perceived information. Clinical examinations were conducted to determine the mean number of decayed, missing or filled teeth (DMFT) and the presence of severely decayed teeth with visible pulpal involvement, ulceration caused by dislocated tooth fragments, fistula, and abscess (PUFA). The study included 494 children aged 12­15 years recruited from six junior high schools in Jakarta, Indonesia. The clinical examination results and responses to the self-perceived assessment questionnaire were compared to determine the sensitivity and specificity. Results: The proportions of children with dental caries and clinical consequences of untreated dental caries in this study were 69.4% and 17.6%, respectively, with mean DMFT and PUFA index scores of 2.4 and 0.2, respectively. For the DMFT index, the self-perceived need for oral treatment had the highest sensitivity (86%), while the dental pain had the highest specificity (89%). For the PUFA index, the self perceived oral health condition had the highest sensitivity (92%), while the self-perceived dental pain had the highest specificity (82%). However, none of the self-perceived variables had both high sensitivity and specificity. Conclusion: Self-perceived information obtained from the questionnaire can not properly evaluate the clinical status of dental caries.


Assuntos
Humanos , Masculino , Feminino , Criança , Adolescente , Autoimagem , Diagnóstico Clínico/diagnóstico , Índice CPO , Saúde Bucal , Cárie Dentária/diagnóstico , Indonésia , Estudos Transversais/métodos , Inquéritos e Questionários
16.
Pesqui. bras. odontopediatria clín. integr ; 19(1): 4350, 01 Fevereiro 2019. tab
Artigo em Inglês | LILACS, BBO - Odontologia | ID: biblio-997959

RESUMO

Objective: To compare salivary transferrin levels between patients with oral lichen planus (OLP) and healthy subjects. Material and Methods: In this descriptive, analytical, crosssectional study, 11 patients with OLP and 22 healthy subjects were selected after matching in terms of age and gender. OLP was confirmed by two oral medicine specialists based on clinical and histopathological criteria. Salivary samples were collected by spitting. The patients were asked to collect their saliva in their oral cavity and then evacuate it into sterilized Falcon tubes. The procedure was repeated every 60 seconds for 5-15 minutes. A total of 5 mL of saliva was collected using this method. The samples were collected from 8 to 9 in the morning in a fasting state to avoid circadian changes. The collected salivary samples were immediately placed next to ice and transferred to the laboratory to be centrifuged at 4°C at 800 g to isolate squamous cells and cellular debris. Then the samples were frozen at -80°C until the samples were prepared. An ELISA kit was used to determine salivary transferrin levels. Data were analyzed with descriptive statistics (means and standard deviations) and t-test for independent groups using SPSS 17. Statistical significance was set at p<0.05. Results: The mean salivary transferrin concentrations in patients with OLP and healthy subjects were 0.9055±0.28229 and 1.5932±0.80041 mg/dL, respectively (p<0.05). Conclusion: The salivary transferrin levels in patients with OLP were significantly lower than those in healthy subjects.


Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Saliva , Transferrina , Diagnóstico Clínico , Líquen Plano Bucal/diagnóstico , Doenças da Boca/diagnóstico , Estudos de Casos e Controles , Epidemiologia Descritiva , Estudos Transversais/métodos , Técnicas Histológicas/métodos , Irã (Geográfico)
17.
Pesqui. bras. odontopediatria clín. integr ; 19(1): 3807, 01 Fevereiro 2019. ilus, tab
Artigo em Inglês | LILACS | ID: biblio-997960

