Pub Date : 2021-05-27DOI: 10.56242/globalhealth;2021;1;3;24-31
Roberta Carvalho de Freitas e Azevedo, Ryan Emiliano de Silva, Jaciara de Oliveira Jorge Costa, Isabela Pereira Pesenato, Sergio Paulo Josely Souza, Giovanna Stefani Nosberto Castelli, Caio Izidoro Campolongo, Camila de Abreu Aires Ribeiro Costa, Thiago Fakelmann, Joysse Wedja Soares Marques, Arlei Marcili
Species of the Leishmania genus parasitize mammals in the New World and have life cycles alternating between vertebrates and invertebrates. Visceral Leishmaniasis is an important zoonosis which has wild and domestic canids as important known reservoirs, and the genetic diversity of Leishmania (Leishmania) infantum in Brazil it is not yet known. Leishmaniasis is a serious disease with a wide geographical distribution and an incidence of two million cases per year. In the current study we address the main aspects of Visceral Leishmaniasis.
{"title":"Leishmaniose Visceral no Brasil: o que é preciso saber","authors":"Roberta Carvalho de Freitas e Azevedo, Ryan Emiliano de Silva, Jaciara de Oliveira Jorge Costa, Isabela Pereira Pesenato, Sergio Paulo Josely Souza, Giovanna Stefani Nosberto Castelli, Caio Izidoro Campolongo, Camila de Abreu Aires Ribeiro Costa, Thiago Fakelmann, Joysse Wedja Soares Marques, Arlei Marcili","doi":"10.56242/globalhealth;2021;1;3;24-31","DOIUrl":"https://doi.org/10.56242/globalhealth;2021;1;3;24-31","url":null,"abstract":"Species of the Leishmania genus parasitize mammals in the New World and have life cycles alternating between vertebrates and invertebrates. Visceral Leishmaniasis is an important zoonosis which has wild and domestic canids as important known reservoirs, and the genetic diversity of Leishmania (Leishmania) infantum in Brazil it is not yet known. Leishmaniasis is a serious disease with a wide geographical distribution and an incidence of two million cases per year. In the current study we address the main aspects of Visceral Leishmaniasis.","PeriodicalId":285800,"journal":{"name":"Brazilian Journal of Global Health","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123375410","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-05-27DOI: 10.56242/globalhealth;2021;1;3;40-44
Alessa Castro Ribeiro, Michele de Morais Rodrigues Sousa
OBJECTIVE: To employ the Wood-Downes Score and the upper airway obstruction score proposed by Downes and Raphaelly in the assessment of respiratory patterns and the indication of oxygen and ventilation support devices after orotracheal extubation. METHODS: It is a cross-sectional, descriptive, and quantitative study. The group was composed of 15 infants aged 28 days to 2 years old, hospitalized at the pediatric intensive care unit from august to october 2018, fulfilling the inclusion criteria and following the ethical in research aspects. RESULTS: Out of fifteen infants in the sample, 66,66% were female. The mean age was 6,4 ±6,27 months. The most common Wood-Downes score at baseline was moderate with mean 3,4 ±1,91, going to mild 1,6 ±0,89 at the second moment. The mean upper airway obstruction score at baseline was 2,9 ±1,62 decreasing to 1,7 ±0,79 at the second moment. ONCLUSION: The employment of the Wood-Downes Score and the upper airway obstruction score proposed by Downes and Raphaelly to assess the respiratory patterns in the present study, showed efficacy in the indication of non-invasive ventilatory support because the moderate score was the most present. Although the study did not interfere in the medical conduct, it is believed that the scores employed are useful tools to the control and assessment of the acute respiratory insufficiency after infant extubation.
