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Neonatal Brachial Plexus Paralysis: A Discussion on the Light of Literature 新生儿臂丛神经麻痹:从文献的角度探讨
Pub Date : 2019-10-27 DOI: 10.14295/aimj.v4i7.87
Maria Auxiliadora Ferreira Brito, M. L. Neto
Neonatal Brachial Plexus Paralysis (PPBN) is defined as a brachial plexus traction or compression injury resulting from dystocic delivery. The incidence of PPBN varies from 0.42 to 5.1% per 1000 births. The lesion occurs in the expulsive period of childbirth, is most often associated with shoulder dystocia, gestational or pre-gestational diabetes and macrosomic fetuses. The lesion resulting from C5-C6 root involvement is the most frequent, affecting around 50 to 60% of the cases, and 80% of these patients have spontaneous recovery. However, around 20 to 30% of patients may develop persistent deficits, with permanent impacts on upper limb function, compromising the child's development; leading to repercussions for their families and for the health system. PPBN is usually diagnosed by clinical examination and usually does not require imaging studies. Initial treatment is conservative based on functional rehabilitation through physical therapy. Sequential physical examination will indicate patients with no recovery of shoulder movement between 3 and 6 months, who may benefit from surgical treatment. The prognosis of PPBN depends on the level (pre- or postganglionic), the extent, severity of the lesion, the speed of recovery and the quality of initial clinical management. Keywords : Obstetric Paralysis, Brachial plexus, Neonatal
新生儿臂丛神经麻痹(PPBN)被定义为由难产引起的臂丛神经牵引或压迫损伤。PPBN的发生率从每1000个新生儿0.42到5.1%不等。病变发生在分娩排尿期,最常与肩难产、妊娠期或妊娠前糖尿病和巨大胎儿有关。由C5-C6根受累引起的病变是最常见的,约50 - 60%的病例受影响,其中80%的患者自发恢复。然而,约20%至30%的患者可能出现持续性缺陷,对上肢功能产生永久性影响,影响儿童的发育;导致对其家庭和卫生系统的影响。PPBN通常通过临床检查诊断,通常不需要影像学检查。最初的治疗是通过物理治疗进行功能康复的保守治疗。连续的体格检查将表明患者在3至6个月之间没有恢复肩关节活动,他们可能会受益于手术治疗。PPBN的预后取决于病变的程度(神经节前或神经节后)、程度、严重程度、恢复速度和初始临床管理的质量。关键词:产科麻痹,臂丛神经,新生儿
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引用次数: 2
Cutaneous Blastomycosis Simulating Ganglionic Tuberculosis: A Case Report 皮肤芽孢菌病模拟神经节结核1例报告
Pub Date : 2019-10-27 DOI: 10.14295/aimj.v4i7.94
Luanna Angélica Pesqueira e Silva, M. L. Neto, P. Pita
1 Graduação em Medicina pela Faculdade de Medicina Estácio Juazeiro do Norte, Brasil; 2 Professor Livre Docente pela Faculdade de Saúde Pública da Universidade de São Paulo. Pós-Doutor em Saúde Pública pela Universidade de São Paulo USP. Pós-Doutor em Lingüística pela Universidade Federal de Pernambuco UFPE . Doutor em Ciências da Saúde pela Universidade Federal do Rio Grande do Norte UFRN. Professor do Curso de Medicina da Universidade Federal do Cariri UFCA. Professor do Curso de Medicina da Estácio/Faculdade de Medicina de Juazeiro do Norte FMJ. Professor do Curso de Direito da Faculdade de Juazeiro do Norte – FJN. Autor correspondente: modestorolim@yahoo.com.br; 3 Médico Infectologista. Mestrando em Ciências da Saúde pela Faculdade de Medicina do ABC Santo André SP. Pós-graduação pela Universidade de Pernambuco em Infectologia por meio de Residência Médica. É Coordenador do Programa de Residência Médica e Internado de Medicina Interna da Faculdade Estácio de Medicina, Juazeiro do Norte – CE. Luanna Angélica Pesqueira e Silva; Modesto Leite Rolim Neto; Pablo Pita Abstract: Blastomycosis is a chronic or subacute deep mycosis caused by a dimorphic fungus called Blastomyces dermatitidis, which usually produces pulmonary disease and, to a lesser extent, extrapulmonary forms such as cutaneous, osteoarticular, genitourinary, among others. Case Report: The authors report a case of primary cutaneous blastomycosis in Brazil, with characteristics that mimic ganglion tuberculosis. The diagnosis was confirmed by biopsy and histopathology. Conclusion: Cutaneous blastomycosis is clinically similar to ganglion tuberculosis, thus being an important differential diagnosis. Thus, knowing the characteristics and particularities of the disease, as well as its epidemiology, are important factors in the diagnosis of the disease.
