A. Chichester, Ana Luisa Mendes Dos Reis, A. Castanheira, C. Nascimento, Beatriz Hosana Biasi, Victoria Juliana Campos Lodi, Alyne Condurú dos Santos Cunha, M. E. Ribeiro, W. Loureiro, Caroline da Silva Alves Palheta, Maria Amélia Lopes dos Santos, Edna Aoba Yassui, F. Carneiro, C. Pires
Background: Cutaneous leishmaniasis (CL) is an infectious disease caused by a protozoan of the genus Leishmania and is transmitted by the anopheline mosquito. This study focused on describe three cases of atypical clinical presentations on patients with American cutaneous leishmaniasis from Dermatology Department of the State University of the State of Pará. Methods and Findings: Three patients assisted at a referral service between 2017 and 2019 are reported, based on clinical interview, histopathological analysis and polymerase chain reaction. On the first patient, it was observed keratotic erythematous vegetative plaque measuring 10x8 cm, with satellite lesions, in the left lower limb; the second patient presented an erythematous infiltrated plaque with crusts, on left ear for 6 months, with progressive growth; the third patient showed erythematous infiltrated plaques, sometimes ulcerated, in the trunk and face, with a zosteriform aspect. All three patients had the diagnosis confirmed by polymerase chain reaction and histopathological analysis. Conclusions: The wide range of clinical manifestations may be related to factors such as: use of immunosuppressive drugs, concomitant infections with more than one variety of Leishmania spp. and association with other systemic diseases, with HIV co-infection and diabetes being the main associated diseases. Thus, it is always necessary to evaluate such comorbidities on patients with leishmaniasis suspection, in order to avoid misdiagnosis.
{"title":"American Cutaneous Leishmaniasis: A Pleomorphic Disease with Unusual Clinical Presentations - Report of Three Cases","authors":"A. Chichester, Ana Luisa Mendes Dos Reis, A. Castanheira, C. Nascimento, Beatriz Hosana Biasi, Victoria Juliana Campos Lodi, Alyne Condurú dos Santos Cunha, M. E. Ribeiro, W. Loureiro, Caroline da Silva Alves Palheta, Maria Amélia Lopes dos Santos, Edna Aoba Yassui, F. Carneiro, C. Pires","doi":"10.3823/2617","DOIUrl":"https://doi.org/10.3823/2617","url":null,"abstract":"Background: Cutaneous leishmaniasis (CL) is an infectious disease caused by a protozoan of the genus Leishmania and is transmitted by the anopheline mosquito. This study focused on describe three cases of atypical clinical presentations on patients with American cutaneous leishmaniasis from Dermatology Department of the State University of the State of Pará. \u0000Methods and Findings: Three patients assisted at a referral service between 2017 and 2019 are reported, based on clinical interview, histopathological analysis and polymerase chain reaction. On the first patient, it was observed keratotic erythematous vegetative plaque measuring 10x8 cm, with satellite lesions, in the left lower limb; the second patient presented an erythematous infiltrated plaque with crusts, on left ear for 6 months, with progressive growth; the third patient showed erythematous infiltrated plaques, sometimes ulcerated, in the trunk and face, with a zosteriform aspect. All three patients had the diagnosis confirmed by polymerase chain reaction and histopathological analysis. \u0000Conclusions: The wide range of clinical manifestations may be related to factors such as: use of immunosuppressive drugs, concomitant infections with more than one variety of Leishmania spp. and association with other systemic diseases, with HIV co-infection and diabetes being the main associated diseases. Thus, it is always necessary to evaluate such comorbidities on patients with leishmaniasis suspection, in order to avoid misdiagnosis. ","PeriodicalId":73409,"journal":{"name":"International archives of medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47894728","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}
Maria Lúcia Neto de Menezes, Maria das Neves Figueiroa, Waldemar Brandão Neto, Gentil Paiva de Oliveira Júnior, Bruna Layza Gonçalves Lourenço, Thaísa Cristina Xavier Soares de Arruda Falcão, Bárbara Albuquerque Barbosa
Sexuality in adolescence is a major focus of interest and concern for parents and educators, thus family and school involvement is indispensable for adolescent sex education. This article analyzes educational scenarios, themes, and difficulties related to sex education, from the perspective of adolescent students, managers, and teachers from Brazilian public schools. This is a cross-sectional, exploratory, and descriptive survey, developed in 5 schools from the 2nd political-administrative region (PAR) of Recife, Pernambuco, Brazil. The sample consisted of 196 individuals (168 teenagers, 19 teachers, and 9 managers) and data was obtained through interviews, conducted in September and October 2017. The results indicate that the school infrastructure has deficiencies in relation to: living spaces, teaching scenarios, teacher education, dialogue with families, and integration with other teaching and health institutions. All this contributes to the persistence of sex education as a theme of biology-based classes. It is concluded that psychological, cultural, and relational aspects of healthy and safe sexuality persist as knowledge gaps according to the teenagers themselves, something which indicates the need to expand spaces for dialogue and embracement of human diversity within the school environment.