{"title":"Avaliação do padrão respiratório pós extubação e indicação de condutas em UTI pediátrica","authors":"Alessa Castro Ribeiro, Michele de Morais Rodrigues Sousa","doi":"10.56242/globalhealth;2021;1;3;40-44","DOIUrl":"https://doi.org/10.56242/globalhealth;2021;1;3;40-44","url":null,"abstract":"OBJECTIVE: To employ the Wood-Downes Score and the upper airway obstruction score proposed by Downes and Raphaelly in the assessment of respiratory patterns and the indication of oxygen and ventilation support devices after orotracheal extubation. METHODS: It is a cross-sectional, descriptive, and quantitative study. The group was composed of 15 infants aged 28 days to 2 years old, hospitalized at the pediatric intensive care unit from august to october 2018, fulfilling the inclusion criteria and following the ethical in research aspects. RESULTS: Out of fifteen infants in the sample, 66,66% were female. The mean age was 6,4 ±6,27 months. The most common Wood-Downes score at baseline was moderate with mean 3,4 ±1,91, going to mild 1,6 ±0,89 at the second moment. The mean upper airway obstruction score at baseline was 2,9 ±1,62 decreasing to 1,7 ±0,79 at the second moment. ONCLUSION: The employment of the Wood-Downes Score and the upper airway obstruction score proposed by Downes and Raphaelly to assess the respiratory patterns in the present study, showed efficacy in the indication of non-invasive ventilatory support because the moderate score was the most present. Although the study did not interfere in the medical conduct, it is believed that the scores employed are useful tools to the control and assessment of the acute respiratory insufficiency after infant extubation.","PeriodicalId":285800,"journal":{"name":"Brazilian Journal of Global Health","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123428218","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-05-27DOI: 10.56242/globalhealth;2021;1;3;67-72
Maria Elisabete Salvador, Rita Maria Lino Tarcia, Morris Pimenta de Souza, Daniel Almeida Gonçalves, Marco Antonio Manfredini, Silvio Carlos Coelho de Abreu, Marlene Sakumoto Akiyama, Felipe Vieira Pacheco, Daniel Lico dos Anjos Afonso dos Anjos Afonso, A. L. Pereira, Paulo Bandiera Paiva, Jorge Harada
OBJECTIVE: The purpose of the current study is to present the results of the implementation of innovations after ten years of analysis of professional training in the Specialization courses of the UNA-UHS Unifesp Program, as well as evaluations of the perceptions of students in relation to academic demands and professional practice. METHODS: This is a retrospective and descriptive observational study with a mixed approach, carried out in 2019 and 2020, in São Paulo. The methodological steps include a description of the technical-scientific evolution of the courses, considering pedagogical and technological aspects, and an analysis of 1,163 enrolled students (doctors working in Primary Care) using assessment instruments.The data are presented in absolute numbers and corresponding percentage frequencies. RESULTS: The modernization phase of the courses included technological innovations and updates of the pedagogical strategies for navigating content and activities. Regarding the analysis of the students, through responses categorized in a positive way for all the evaluated questions, it was possible to observe the delineation of the data that reflect the performance of tutors and the approximation of the contents/activities with professional practice. CONCLUSIONS: The pedagogical project, contents, technological infrastructure, educational resources, navigation routes, and course management have undergone relevant advances. These innovations expand the body of evidence in order to guarantee competences and skills, considering the academic and professional preferences of students. The courses of the UNA-UHS Unifesp Program contribute to the strengthening of the Unified Health System, by expanding the perspective of training in Family Health.