RESUMO

Objective: To perform the transcultural adaptation to Brazil and validation of the Halitosis Associated Life-quality Test (HALT) for use in adolescents. Material and Methods: Students aged 12 to 15 years, of both sexes, with healthy permanent dentition, attending public schools in Piracicaba, Brazil, were selected for this study. The HALT was translated, backtranslated, reviewed by an expert committee and submitted to a pre-test. In the first phase (n = 13), 15% of the sample did not understand items 2, 12 and 15; therefore, these items were reformulated and resubmitted to 13 adolescents. The version with a sociocultural adaptation was self-applied by 56 adolescents (64% females, 13.4 ± 1.0 years), of whom 25 participated in the test-retest. The presence of visible biofilm, gingival bleeding, calculus and tongue coating, was evaluated. Selfperception of halitosis after exhalation/breathing was assessed by a single question. Results: The HALT score ranged from 0 to 62 points (mean = 10.1±13.4) and the floor effect was 5.4%. Internal consistency was excellent (Cronbach's alpha = 0.92) and reproducibility was moderate (Intraclass Correlation Coefficient = 0.59). Individuals with "excessive" tongue coating had a higher HALT score than those with mild and/or moderate coating (p<0.001). Multiple linear regression analysis indicated that only the male sex was related to a higher HALT score (p<0.05). Conclusion: The Brazilian Portuguese version of the HALT was easily understood by adolescents. Those with greater tongue coating accumulation reported more frequently the presence of halitosis, which was only associated to male sex.


Assuntos
Humanos , Masculino , Feminino , Adolescente , Qualidade de Vida , Brasil , Comparação Transcultural , Adolescente , Halitose/etiologia , Psicometria/métodos , Autoavaliação , Tradução , Diagnóstico Clínico , Estudos Transversais/métodos , Inquéritos e Questionários , Análise de Regressão , Estudos de Validação como Assunto
18.
Rev. ADM ; 76(1): 20-25, ene.-feb. 2019. tab
Artigo em Espanhol | LILACS | ID: biblio-995616

RESUMO

El laboratorio clínico es un área de soporte de la medicina y pertenece al grupo de los auxiliares de diagnóstico. Se pueden encontrar dentro de hospitales, clínicas o establecimientos externos; dependiendo del tamaño del laboratorio, son las áreas y pruebas que se pueden realizar. Analizan todos los componentes y productos del cuerpo humano (sangre, saliva, etc.), obteniendo más información sobre el estado de salud del paciente complementado con una historia clínica minuciosa y la exploración física completa, confi rman un diagnóstico o proporcionan información útil sobre el estado del paciente y la respuesta al tratamiento. En la práctica odontológica, de rutina se envían los estudios preoperatorios donde evaluamos un cuadro clínico conocido, identifi camos pacientes de alto riesgo en busca de alguna nueva enfermedad que pudiera modifi car o complicar la intervención quirúrgica. Es obligatorio que el odontólogo sepa la existencia de las pruebas y sus indicaciones, enviarlas cuando sean necesarias y no escatimar en estudios complementarios si así lo requiere el paciente. Y en caso de detectar una anomalía en los resultados, se debe referir al paciente a un especialista (AU)


The clinical laboratory is a support area for medicine and belongs to the group of auxiliaries for the diagnostic. They can be found inside hospitals, clinics or external sites, depending on the size of the laboratory, the areas and the tests that can be performed. Analyze all the components and products of the human body (blood, saliva, etc.), obtaining more information about the state of the patient's health, complementing with a detailed clinical history and the complete physical examination, confi rming a diagnosis or useful information about the state of the patient and the response to treatment. In routine dental practice, preoperative studies are sent where a known clinical condition is evaluated, identify high-risk patients and in search of a new disease that can modify or complicate the surgical intervention. It is mandatory that the dentist knows the existence of the tests and their indications when things are necessary and do not skimp on complementary studies if the patient so requires. And in case of detecting an anomaly in the results, the patient should be referred to a specialist (AU)


Assuntos
Humanos , Diagnóstico Clínico , Assistência Odontológica para Doentes Crônicos , Técnicas de Laboratório Clínico , Nível de Saúde , Liberação de Cirurgia
19.
Medisan ; 23(1)ene.-feb. 2019. tab
Artigo em Espanhol | CUMED | ID: cum-74720