{"title":"Sex education from the perspective of adolescent students, teachers, and managers of Elementary School in Recife, Pernambuco, Brazil","authors":"Maria Lúcia Neto de Menezes, Maria das Neves Figueiroa, Waldemar Brandão Neto, Gentil Paiva de Oliveira Júnior, Bruna Layza Gonçalves Lourenço, Thaísa Cristina Xavier Soares de Arruda Falcão, Bárbara Albuquerque Barbosa","doi":"10.3823/2603","DOIUrl":"https://doi.org/10.3823/2603","url":null,"abstract":"Sexuality in adolescence is a major focus of interest and concern for parents and educators, thus family and school involvement is indispensable for adolescent sex education. This article analyzes educational scenarios, themes, and difficulties related to sex education, from the perspective of adolescent students, managers, and teachers from Brazilian public schools. This is a cross-sectional, exploratory, and descriptive survey, developed in 5 schools from the 2nd political-administrative region (PAR) of Recife, Pernambuco, Brazil. The sample consisted of 196 individuals (168 teenagers, 19 teachers, and 9 managers) and data was obtained through interviews, conducted in September and October 2017. The results indicate that the school infrastructure has deficiencies in relation to: living spaces, teaching scenarios, teacher education, dialogue with families, and integration with other teaching and health institutions. All this contributes to the persistence of sex education as a theme of biology-based classes. It is concluded that psychological, cultural, and relational aspects of healthy and safe sexuality persist as knowledge gaps according to the teenagers themselves, something which indicates the need to expand spaces for dialogue and embracement of human diversity within the school environment.","PeriodicalId":73409,"journal":{"name":"International archives of medicine","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42018757","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}
Andrey de Almeida Carneiro, Edson Yuzur Yasojima, P. Costa, Maria Eduarda Buhrnheim, Bernardo Felipe Santana de Macedo, F. Carneiro
Introduction: Intestinal anastomosis consist of surgical procedures which there is an anastomotic line between two intestinal segments in order to reconstruct or divert the digestive transit. However, several complications may result from this surgical procedure. Objective: Present, describe and discuss the findings of the literature regarding substances capable of reducing injury and possible complications of intestinal anastomoses. Method: The data were collected by literature review using the descriptors: "intestinal anastomoses", "antioxidants"; and as basis articles published in the published Scientific Electronic Library (Scielo), Lilacs, MedLine and Pubmed databases. Inclusion criteria were original and review articles published in full in the online form in the Portuguese, Spanish and English languages, using the descriptors mentioned above in the respective languages. Results: Scientific articles were collected, in which 38 papers were included in the inclusion criteria. Conclusions: The major parts of substances described in the present study demonstrated be statistically relevant results and the capacity to optimize the anastomotic healing.