{"title":"Especialização em Saúde da Família UNA-SUS UNIFESP: dez anos de experiência em capacitação profissional","authors":"Maria Elisabete Salvador, Rita Maria Lino Tarcia, Morris Pimenta de Souza, Daniel Almeida Gonçalves, Marco Antonio Manfredini, Silvio Carlos Coelho de Abreu, Marlene Sakumoto Akiyama, Felipe Vieira Pacheco, Daniel Lico dos Anjos Afonso dos Anjos Afonso, A. L. Pereira, Paulo Bandiera Paiva, Jorge Harada","doi":"10.56242/globalhealth;2021;1;3;67-72","DOIUrl":"https://doi.org/10.56242/globalhealth;2021;1;3;67-72","url":null,"abstract":"OBJECTIVE: The purpose of the current study is to present the results of the implementation of innovations after ten years of analysis of professional training in the Specialization courses of the UNA-UHS Unifesp Program, as well as evaluations of the perceptions of students in relation to academic demands and professional practice. METHODS: This is a retrospective and descriptive observational study with a mixed approach, carried out in 2019 and 2020, in São Paulo. The methodological steps include a description of the technical-scientific evolution of the courses, considering pedagogical and technological aspects, and an analysis of 1,163 enrolled students (doctors working in Primary Care) using assessment instruments.The data are presented in absolute numbers and corresponding percentage frequencies. RESULTS: The modernization phase of the courses included technological innovations and updates of the pedagogical strategies for navigating content and activities. Regarding the analysis of the students, through responses categorized in a positive way for all the evaluated questions, it was possible to observe the delineation of the data that reflect the performance of tutors and the approximation of the contents/activities with professional practice. CONCLUSIONS: The pedagogical project, contents, technological infrastructure, educational resources, navigation routes, and course management have undergone relevant advances. These innovations expand the body of evidence in order to guarantee competences and skills, considering the academic and professional preferences of students. The courses of the UNA-UHS Unifesp Program contribute to the strengthening of the Unified Health System, by expanding the perspective of training in Family Health.","PeriodicalId":285800,"journal":{"name":"Brazilian Journal of Global Health","volume":"137 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132430132","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-05-27DOI: 10.56242/globalhealth;2021;1;3;16-18
Ricardo Vieira Nasser, B. Modesto, Arthur Lopes Ribeiro Penido, Sônia Maria Motta Palma
OBJECTIVE: To demonstrate that lurasidone can be an alternative for adolescents with Autistic Spectrum Disorder (ASD), especially if the patient has a history of adverse metabolic effects and / or ineffectiveness or intolerance to the use of aripiprazole or risperidone. METHODS: Systematic review of articles from the PubMed platform, with only articles in Portuguese and English being selected, with no period limitation. Inclusion criteria for the study: studies that address the treatment of ASD; studies that address treatment focusing on the use of lurasidone; works that bring clear methodology. RESULTS: Lurasidone has shown promise, given its low profile of adverse effects, such as lower weight gain, hyperlipidemia, hyperglycemia and insulin resistance. In addition to the potential benefits of lurasidone for the treatment of irritability in children with ASD, there may also be a potential antidepressant effect, which may influence the symptom profile. It is currently approved by the Food and Drug Administration (FDA) for the treatment of schizophrenia in adolescents from the age of thirteen and on monotherapy for bipolar depression from the age of ten. However, there are studies of tolerance in children and adolescents from the age of six with doses <120 mg / day. CONCLUSION: Given the risk of long-term adverse metabolic effects of most atypical antipsychotics, lurasidone can serve as an alternative. However, to date, no evidence has been found consistent with the use of lurasidone for patients with ASD who exhibit irritability, aggressiveness and impulsivity as associated symptoms.