RESUMO

Se realizó un estudio descriptivo transversal de 1 819 pacientes con fiebre y serología reactiva, ingresados en el Hospital Infantil Dr Antonio María Béguez César de Santiago de Cuba por diagnóstico presuntivo de dengue, desde enero de 2015 hasta diciembre de 2016, de quienes se extrajeron muestras de suero en el Departamento de Microbiología de la mencionada institución, las cuales fueron enviadas al laboratorio del Instituto de Medicina Tropical Dr Pedro Kourí de La Habana para su procesamiento y posible confirmación. En la casuística se obtuvo una positividad de 54,3 por ciento, así como predominio de los niños mayores de 5 años con 1 451, de los procedentes del municipio de Santiago de Cuba con 1 651, de la fiebre en 847 y de la ocurrencia de la infección durante el trimestre octubre-noviembre en 864(AU)


A descriptive cross-sectional study of 1 819 patients with fever and reactive serology, admitted in Dr Antonio María Béguez Caesar Pediatric Hospital in Santiago de Cuba was carried out through presumptive diagnosis of dengue from January, 2015 to December, 2016, from whom samples of serum were obtained in the Microbiology Department of the above-mentioned institution, which were sent to the laboratory of Dr Pedro Kourí Tropical Medicine Institute in Havana for their processing and possible confirmation. A 54,3 percent of positive cases was obtained in the case material, as well as the prevalence of children older than 5 years with 1 451, those coming from Santiago de Cuba municipality were 1 651, those with fever were 847 and those with occurrence of the infection during the trimester October-November were 864(AU)


Assuntos
Humanos , Lactente , Pré-Escolar , Criança , Adolescente , Relações Médico-Paciente , Diagnóstico Clínico , Dengue/diagnóstico , Avaliação de Sintomas/métodos , Sorologia/métodos , Epidemiologia Descritiva , Estudos Transversais
20.
Medisan ; 23(1)ene.-feb. 2019. tab
Artigo em Espanhol | LILACS | ID: biblio-990176

RESUMO

Se realizó un estudio descriptivo transversal de 1 819 pacientes con fiebre y serología reactiva, ingresados en el Hospital Infantil Dr Antonio María Béguez César de Santiago de Cuba por diagnóstico presuntivo de dengue, desde enero de 2015 hasta diciembre de 2016, de quienes se extrajeron muestras de suero en el Departamento de Microbiología de la mencionada institución, las cuales fueron enviadas al laboratorio del Instituto de Medicina Tropical Dr Pedro Kourí de La Habana para su procesamiento y posible confirmación. En la casuística se obtuvo una positividad de 54,3 por ciento, así como predominio de los niños mayores de 5 años con 1 451, de los procedentes del municipio de Santiago de Cuba con 1 651, de la fiebre en 847 y de la ocurrencia de la infección durante el trimestre octubre-noviembre en 864.


A descriptive cross-sectional study of 1 819 patients with fever and reactive serology, admitted in Dr Antonio María Béguez Caesar Pediatric Hospital in Santiago de Cuba was carried out through presumptive diagnosis of dengue from January, 2015 to December, 2016, from whom samples of serum were obtained in the Microbiology Department of the above-mentioned institution, which were sent to the laboratory of Dr Pedro Kourí Tropical Medicine Institute in Havana for their processing and possible confirmation. A 54,3 percent of positive cases was obtained in the case material, as well as the prevalence of children older than 5 years with 1 451, those coming from Santiago de Cuba municipality were 1 651, those with fever were 847 and those with occurrence of the infection during the trimester October-November were 864.


Assuntos
Lactente , Pré-Escolar , Criança , Adolescente , Relações Médico-Paciente , Diagnóstico Clínico , Dengue/diagnóstico , Avaliação de Sintomas/métodos , Sorologia/métodos , Epidemiologia Descritiva , Estudos Transversais
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