1名巴西estacio Juazeiro do Norte医学院医学学位;2名由sao保罗大学公共卫生学院免费教授。sao保罗大学公共卫生博士后。伯南布哥联邦大学语言学博士后。北格兰德联邦大学健康科学博士。卡里里联邦大学医学课程教授。estacio / Juazeiro do Norte医学院医学院教授。Juazeiro do Norte - FJN学院法律课程教授。通讯作者:modestorolim@yahoo.com.br;3传染病学家。ABC Santo andre SP医学院健康科学硕士学位。伯南布哥大学传染病学研究生学位。他是estacio de Medicina学院住院医师和内科住院医师项目的协调员,Juazeiro do Norte - CE。Luanna angelica Pesqueira e Silva;适度的净牛奶Rolim;芽孢菌病是一种慢性或亚急性的深真菌病,由一种叫做皮肤芽孢菌的二形真菌引起,通常产生肺部疾病,并在较小程度上产生肺外形式,如皮肤、骨关节、泌尿生殖系统等。病例报告:作者报告了巴西一例原发性皮肤芽孢杆菌病,具有类似淋巴结结核的特征。= =地理= =根据美国人口普查,这个县的总面积是,其中土地和(3.064平方公里)水。结论:皮肤芽孢杆菌病在临界上与淋巴结结核相似,是一种重要的鉴别诊断。因此,了解该病的特点和特点以及流行病学是该病诊断的重要因素。
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引用次数: 0
Humanized Embracement in Public Health Services in Brazil 巴西公共卫生服务中的人性化拥抱
Pub Date : 2019-10-27 DOI: 10.14295/aimj.v4i7.88
Paula Janaynne de Souza, Wantuil Matias Neto, M. Neto
User embracement humanization aims to enable interdisciplinary care considering the patient's reality. This literature review compiles the perspectives on humanized embracement in the Brazilian Unified Health System. We performed a BVS platform search on the keywords “attendance”, “humanization” and “primary health care”, filtering the results using the PRISMA protocol. It was obtained 8 articles regarding humanization in public health system care, highlighting its conditions and difficulties. It was concluded that humanized care practice is important as an improvement tool in the health system and that professionals need to adapt to the humanized model.        Keywords: User embracement; Humanization; Primary Health Care
用户拥抱人性化旨在考虑患者的实际情况,实现跨学科的护理。这篇文献综述汇编了在巴西统一卫生系统人性化拥抱的观点。我们在BVS平台上搜索关键词“出勤”、“人性化”和“初级卫生保健”,并使用PRISMA协议对结果进行过滤。获得了8篇关于公共卫生系统护理人性化的文章,突出了其条件和困难。结论是,人性化护理实践是卫生系统中重要的改进工具,专业人员需要适应人性化模式。关键词:用户拥抱;人性化;初级卫生保健
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引用次数: 0
Use of Trilingual Posters as Access Technology to Prenatal of Immigrants 使用三语海报作为获取移民产前信息的技术
Pub Date : 2019-10-27 DOI: 10.14295/aimj.v4i7.69
Rafael Zaneripe de Souza Nunes, S. Zavadil, Jacks Soratto, K. M. Gomes, Graziela Amboni, C. Z. Souza
Rafael Zaneripe de Souza Nunes, Stephane Catharine Zavadil, Jacks Soratto, Karin Martins Gomes, Graziela Amboni, Caroline Zaneripe de Souza Abstract: Immigration around the world is an important discussion to study in the context of Public Health. To Brazil, one of the biggest challenges is verbal communication to Haitian and Ghanaian immigrants, as most of them don’t speak the language of the immigrant region. Realizing the difficulty in communication and guidance within Public Health, a trilingual information poster was created to serve as a technology for access to these users and to facilitate the work of health professionals in prenatal care. The poster was produced through the performance of the Multiprofessional Residency in Public Health, of the Postgraduate Program in Public Health (PPGSCOL) present at the University of Santa Catarina (UNESC).