{"title":"Use of Antioxidant Substances in Intestinal Anastomosis in Rats","authors":"Andrey de Almeida Carneiro, Edson Yuzur Yasojima, P. Costa, Maria Eduarda Buhrnheim, Bernardo Felipe Santana de Macedo, F. Carneiro","doi":"10.3823/2616","DOIUrl":"https://doi.org/10.3823/2616","url":null,"abstract":"Introduction: Intestinal anastomosis consist of surgical procedures which there is an anastomotic line between two intestinal segments in order to reconstruct or divert the digestive transit. However, several complications may result from this surgical procedure. \u0000Objective: Present, describe and discuss the findings of the literature regarding substances capable of reducing injury and possible complications of intestinal anastomoses. \u0000Method: The data were collected by literature review using the descriptors: \"intestinal anastomoses\", \"antioxidants\"; and as basis articles published in the published Scientific Electronic Library (Scielo), Lilacs, MedLine and Pubmed databases. Inclusion criteria were original and review articles published in full in the online form in the Portuguese, Spanish and English languages, using the descriptors mentioned above in the respective languages. \u0000Results: Scientific articles were collected, in which 38 papers were included in the inclusion criteria. \u0000Conclusions: The major parts of substances described in the present study demonstrated be statistically relevant results and the capacity to optimize the anastomotic healing.","PeriodicalId":73409,"journal":{"name":"International archives of medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46556989","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}
M. L. Neto, C. Marques, A. Esmeraldo, F. Leite, Dábylla Cynthia Carvalho Bezerra
The World Health Organization (WHO) declared a Public Health Emergency of International Concern in response to a cluster of microcephaly (restricted fetal brain and skull growth) and neurological disorders likely associated with Zika virus. A Short Communication that focus on The exponential increase and extreme severity of Zika virus (ZIKV), contrasting with evidence that Include: discovery or development of new information’s, novelty in modeling scientific, elucidation of mechanisms editorials and channels of information. Zika Virus: Outcome and Follow up in Brazil’s Northeast Women REVIEW
{"title":"The Zika virus: outcome and follow up in Brazil’s northeast women","authors":"M. L. Neto, C. Marques, A. Esmeraldo, F. Leite, Dábylla Cynthia Carvalho Bezerra","doi":"10.3823/2586","DOIUrl":"https://doi.org/10.3823/2586","url":null,"abstract":"The World Health Organization (WHO) declared a Public Health Emergency of International Concern in response to a cluster of microcephaly (restricted fetal brain and skull growth) and neurological disorders likely associated with Zika virus. A Short Communication that focus on The exponential increase and extreme severity of Zika virus (ZIKV), contrasting with evidence that Include: discovery or development of new information’s, novelty in modeling scientific, elucidation of mechanisms editorials and channels of information. Zika Virus: Outcome and Follow up in Brazil’s Northeast Women REVIEW","PeriodicalId":73409,"journal":{"name":"International archives of medicine","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43067058","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}
Maria Ivanir Araújo Neves Torres, A. Sampaio, Álvaro Costa Marques, J. C. B. S. Filho, Lenina Alves Teixeira, Ysla Sara Teixeira Silva, M. Neto
Introduction: ZIKA is a single-stranded RNA, from the Flaviviridae family. The infection of this virus became extremely visible during its epidemic in 2015 at South America, after the outbreak many speculations that includes newborns with central nervous system malformations and neurological disorders. Objective: determine the epidemiological profile of the Brazilian female population afflicted with Zika virus, by means of database research of 2017. Results: the higher incidence shows the social inequality of those affected by arboviruses: young, poor, black and brown women, the majority of population in the Northeast and North of Brazil. Conclusion: Brazilian epidemiology of Zika virus and Congenital Zika Virus is concentrated in the black and poor female population due to the historical and cultural Brazilian history of colonization, as it is concentrated in the same region where the Aedes mosquito has an easy procreation due to a wet and hot summer leading to propagation of arboviruses.