{"title":"Lurasidona no Manejo do Transtorno do Espectro Autista: Uma Revisão","authors":"Ricardo Vieira Nasser, B. Modesto, Arthur Lopes Ribeiro Penido, Sônia Maria Motta Palma","doi":"10.56242/globalhealth;2021;1;3;16-18","DOIUrl":"https://doi.org/10.56242/globalhealth;2021;1;3;16-18","url":null,"abstract":"OBJECTIVE: To demonstrate that lurasidone can be an alternative for adolescents with Autistic Spectrum Disorder (ASD), especially if the patient has a history of adverse metabolic effects and / or ineffectiveness or intolerance to the use of aripiprazole or risperidone. METHODS: Systematic review of articles from the PubMed platform, with only articles in Portuguese and English being selected, with no period limitation. Inclusion criteria for the study: studies that address the treatment of ASD; studies that address treatment focusing on the use of lurasidone; works that bring clear methodology. RESULTS: Lurasidone has shown promise, given its low profile of adverse effects, such as lower weight gain, hyperlipidemia, hyperglycemia and insulin resistance. In addition to the potential benefits of lurasidone for the treatment of irritability in children with ASD, there may also be a potential antidepressant effect, which may influence the symptom profile. It is currently approved by the Food and Drug Administration (FDA) for the treatment of schizophrenia in adolescents from the age of thirteen and on monotherapy for bipolar depression from the age of ten. However, there are studies of tolerance in children and adolescents from the age of six with doses <120 mg / day. CONCLUSION: Given the risk of long-term adverse metabolic effects of most atypical antipsychotics, lurasidone can serve as an alternative. However, to date, no evidence has been found consistent with the use of lurasidone for patients with ASD who exhibit irritability, aggressiveness and impulsivity as associated symptoms.","PeriodicalId":285800,"journal":{"name":"Brazilian Journal of Global Health","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129325034","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-05-27DOI: 10.56242/globalhealth;2021;1;3;19-23
Marcia Lopes Weber, Aline Milan, Joyce de Paula Silva, Natália Marques Nogueira, Pâmela Rodrigues Da Silva
OBJECTIVE: To identify the adequacy of good practices in two restaurants of two American fast-food franchises in the city of São Paulo, SP, Brazil. METHODS: A checklist adapted from the health legislation was used in each restaurant, identified as A and B, whose items were grouped into 5 blocks: Building and installation, Equipment, furniture and utensils, Handlers, Food production and transportation, and Documentation. The classification of the restaurants was based on the sanitary legislation: group 1, between 75 and 100% of conformities; group 2, between 51 and 74% of conformities; and group 3, from 0 to 50% of conformities. The general classification of the restaurants and by block of items was carried out. RESULTS:Restaurant A was classified in group 2 and B in group 1. Most of the non-conformities were observed in the blocks Documentation, Production and transport, and Manipulators for both restaurants; and Building and installation for restaurant A. CONCLUSION: Restaurant B had a higher percentage of conformities than restaurant A, and the classification was group 1 and 2, respectively. Regardless of the classification, both presented non-conformities relevant to the safety of the food produced. Based on that, it is suggested to apply an action plan to adapt to the current legislation, guaranteeing quality to food and health to consumers.
{"title":"Adequação das boas práticas em dois restaurantes do tipo fast-food no município de São Paulo, SP, Brasil","authors":"Marcia Lopes Weber, Aline Milan, Joyce de Paula Silva, Natália Marques Nogueira, Pâmela Rodrigues Da Silva","doi":"10.56242/globalhealth;2021;1;3;19-23","DOIUrl":"https://doi.org/10.56242/globalhealth;2021;1;3;19-23","url":null,"abstract":"OBJECTIVE: To identify the adequacy of good practices in two restaurants of two American fast-food franchises in the city of São Paulo, SP, Brazil. METHODS: A checklist adapted from the health legislation was used in each restaurant, identified as A and B, whose items were grouped into 5 blocks: Building and installation, Equipment, furniture and utensils, Handlers, Food production and transportation, and Documentation. The classification of the restaurants was based on the sanitary legislation: group 1, between 75 and 100% of conformities; group 2, between 51 and 74% of conformities; and group 3, from 0 to 50% of conformities. The general classification of the restaurants and by block of items was carried out. RESULTS:Restaurant A was classified in group 2 and B in group 1. Most of the non-conformities were observed in the blocks Documentation, Production and transport, and Manipulators for both restaurants; and Building and installation for restaurant A. CONCLUSION: Restaurant B had a higher percentage of conformities than restaurant A, and the classification was group 1 and 2, respectively. Regardless of the classification, both presented non-conformities relevant to the safety of the food produced. Based on that, it is suggested to apply an action plan to adapt to the current legislation, guaranteeing quality to food and health to consumers.","PeriodicalId":285800,"journal":{"name":"Brazilian Journal of Global Health","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115203908","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-05-27DOI: 10.56242/globalhealth;2021;1;3;62-66