摘要:在公共卫生的背景下,世界范围内的移民问题是一个重要的研究话题。对巴西来说,最大的挑战之一是与海地和加纳移民的语言交流,因为他们中的大多数人不会说移民地区的语言。认识到公共卫生部门在沟通和指导方面的困难,制作了一种三语信息海报,作为接触这些用户的一种技术,并促进保健专业人员在产前护理方面的工作。这张海报是圣卡塔琳娜大学公共卫生研究生课程(PPGSCOL)公共卫生多专业住院医师实习的成果。
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引用次数: 0
Heart Failure Predictors in Adult Population 成人心力衰竭的预测因素
Pub Date : 2019-10-27 DOI: 10.14295/aimj.v4i7.82
Luiz Arthur Bevilaqua Bandeira, Talina Carla da Silva, Macerlane de Lira Silva, E. V. Assis, Melina Maria Loiola Melo Vasconcelos, Ana Rebeca Soares Maia de Oliveira
Cardiovascular insufficiency (HF) has been shown to cause morbidity and mortality in several countries, among other aspects, due to changes in habits and lifestyle, leading to an increase in life expectancy.  It is considered a major public health problem given the high prevalence in the adult population, especially in the age group above 65 years.  The present study discusses the predictors of HF, based on an integrative review of four studies on the subject.  The results showed that, among the risk factors that most tend to imply the onset of HF, are systemic arterial hypertension, diabetes, coronary artery disease, obesity, dyslipidemia, and other factors such as smoking, gender and age. Keywords : heart failure, public health, adult population.
在一些国家,由于习惯和生活方式的改变,心血管功能不全(HF)已被证明会引起发病率和死亡率,从而导致预期寿命的增加。鉴于成年人口,特别是65岁以上年龄组的发病率很高,这被认为是一个重大的公共卫生问题。本研究在对四项相关研究进行综合综述的基础上,探讨了心衰的预测因素。结果显示,在最容易暗示HF发病的危险因素中,有全身性动脉高血压、糖尿病、冠状动脉疾病、肥胖、血脂异常以及吸烟、性别和年龄等其他因素。关键词:心力衰竭,公共卫生,成人。
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引用次数: 0
Neuroeducation:An Approach to Brain Plasticity in Learning 神经教育:学习中大脑可塑性的途径
Pub Date : 2019-10-27 DOI: 10.14295/aimj.v4i7.81
Léa Barbosa de Sousa, Ingrid Soraya de Oliveira Sá, Ana Rebeca Soares Maia de Oliveira, Maria das Graças de Carvalho, Marlene Menezes de Souza Teixeira
Neuroscience is a field of science that studies the central nervous system (CNS) as well as its relations with the human body.  It is intricately implicated in the different fields of knowledge, directly interfering in linguistics, the arts, medicine, among others.  Neuropsychology, in turn, deals with the study of the relationship between cognition, behavior and CNS activities, both under normal and pathological conditions.  This study aims to discuss aspects of neuroscience in order to clarify aspects related to how the brain learns and how it behaves in the learning process, so that the quality of pedagogical intervention can be reached.  Keywords: Neuroeducation, Neuroscience, Learning.
神经科学是研究中枢神经系统及其与人体关系的科学领域。它与不同的知识领域有着错综复杂的关系,直接影响语言学、艺术、医学等领域。神经心理学,反过来,研究认知,行为和中枢神经系统活动之间的关系,在正常和病理条件下。本研究旨在探讨神经科学的各个方面,以澄清与大脑如何学习及其在学习过程中的行为有关的方面,从而达到教学干预的质量。关键词:神经教育,神经科学,学习。
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引用次数: 1
Social Psychiatry and the demand for Mental Health Services: Some caution is valid? 社会精神病学和心理健康服务的需求:一些谨慎是有效的?
Pub Date : 2019-10-27 DOI: 10.14295/aimj.v4i7.90
I. Pereira, Amanda Plácido da Silva Macêdo, Ivna Celli Assunção de Sá, Larissa Melo Moreira, M. Neto
Mental health in the interface with social psychiatryis a constantly evolving field. Psychiatry faces major challenges. The therapeutic relationship remains paramount. Methods: A Short Communication that focus the informational spaces of professional interests, many new ideas and concepts what are issued under the banner of "social psychiatry.". Include: discovery or development of new information’s, novelty in modeling  scientific and channels of information. Results: The evidences emphasize that Mental illness and interventions in psychiatry should be considered in the of social context where patients live and factors they face on a daily basis. There’s a need for greater numbers of psychiatrists. Limitations: As Short Communications are expected to have higher than average impact on the field rather than report on incremental research, they will receive prioritized and rapid publication. Conclusion: Social values and concepts have played a central role in the history of mental health care, allowing more focus on possible environmental causes or factors. Keywords: Social Psychiatryis; Mental Health; Therapeutic Relationship.