{"title":"How does the ZIKA infection is higher among black women?","authors":"Maria Ivanir Araújo Neves Torres, A. Sampaio, Álvaro Costa Marques, J. C. B. S. Filho, Lenina Alves Teixeira, Ysla Sara Teixeira Silva, M. Neto","doi":"10.3823/2597","DOIUrl":"https://doi.org/10.3823/2597","url":null,"abstract":"Introduction: ZIKA is a single-stranded RNA, from the Flaviviridae family. The infection of this virus became extremely visible during its epidemic in 2015 at South America, after the outbreak many speculations that includes newborns with central nervous system malformations and neurological disorders. \u0000Objective: determine the epidemiological profile of the Brazilian female population afflicted with Zika virus, by means of database research of 2017. \u0000Results: the higher incidence shows the social inequality of those affected by arboviruses: young, poor, black and brown women, the majority of population in the Northeast and North of Brazil. \u0000Conclusion: Brazilian epidemiology of Zika virus and Congenital Zika Virus is concentrated in the black and poor female population due to the historical and cultural Brazilian history of colonization, as it is concentrated in the same region where the Aedes mosquito has an easy procreation due to a wet and hot summer leading to propagation of arboviruses.","PeriodicalId":73409,"journal":{"name":"International archives of medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45450604","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}
Mayana Rodrigues de Melo Alves, J. L. M. Freitas, M. L. Neto
Background Current studies underline and enable the international scientific community to reflect on migrant needs to restart, mostly without fluency in the language from the country of destination, without a way of proving his/her knowledges and abilities, with an incomplete family core, without cultural references that until that moment defined him/her as belonging to a specific group, with defined and meaningful habits, full of symbolic representations. Iams Conduct an analysis on the implications of migration in refugees’ mental health, and the link between these implications and Post-traumatic Stress Disorder (PTSD). Method Indexed journals in MEDLINE and LILACS databases hosted in Biblioteca Virtual em Saude (BVS), as well as papers hosted in Coordenacao de Aperfeicoamento de Pessoal de Nivel Superior (CAPES) Periodicals Portal. Searches were carried using the following DeCS descriptors: “Stress Disorders, Post-Traumatic”, "Refugees” e “Mental Health”. Results The 10 studies included in the present review were carried in Australia, Denmark, Ethiopia, Turkey, Uganda, Israel, South Korea and Papua New Guinea, and were published in 2014 (2), 2015 (6), and 2017 (2). Regarding the subject, 50% of the articles concentrate information regarding PTSD and mental health problems, while the remaining half deals with psychosocial effects of mass conflict on refugees. Meta-analysis concludes that a considerable percentage of refugees suffer from psychiatric disorder, I-squared (variation in ES attributable to heterogeneity) = 96,46%; Estimate of between-study variance Tau^2= 0.02. Test of ES=0 : z= 17.75 p= 0.00. Conclusion Exposure to traumatic events such as public executions and other extreme acts of violence, murder of family members, family and friends’ death due to starvation, homelessness, are closely related to PTSD prevalence in refugees. Acculturation and family’s prolonged estrangement are predictors of depressive symptoms in refugees and both exposure to a new culture and adaptation to new laws and norms of welcoming countries act as stressors and aggravators of depressive symptoms.
当前的研究强调并使国际科学界能够反思移民重新开始的需要，大多数移民在目的地国没有流利的语言，没有证明他/她的知识和能力的方法，没有一个不完整的家庭核心，没有文化参考，直到那个时刻才将他/她定义为属于一个特定群体，具有明确和有意义的习惯，充满象征性表征。分析移民对难民心理健康的影响，以及这些影响与创伤后应激障碍之间的联系。方法检索Biblioteca Virtual em Saude (BVS)的MEDLINE和LILACS数据库中的期刊，以及CAPES期刊门户网站上的论文。使用以下DeCS描述符进行搜索:“应激障碍、创伤后”、“难民”和“精神健康”。本综述纳入的10项研究分别在澳大利亚、丹麦、埃塞俄比亚、土耳其、乌干达、以色列、韩国和巴布亚新几内亚进行，分别于2014年(2)、2015年(6)和2017年(2)发表。关于这一主题，50%的文章集中于创伤后应激障碍和心理健康问题的信息，而其余一半则涉及大规模冲突对难民的心理社会影响。荟萃分析得出结论，相当大比例的难民患有精神疾病，i平方(ES的变异归因于异质性)= 96,46%;研究间方差估计Tau^2= 0.02。ES=0的检验:z= 17.75 p= 0.00。暴露于创伤事件，如公开处决和其他极端暴力行为，家庭成员被谋杀，家人和朋友因饥饿而死亡，无家可归，与难民中PTSD的患病率密切相关。文化适应和家庭的长期疏远是难民抑郁症状的预测因素，接触新文化和适应接纳国的新法律和规范都是抑郁症状的压力源和加重因素。
{"title":"Negative impacts of the adaptation process linked to local cultural stress levels in immigrants and development of psychiatric disorders: a systematic review and meta-analysis","authors":"Mayana Rodrigues de Melo Alves, J. L. M. Freitas, M. L. Neto","doi":"10.3823/2601","DOIUrl":"https://doi.org/10.3823/2601","url":null,"abstract":"Background \u0000Current studies underline and enable the international scientific community to reflect on migrant needs to restart, mostly without fluency in the language from the country of destination, without a way of proving his/her knowledges and abilities, with an incomplete family core, without cultural references that until that moment defined him/her as belonging to a specific group, with defined and meaningful habits, full of symbolic representations. \u0000Iams \u0000Conduct an analysis on the implications of migration in refugees’ mental health, and the link between these implications and Post-traumatic Stress Disorder (PTSD). \u0000Method \u0000Indexed journals in MEDLINE and