Alessa Castro Ribeiro, Renata Estevam Artagoitia
OBJECTIVE: To characterize the management of mechanical ventilation, ventilatory weaning and tracheal extubation in the Pediatric Intensive Care Centers (PICC) of the Hospital Geral do Grajaú. METHODS: Prospective observational study conducted at the Pediatric Intensive Care Center (PICC) of the Hospital Geral do Grajaú (HGG) for 9 months. RESULTS: Ninety patients who were under mechanical ventilation were included in the study. Of these, 40 were girls and 50 were boys. With a mean age of 5.52 months. Respiratory diseases were diagnosed with hospitalization in 84 patients (93.3%). In 100% of the cases, the Ventilatory Mode Controlled Pressure after tracheal intubation was used. Patients were submitted to MV on average for 6.6 days. In 89 patients (98.8%), the ERT with PSV was performed. Seventy-three patients (81.1%) used NIV after extubation with an average of 2 days of use. In 81 patients (90%) extubation was successful. CONCLUSION: The pediatric population hospitalized in pediatric intensive care units requiring the use of invasive mechanical ventilation is mostly male, less than 6 months old, with indication for hospitalization for respiratory disorders. The use of invasive ventilatory support was on average 6.6 days. Success of tracheal extubation in 90% of patients. We suggest greater accuracy regarding the descriptions of health professionals in electronic medical records.
{"title":"Suporte ventilatório em UTI Pediátrica: estudo observacional","authors":"Alessa Castro Ribeiro, Renata Estevam Artagoitia","doi":"10.56242/globalhealth;2021;1;3;62-66","DOIUrl":"https://doi.org/10.56242/globalhealth;2021;1;3;62-66","url":null,"abstract":"OBJECTIVE: To characterize the management of mechanical ventilation, ventilatory weaning and tracheal extubation in the Pediatric Intensive Care Centers (PICC) of the Hospital Geral do Grajaú. METHODS: Prospective observational study conducted at the Pediatric Intensive Care Center (PICC) of the Hospital Geral do Grajaú (HGG) for 9 months. RESULTS: Ninety patients who were under mechanical ventilation were included in the study. Of these, 40 were girls and 50 were boys. With a mean age of 5.52 months. Respiratory diseases were diagnosed with hospitalization in 84 patients (93.3%). In 100% of the cases, the Ventilatory Mode Controlled Pressure after tracheal intubation was used. Patients were submitted to MV on average for 6.6 days. In 89 patients (98.8%), the ERT with PSV was performed. Seventy-three patients (81.1%) used NIV after extubation with an average of 2 days of use. In 81 patients (90%) extubation was successful. CONCLUSION: The pediatric population hospitalized in pediatric intensive care units requiring the use of invasive mechanical ventilation is mostly male, less than 6 months old, with indication for hospitalization for respiratory disorders. The use of invasive ventilatory support was on average 6.6 days. Success of tracheal extubation in 90% of patients. We suggest greater accuracy regarding the descriptions of health professionals in electronic medical records.","PeriodicalId":285800,"journal":{"name":"Brazilian Journal of Global Health","volume":"206 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116043125","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-05-27DOI: 10.56242/globalhealth;2021;1;3;57-61
Alana Asciutti Victorino, Fernando Veiga Angélico Júnior, Paula Ribeiro Lopes Almeida, Priscila Bogar, Osmar Clayton Person
OBJECTIVE: To evaluate the efficacy and safety of Venlafaxine for the control of vestibular migraine (VM). METHODS: This is a systematic review of randomized clinical trials. The following databases were searched: PUBMED (1966-2021), EMBASE (1974-2021) and CENTRAL (Cochrane Library-2021). There was no geographic and period limitation in the survey. Data extraction and study quality assessment were carried out by two independent researchers. RESULTS: The search strategy identified 47 studies, of which 2 were included in this review, as they met the inclusion and exclusion criteria. Both evaluated the efficacy of venlafaxine in vestibular migraine, comparing the results with other drugs. The first study (2017) compared the effect of venlafaxine with flunarizine and valproic acid, while the second study (2015) compared the efficacy of venlafaxine with propranolol. Both showed improvement of vestibular symptoms in all groups evaluated, but only the groups submitted to treatment with venlafaxine showed a significant change in the emotional DHI (Dizziness Handicap Inventory) score and improvement in depressive symptoms. CONCLUSIONS: Although venlafaxine appears to have promising results, there is currently a scarcity of studies that allow currently to assess the efficacy and safety of the drug for the treatment of vestibular migraine. The evidence is quite limited, the number of studies and patients evaluated reduced, and it is recommended to conduct new quality randomized clinical trials to elucidate the issue.