心理健康与社会精神病学是一个不断发展的领域。精神病学面临重大挑战。治疗关系仍然是最重要的。方法:以“社会精神病学”为旗帜,集中了专业兴趣的信息空间,许多新的思想和概念。包括:新信息的发现或开发,建模科学的新颖性和信息渠道。结果:这些证据强调,精神疾病和精神病学的干预应该在患者生活的社会背景和他们日常面临的因素中加以考虑。我们需要更多的精神科医生。局限性:由于短通信预计在该领域具有高于平均水平的影响,而不是报告增量研究,因此它们将得到优先和快速出版。结论:社会价值观和观念在精神卫生保健的历史中发挥了核心作用,可以更多地关注可能的环境原因或因素。关键词:社会精神病学;心理健康;治疗的关系。
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引用次数: 0
Benzodiazepines use in elderly patients attended at a Public Pharmacy in Pernambuco Brazil 苯二氮卓类药物在巴西伯南布哥州一家公共药房的老年患者中的使用
Pub Date : 2019-10-27 DOI: 10.14295/aimj.v4i7.91
E. Freitas, Joaquim Alves Diniz, Natália Rodrigues Alves, P. Leite, M. L. Neto, Poliana Moreira de Medeiros Carvalho
: The elderly people are the group that most use psychotropic drugs, due to psychiatric comorbidity and somatic conditions. In Brazil some benzodiazepines are part of the National List of Essential Medicines (RENAME) being distributed free of charge, facilitating the population access, which can lead to irrational use. Methods: Cross-sectional, descriptive research through a qualitative and quantitative study of benzodiazepine use in patients attended at the Cedro Basic Pharmacy in the city of Cedro-PE. The data collection was done with the application of a semi-structured questionnaire. The pattern of benzodiazepine use has been described through patient-reported symptomatology, therapeutic adherence, medical specialty, dose increase without medical consultation, and adverse effects reported during the drug use. Results: There was a predominance of females (58.33%). The most commonly used benzodiazepine was diazepam (66.67%). The purchase of benzodiazepine without a prescription was reported by 16.67% of the elderly interviewed and an increase in the drug dose without doctor consulting by 25% of the interviewees. Final considerations: The prescription of these drugs for the elderly, as well as the chronic use, should consider the physiological changes caused by aging and the adverse effects of these drugs in order to guarantee a safe treatment. Keywords : Aged; Psychotropic drugs; Drug utilization.
由于精神疾病和躯体疾病,老年人是使用精神药物最多的群体。在巴西,一些苯二氮卓类药物是免费分发的《国家基本药物清单》的一部分,促进了人口获取,这可能导致不合理使用。方法:横断面描述性研究,通过定性和定量研究在塞德罗- pe市塞德罗基础药房就诊的患者苯二氮卓类药物的使用。数据收集采用半结构化问卷。苯二氮卓类药物的使用模式通过患者报告的症状、治疗依从性、医学专业、未经医疗咨询的剂量增加和药物使用期间报告的不良反应来描述。结果:以女性为主(58.33%)。最常用的苯二氮卓类药物是地西泮(66.67%)。受访老年人中有16.67%的人在没有处方的情况下购买苯二氮卓类药物,25%的人在没有医生咨询的情况下增加了药物剂量。最后注意事项:老年人用药的处方,以及长期使用时,应考虑到衰老引起的生理变化和药物的不良反应,以保证安全治疗。关键词:老年;精神药品;药物的利用率。
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引用次数: 0
Physicians are at a higher risk than the General Population for Suicide? 医生的自杀风险高于一般人群?