LILACS databases hosted in Biblioteca Virtual em Saude (BVS), as well as papers hosted in Coordenacao de Aperfeicoamento de Pessoal de Nivel Superior (CAPES) Periodicals Portal. Searches were carried using the following DeCS descriptors: “Stress Disorders, Post-Traumatic”, \"Refugees” e “Mental Health”. \u0000Results \u0000The 10 studies included in the present review were carried in Australia, Denmark, Ethiopia, Turkey, Uganda, Israel, South Korea and Papua New Guinea, and were published in 2014 (2), 2015 (6), and 2017 (2). Regarding the subject, 50% of the articles concentrate information regarding PTSD and mental health problems, while the remaining half deals with psychosocial effects of mass conflict on refugees. Meta-analysis concludes that a considerable percentage of refugees suffer from psychiatric disorder, I-squared (variation in ES attributable to heterogeneity) = 96,46%; Estimate of between-study variance Tau^2= 0.02. Test of ES=0 : z= 17.75 p= 0.00. \u0000Conclusion \u0000Exposure to traumatic events such as public executions and other extreme acts of violence, murder of family members, family and friends’ death due to starvation, homelessness, are closely related to PTSD prevalence in refugees. Acculturation and family’s prolonged estrangement are predictors of depressive symptoms in refugees and both exposure to a new culture and adaptation to new laws and norms of welcoming countries act as stressors and aggravators of depressive symptoms.","PeriodicalId":73409,"journal":{"name":"International archives of medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48252118","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}
A. Sampaio, Lenina Teixeira Alves, Ysla Sara Teixeira Silva, Álvaro Costa Marques, J. C. B. S. Filho, Maria Ivanir Araújo Neves Torres, M. L. Neto
Introduction: After the outbreak of the Zika Virus in Brazil in 2015 the Brazilian health authorities noticed an increase on microcephaly suspected to be related to the ongoing epidemic, described as the emergence of a new teratogenic agent, ZIKV. Objective: determine imaging prenatal findings related to Zika virus, by means of database research of 2017. Results: the main radiological findings observed are non-hypertensive ventriculomegaly, cortical and subcortical calcifications, microcephaly,placental inflammation and placental insufficiency and other neurological findings. Conclusion:s erial pre-natal imaging study may be considered to assess the fetuses with suggestion of the Zika virus infection. The congenital infection is of high impact on the families and to correctly diagnose and counseling preparing their homes to receive a special need newborn previous to the birth is of great value.
{"title":"Radiological findings in fetuses after zika infection","authors":"A. Sampaio, Lenina Teixeira Alves, Ysla Sara Teixeira Silva, Álvaro Costa Marques, J. C. B. S. Filho, Maria Ivanir Araújo Neves Torres, M. L. Neto","doi":"10.3823/2587","DOIUrl":"https://doi.org/10.3823/2587","url":null,"abstract":"Introduction: After the outbreak of the Zika Virus in Brazil in 2015 the Brazilian health authorities noticed an increase on microcephaly suspected to be related to the ongoing epidemic, described as the emergence of a new teratogenic agent, ZIKV. \u0000Objective: determine imaging prenatal findings related to Zika virus, by means of database research of 2017. \u0000Results: the main radiological findings observed are non-hypertensive ventriculomegaly, cortical and subcortical calcifications, microcephaly,placental inflammation and placental insufficiency and other neurological findings. \u0000Conclusion:s erial pre-natal imaging study may be considered to assess the fetuses with suggestion of the Zika virus infection. The congenital infection is of high impact on the families and to correctly diagnose and counseling preparing their homes to receive a special need newborn previous to the birth is of great value.","PeriodicalId":73409,"journal":{"name":"International archives of medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47863510","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}
M. P. Nunes, Luís Fernando Pereira Nunes, J. Ribeiro, R. C. M. Pinho, Camila Agra Souza, Rayanne Soraia de Aguiar Melo Dias, Renata Cimões
Objectives: The present study aims to describe the dermabrasion technique to obtain connective tissue rich in collagen, with satisfactory thickness and anatomy, removing the epithelial layer with diamond drill in high speed handpiece and under refrigeration. Materials and Methods: A 50-year-old patient was selected for immediate dental implant (element 25) and soft tissue augmentation in the periodontal and peri-implant region. An epithelial connective tissue graft was performed in the area comprising elements 23, 24, 25 and mesial of 26. For the preparation of the donor area of the graft, the dermabrasion technique was used through a spherical diamond drill bit (medium or thick granulation) in high speed and under refrigeration, being able to remove the epithelium without losing part of the subepithelial layer. Results: The healing process is by second intention and presented a normal evolution with formation of adequate tissues. Conclusions: The Dermabrasion technique allows to obtain adequate grafts, removing the epithelial layer in a simple way and guarantee the desired thickness.