{"title":"Eficácia e segurança da Venlafaxina para prevenção de migrânea vestibular","authors":"Alana Asciutti Victorino, Fernando Veiga Angélico Júnior, Paula Ribeiro Lopes Almeida, Priscila Bogar, Osmar Clayton Person","doi":"10.56242/globalhealth;2021;1;3;57-61","DOIUrl":"https://doi.org/10.56242/globalhealth;2021;1;3;57-61","url":null,"abstract":"OBJECTIVE: To evaluate the efficacy and safety of Venlafaxine for the control of vestibular migraine (VM). METHODS: This is a systematic review of randomized clinical trials. The following databases were searched: PUBMED (1966-2021), EMBASE (1974-2021) and CENTRAL (Cochrane Library-2021). There was no geographic and period limitation in the survey. Data extraction and study quality assessment were carried out by two independent researchers. RESULTS: The search strategy identified 47 studies, of which 2 were included in this review, as they met the inclusion and exclusion criteria. Both evaluated the efficacy of venlafaxine in vestibular migraine, comparing the results with other drugs. The first study (2017) compared the effect of venlafaxine with flunarizine and valproic acid, while the second study (2015) compared the efficacy of venlafaxine with propranolol. Both showed improvement of vestibular symptoms in all groups evaluated, but only the groups submitted to treatment with venlafaxine showed a significant change in the emotional DHI (Dizziness Handicap Inventory) score and improvement in depressive symptoms. CONCLUSIONS: Although venlafaxine appears to have promising results, there is currently a scarcity of studies that allow currently to assess the efficacy and safety of the drug for the treatment of vestibular migraine. The evidence is quite limited, the number of studies and patients evaluated reduced, and it is recommended to conduct new quality randomized clinical trials to elucidate the issue.","PeriodicalId":285800,"journal":{"name":"Brazilian Journal of Global Health","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129387028","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
OBJECTIVE: It is estimated that almost 38 million people are currently living with HIV, with more than a third presenting oral manifestations. The high degree of immunological weakness of these patients has a huge impact on their quality of life and can be seen clinically in the oral cavity. METHODS: The present study sought to evaluate the oral manifestations most due to HIV infection. This study had as methodology, the active search for information in the databases of the Medline, Lilacs, SciELO, Embase and Cochrane. It was sought to carry out the bibliographic research on the two central themes of this work: buccal manifestations and hiv, mouth care in hiv patients, oral care hiv, oral health in hiv, Aids oral care, Aids oral manifestations, mouth care in Aids patients. RESULTS: It was observed at least 24 different oral lesions reported in the HIV literature, but only ten of them are found consistently, and these, in decreasing prevalence, are oral candidiasis, oral hairy leukoplakia, herpes simplex virus infection. Oral candidiasis was reported as the most commonly found in different countries, including studies in groups that performed antiretroviral therapy. Such lesions may be of bacterial, viral, fungal origin, neoplastic processes and lesions of unknown etiology, as well as periodontal manifestations, which may be aggravated. CONCLSUION: Antiretroviral therapy improves immune competence by attacking HIV viral replication and its immediate start is now recommended for all HIV-infected adults, adolescents and children with oropharyngeal candidiasis according to the guidelines of the World Health Organization.