Pub Date : 2019-10-27 DOI: 10.14295/aimj.v4i7.89
I. Pereira, Amanda Plácido da Silva Macêdo, Ivna Celli Assunção de Sá, Larissa Melo Moreira, M. Neto
Suicide is a huge public health problem, which needs more attention. One doctor commits suicide in the U.S. every day -- the highest suicide rate of any profession. According to the American Foundation for Suicide Prevention, physicians are at a higher risk than the general population for suicide. Methods: A Brief Communication that focus on the starkest sign of the crisis gripping medicine: the number of physicians who commit suicide every year. Include: discovery or development of new information’s, novelty in modeling  scientific, elucidation of mechanisms editorials and channels of information. Results: The medical profession has proven to have one of the highest risks of death by suicide among professions. About 15-30% of students and residents screen positive for depression. Studies also show that 1 in 16 trainees report suicidal ideation. The researchers also suggest that psychiatry help is still a taboo among doctors. Limitations: As Short Communications are expected to have higher than average impact on the field rather than report on incremental research, they will receive prioritized and rapid publication. Conclusion: Strategies to reduce preventable deaths should include preventive and treatment service. We should all strive to help usher in a new era of medical culture that promotes sustainable medical careers. Excessive pressures and expectations at work, may entail   to a loss of meaning of work and of self for physicians. Key-words: Suicide; Doctors; Medicine; Mental Health
自杀是一个巨大的公共卫生问题,需要更多的关注。在美国,每天都有一名医生自杀,这是所有职业中自杀率最高的。根据美国自杀预防基金会的数据,医生的自杀风险高于一般人群。方法:一篇简短的交流,聚焦于困扰医学界的危机最明显的迹象:每年自杀的医生人数。包括:新信息的发现或发展,建模科学的新颖性,机制的阐明,编辑和信息渠道。结果:医学职业已被证明是职业中自杀死亡风险最高的职业之一。大约15-30%的学生和住院医生的抑郁症筛查呈阳性。研究还表明,每16名受训者中就有1人报告有自杀念头。研究人员还指出,在医生中,精神病学帮助仍然是一个禁忌。局限性:由于短通信预计在该领域具有高于平均水平的影响,而不是报告增量研究,因此它们将得到优先和快速出版。结论:减少可预防死亡的策略应包括预防和治疗服务。我们都应该努力帮助开创一个促进可持续医疗事业的医学文化新时代。对医生来说,过度的工作压力和期望可能导致工作和自我意义的丧失。关键词:却自杀;医生;医学;心理健康
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引用次数: 1
Anencephaly as Congenital Malformation and Critical Issues Involved 无脑畸形作为先天性畸形和涉及的关键问题
Pub Date : 2019-10-27 DOI: 10.14295/aimj.v4i7.96
Eduarda Monteiro Jovino, Marianna Leite Barroso, A. Florêncio, J. G. Júnior
1 Graduated in Medicine from the Federal University of Cariri UFCA. Family Health Strategy Physician. dudajovino@gmail.com; 2 Undergraduate Nursing, Faculty of Nursing SãoVicente de Paula. Master in Public Health from the Federal University of Pernambuco. Post Graduation in Public Health, Obstetric Nursing and Family Health. Contact: mariannaleite_@hotmail.com; 3 MD, University of Fortaleza UNIFOR. karolflorencio@gmail.com; 4 Resident in Clinical Medicine at Santa Casa de Misericórdia of Fortaleza. Degree in MEDICINE from the Federal University of Cariri UFCA. Certified by the American Heart Association (AHA) / IPATRE at Advanced Cardiovascular Life Support. Contact: juciergjunior@hotmail.com. Eduarda Monteiro Jovino; Marianna Leite Barroso; Ana Karoline de Oliveira Florêncio; Jucier Gonçalves Júnior Abstract: Congenital malformations constitute alterations in the structure, physiological functioning or metabolism of cells, tissues and / or organs, causing morphological, biochemical or behavioral defects produced during pregnancy. Approximately 20% of pregnancies with malformed fetuses end in spontaneous abortion and the remaining 80% will be born dead or alive, resulting in 3% to 5% of newborns with congenital anomalies. This study discusses aspects related to anencephaly and other critical issues surrounding this context. It was concluded that the right to life is fundamental, constituting a prerequisite for the existence and exercise of all other rights. Even so, there still seems to be bias in the legislation that enables parents of babies with this malformation to have legal recourse to abortion.
毕业于卡里里联邦大学医学专业。家庭健康策略医师。dudajovino@gmail.com;2 .保拉大学护理学院本科护理学;伯南布哥联邦大学公共卫生硕士。公共卫生、产科护理和家庭保健专业毕业研究生。联系:mariannaleite_@hotmail.com;3博士,福塔莱萨大学。karolflorencio@gmail.com;4福塔莱萨Santa Casa de Misericórdia临床医学住院医师。卡里里联邦大学医学学位。获得美国心脏协会(AHA) / IPATRE高级心血管生命支持认证。联系:juciergjunior@hotmail.com。爱德华·蒙泰罗·乔维诺;玛丽安娜·莱特·巴罗佐;Ana Karoline de Oliveira Florêncio;摘要:先天性畸形是指细胞、组织和/或器官在结构、生理功能或代谢方面的改变,导致妊娠期间产生的形态、生化或行为缺陷。大约20%的畸形胎儿妊娠以自然流产告终,其余80%将死或活,导致3%至5%的新生儿患有先天性畸形。本研究讨论了与无脑畸形相关的方面以及围绕这一背景的其他关键问题。会议的结论是,生命权是基本权利,是所有其他权利存在和行使的先决条件。即便如此,立法中似乎仍然存在偏见,使患有这种畸形婴儿的父母能够合法地诉诸堕胎。
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引用次数: 0
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Amadeus International Multidisciplinary Journal
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