{"title":"Obtaining intraoral subepithelial connective tissue graft: Dermabrasion Technique- Case report","authors":"M. P. Nunes, Luís Fernando Pereira Nunes, J. Ribeiro, R. C. M. Pinho, Camila Agra Souza, Rayanne Soraia de Aguiar Melo Dias, Renata Cimões","doi":"10.3823/2615","DOIUrl":"https://doi.org/10.3823/2615","url":null,"abstract":"Objectives: The present study aims to describe the dermabrasion technique to obtain connective tissue rich in collagen, with satisfactory thickness and anatomy, removing the epithelial layer with diamond drill in high speed handpiece and under refrigeration. \u0000Materials and Methods: A 50-year-old patient was selected for immediate dental implant (element 25) and soft tissue augmentation in the periodontal and peri-implant region. An epithelial connective tissue graft was performed in the area comprising elements 23, 24, 25 and mesial of 26. For the preparation of the donor area of the graft, the dermabrasion technique was used through a spherical diamond drill bit (medium or thick granulation) in high speed and under refrigeration, being able to remove the epithelium without losing part of the subepithelial layer. \u0000Results: The healing process is by second intention and presented a normal evolution with formation of adequate tissues. \u0000Conclusions: The Dermabrasion technique allows to obtain adequate grafts, removing the epithelial layer in a simple way and guarantee the desired thickness.","PeriodicalId":73409,"journal":{"name":"International archives of medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47759481","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}
M. P. Nunes, Luís Fernando Pereira Nunes, Djalma Pereira Nunes Filho, R. C. M. Pinho, Renata Cimões
Aim: The aim of the present study was to perform the clinical evaluation of the thickness of the soft tissue around dental implants using a free gingival graft obtained from the palate. Background: Rehabilitation in elderly patients improves physiological functions and quality of life, and when this rehabilitation involves a surgical stage, it becomes a challenge, even for more experienced surgeons. Methods: a 64-year-old, white, female patient with a complaint of difficulty chewing and discomfort stemming from her dental status. Rehabilitation was proposed involving a multidisciplinary approach to reestablish esthetics, function and wellbeing. For such, 4.1 Bone Level Tapered® implants were installed. During the presurgical preparation, a free gingival graft was planned to increase the gingival area using the Miller technique. After establishing the suitability of the oral environment, impressions were made in alginate for the fabrication of an acrylic surgical stent to protect the donor site on the hard palate and minimize the morbidity of the surgical intervention. Conclusion: In the case reported, the increase in the gingival tissue using a free gingival graft provided satisfactory peri-implant health in an older patient throughout annual follow-up for 15 years.