{"title":"Oral conditions in HIV patients","authors":"Caio Vinicius Gonçalves Roman-Torres, Camila Barreto Barbieri, Luciano Martins, F. Pasquinelli, Marcelo Melo Quintela","doi":"10.56242/globalhealth;2021;1;3;53-56","DOIUrl":"https://doi.org/10.56242/globalhealth;2021;1;3;53-56","url":null,"abstract":"OBJECTIVE: It is estimated that almost 38 million people are currently living with HIV, with more than a third presenting oral manifestations. The high degree of immunological weakness of these patients has a huge impact on their quality of life and can be seen clinically in the oral cavity. METHODS: The present study sought to evaluate the oral manifestations most due to HIV infection. This study had as methodology, the active search for information in the databases of the Medline, Lilacs, SciELO, Embase and Cochrane. It was sought to carry out the bibliographic research on the two central themes of this work: buccal manifestations and hiv, mouth care in hiv patients, oral care hiv, oral health in hiv, Aids oral care, Aids oral manifestations, mouth care in Aids patients. RESULTS: It was observed at least 24 different oral lesions reported in the HIV literature, but only ten of them are found consistently, and these, in decreasing prevalence, are oral candidiasis, oral hairy leukoplakia, herpes simplex virus infection. Oral candidiasis was reported as the most commonly found in different countries, including studies in groups that performed antiretroviral therapy. Such lesions may be of bacterial, viral, fungal origin, neoplastic processes and lesions of unknown etiology, as well as periodontal manifestations, which may be aggravated. CONCLSUION: Antiretroviral therapy improves immune competence by attacking HIV viral replication and its immediate start is now recommended for all HIV-infected adults, adolescents and children with oropharyngeal candidiasis according to the guidelines of the World Health Organization.","PeriodicalId":285800,"journal":{"name":"Brazilian Journal of Global Health","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131739470","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-05-27DOI: 10.56242/globalhealth;2021;1;3;7-11
E. Silva Júnior, Adriana Cortez, Renata Bottura, Simone Gonçalves Rodrigues Gomes, Rafael Garabet Agopian, Jonas Moraes Filho
OBJECTIVE: Detection of Ehrlichia canis, Rickettsia rickettsii, Anaplasma platys, Rangelia vitalii, and Babesia canis vogeli using real-time PCR in dogs treated at the veterinary hospital of the Universidade Santo Amaro, located in the south zone, in the city of São Paulo, SP, Brazil. METHODS: DNA was extracted from 63 whole blood samples using the “PureLink Genomic DNA” extraction kit (Invitrogen®) according to the manufacturer's instructions and real-time PCR was performed to detect Ehrlichia canis, Rickettsia rickettsii, Anaplasma platys, Rangelia vitalii, and Babesia canis vogeli. RESULTS: In total, 23.8% (15/63) of the samples were positive by real-time PCR for at least one pathogen. Of these, 9.52% (6/63) were positive for Babesia canis vogeli and 14.2% (9/63) for Ehrlichia canis. No samples were positive for Rickettsia rickettsii, Rangelia vitalii, and Anaplasma platys. CONCLUSION: This study demonstrated, in an unprecedented way, the presence of B. canis vogeli and E. canis in dogs from fragmentation areas of the Atlantic Forest around the Guarapiranga Reservoir in the city of São Paulo, expanding knowledge on the dispersion of this agent in Brazil.
{"title":"Diagnóstico molecular para hemoparasitos em cães atendidos no Hospital Veterinário da Universidade Santo Amaro, São Paulo, SP, Brasil","authors":"E. Silva Júnior, Adriana Cortez, Renata Bottura, Simone Gonçalves Rodrigues Gomes, Rafael Garabet Agopian, Jonas Moraes Filho","doi":"10.56242/globalhealth;2021;1;3;7-11","DOIUrl":"https://doi.org/10.56242/globalhealth;2021;1;3;7-11","url":null,"abstract":"OBJECTIVE: Detection of Ehrlichia canis, Rickettsia rickettsii, Anaplasma platys, Rangelia vitalii, and Babesia canis vogeli using real-time PCR in dogs treated at the veterinary hospital of the Universidade Santo Amaro, located in the south zone, in the city of São Paulo, SP, Brazil. METHODS: DNA was extracted from 63 whole blood samples using the “PureLink Genomic DNA” extraction kit (Invitrogen®) according to the manufacturer's instructions and real-time PCR was performed to detect Ehrlichia canis, Rickettsia rickettsii, Anaplasma platys, Rangelia vitalii, and Babesia canis vogeli. RESULTS: In total, 23.8% (15/63) of the samples were positive by real-time PCR for at least one pathogen. Of these, 9.52% (6/63) were positive for Babesia canis vogeli and 14.2% (9/63) for Ehrlichia canis. No samples were positive for Rickettsia rickettsii, Rangelia vitalii, and Anaplasma platys. CONCLUSION: This study demonstrated, in an unprecedented way, the presence of B. canis vogeli and E. canis in dogs from fragmentation areas of the Atlantic Forest around the Guarapiranga Reservoir in the city of São Paulo, expanding knowledge on the dispersion of this agent in Brazil.","PeriodicalId":285800,"journal":{"name":"Brazilian Journal of Global Health","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129990363","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-05-27DOI: 10.56242/globalhealth;2021;1;3;35-39
Gabriela Marinho Garcia de Barros, Gabriella de Souza Louver, Giulia Valentin Barros, Layla Cristina Barros Teixeira, Larissa Alves Christensem Pereira, Melissa Mautoni Marcondes Machado, Natália de Barros Marinho, Leonardo Sokolnik de Oliveira
OBJECTIVE: The objective of this study was to evaluate the impact of the COVID-19 pandemic over the search for healthcare services according to four criteria (cancellation of medical consultations, suspension of treatments, postponement of surgeries and non-performance of routine tests), comparing the results between genders and age groups. METHODS: A survey was conducted through an internet questionnaire in October 2020. RESULTS: 602 responses were obtained, and the results were that women had lower rates of going to health services compared to men and individuals belonging to the elderly age group canceled more medical visits, interrupted more therapies, and postponed more surgeries than other age groups. CONCLUSION: Considering the overview of all age groups, the pandemic caused a decrease of about 28% in the demand for medical consultations and this decrease is more significant among the elderly and women. These results emphasize the need for specific campaigns for these people in periods of social isolation due to the pandemics.
{"title":"Decrease in search to hospitals and health services and the interruption of therapeutics and treatments during pandemic","authors":"Gabriela Marinho Garcia de Barros, Gabriella de Souza Louver, Giulia Valentin Barros, Layla Cristina Barros Teixeira, Larissa Alves Christensem Pereira, Melissa Mautoni Marcondes Machado, Natália de Barros Marinho, Leonardo Sokolnik de Oliveira","doi":"10.56242/globalhealth;2021;1;3;35-39","DOIUrl":"https://doi.org/10.56242/globalhealth;2021;1;3;35-39","url":null,"abstract":"OBJECTIVE: The objective of this study was to evaluate the impact of the COVID-19 pandemic over the search for healthcare services according to four criteria (cancellation of medical consultations, suspension of treatments, postponement of surgeries and non-performance of routine tests), comparing the results between genders and age groups. METHODS: A survey was conducted through an internet questionnaire in October 2020. RESULTS: 602 responses were obtained, and the results were that women had lower rates of going to health services compared to men and individuals belonging to the elderly age group canceled more medical visits, interrupted more therapies, and postponed more surgeries than other age groups. CONCLUSION: Considering the overview of all age groups, the pandemic caused a decrease of about 28% in the demand for medical consultations and this decrease is more significant among the elderly and women. These results emphasize the need for specific campaigns for these people in periods of social isolation due to the pandemics.","PeriodicalId":285800,"journal":{"name":"Brazilian Journal of Global Health","volume":"113 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127702065","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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