目的：本研究的目的是使用从腭获得的游离牙龈移植物对种植体周围软组织的厚度进行临床评估。背景：老年患者的康复可以改善生理功能和生活质量，当这种康复涉及手术阶段时，即使对更有经验的外科医生来说，也会成为一种挑战。方法：一位64岁的白人女性患者，因牙齿状况引起咀嚼困难和不适。康复建议采用多学科方法重建美学、功能和健康。为此，安装了4.1 Bone Level锥形®植入物。在术前准备期间，计划使用Miller技术进行游离牙龈移植物以增加牙龈面积。在确定口腔环境的适用性后，用海藻酸盐进行印模，用于制造丙烯酸外科支架，以保护硬腭上的供体部位，并将外科干预的发病率降至最低。结论：在报告的病例中，在15年的年度随访中，使用游离牙龈移植物的牙龈组织增加为老年患者提供了令人满意的种植体周围健康。
{"title":"Prosthetic Rehabilitation in Older Adult with Free Gingival Graft: Case Report","authors":"M. P. Nunes, Luís Fernando Pereira Nunes, Djalma Pereira Nunes Filho, R. C. M. Pinho, Renata Cimões","doi":"10.3823/2614","DOIUrl":"https://doi.org/10.3823/2614","url":null,"abstract":"Aim: The aim of the present study was to perform the clinical evaluation of the thickness of the soft tissue around dental implants using a free gingival graft obtained from the palate. \u0000Background: Rehabilitation in elderly patients improves physiological functions and quality of life, and when this rehabilitation involves a surgical stage, it becomes a challenge, even for more experienced surgeons. \u0000Methods: a 64-year-old, white, female patient with a complaint of difficulty chewing and discomfort stemming from her dental status. Rehabilitation was proposed involving a multidisciplinary approach to reestablish esthetics, function and wellbeing. For such, 4.1 Bone Level Tapered® implants were installed. During the presurgical preparation, a free gingival graft was planned to increase the gingival area using the Miller technique. After establishing the suitability of the oral environment, impressions were made in alginate for the fabrication of an acrylic surgical stent to protect the donor site on the hard palate and minimize the morbidity of the surgical intervention. \u0000Conclusion: In the case reported, the increase in the gingival tissue using a free gingival graft provided satisfactory peri-implant health in an older patient throughout annual follow-up for 15 years.","PeriodicalId":73409,"journal":{"name":"International archives of medicine","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44208640","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}
Background: The demand for interprofessional collaboration continues to grow due to changing priorities of the health care system. The benefits of interprofessional collaboration are well documented; however, the methods of collaboration are often unclear and often difficult to put into practice. While there is a growing number of studies on the impact of interprofessional collaboration in settings such as inpatient, intensive care units, and acute care, there are limited documented cases regarding the interprofessional management of a physical therapy patient in the outpatient orthopedic private practice setting. Purpose: The purpose of this paper is to describe the reflections of a physical therapist and an athletic trainer in their experience with interprofessional collaboration, describe the barriers they have experienced that make interprofessional collaboration challenging, and to offer solutions to these barriers. The barriers discussed in the paper include limited knowledge of and respect for other professionals’ skill set, high-productivity work environments, medical hierarchy, overlapping bodies of knowledge, discrepancy between professional reasoning, territorial behavior, and ineffective communication. Discussion: It appears that contextual factors, such as community in which the professionals practice, the healthcare setting, and the practice environment, have a far less important impact to successful collaboration than the professionals’ attitudes and investment in the collaborative efforts. Conclusion: Collaboration between a PT and an AT can lead to power struggles and suboptimal patient care if these barriers are not overcome and collaboration may be necessary to provide the highest quality of patient care.
{"title":"Sports Rehabilitation and Interprofessional Collaboration","authors":"Nicholas B. Washmuth, J. Sepich, A. McAfee","doi":"10.3823/2613","DOIUrl":"https://doi.org/10.3823/2613","url":null,"abstract":"Background: The demand for interprofessional collaboration continues to grow due to changing priorities of the health care system. The benefits of interprofessional collaboration are well documented; however, the methods of collaboration are often unclear and often difficult to put into practice. While there is a growing number of studies on the impact of interprofessional collaboration in settings such as inpatient, intensive care units, and acute care, there are limited documented cases regarding the interprofessional management of a physical therapy patient in the outpatient orthopedic private practice setting. \u0000Purpose: The purpose of this paper is to describe the reflections of a physical therapist and an athletic trainer in their experience with interprofessional collaboration, describe the barriers they have experienced that make interprofessional collaboration challenging, and to offer solutions to these barriers. The barriers discussed in the paper include limited knowledge of and respect for other professionals’ skill set, high-productivity work environments, medical hierarchy, overlapping bodies of knowledge, discrepancy between professional reasoning, territorial behavior, and ineffective communication. \u0000Discussion: It appears that contextual factors, such as community in which the professionals practice, the healthcare setting, and the practice environment, have a far less important impact to successful collaboration than the professionals’ attitudes and investment in the collaborative efforts. \u0000Conclusion: Collaboration between a PT and an AT can lead to power struggles and suboptimal patient care if these barriers are not overcome and collaboration may be necessary to provide the highest quality of patient care.","PeriodicalId":73409,"journal":{"name":"International archives of medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48144332","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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