Ocorrência de eritema nodoso hansênico

Introdução: A Hanseníase, em pacientes de formas multibacilares, pode apresentar episódios reacionais de Eritema Nodoso Hansênico, que podem ocorrer antes, durante e após o tratamento, causando neurites, iridociclites e orquiepidimites, levando a sequelas importantes, como cegueira e incapacidade motora. Objetivo: observar a freqüência de surtos de ENH de acordo com o tratamento com PQT e o número de vezes em que se repetiu. Métodos: ocorrência de ENH em pacientes com hanseníase multibacilar. Resultados: Foram avaliados 344 pacientes, 59,88% da forma MB; destes, 59,2% apresentaram ENH. A faixa etária variou de 12 a 86 anos, a maioria, 51,63%, entre 40-59 anos; dois (1,63%) eram menores de 15 anos; 52 eram da forma D e 70 da V; 66,39% do sexo masculino e 33,60% do feminino. Os episódios reacionais variaram de 1 a 17 por paciente; 16,39% o apresentaram uma vez e 17,21% acima de 7; 40,77% não o apresentaram. No geral, 68,02% apresentaram mais de três episódios. Quanto ao tratamento, em 8,19% o episódio manifestou-se antes do início, em 64,75% durante e em 30,32%, após. 51,63% apresentaram durante e após. Observou-se que em 63,11% o IB foi considerado alto, maior ou igual a 3 +++. Conclusão: considerou-se elevados o número de pacientes que o apresentaram e o número de repetições acima de 3 vezes, o que aumenta os riscos dos danos e seqüelas. Todas as medidas para evitá-lo devem consideradas.

Diagnósticos de enfermagem prevalentes em geriatria segundo o grau de dependência

This is a quantitative study conducted at the Outpatient Clinic of the Geriatrics and Gerontology Academic League of Botucatu School of Medicine. It aimed at learning about the profile of elderly patients and their level of disability in relation to basic activities of daily living. Based on this information, nursing diagnoses for the population under study were made, and the most frequent diagnosed were selected with the purpose of composing a stage of the instrument for nursing consultation in geriatric. It was found that the disabled elderly patients were predominantly females and widowed. They had a mean age of 81 years and had completed the first 4 grades of elementary school. Chronic pain related to physical disability and impaired ambulation related to the presence of osteoarticular diseases are examples of the most common diagnoses in the studied population. It is important that geriatric nurses implement Nursing Care Systematization based on the knowledge of the population to which they attend by considering the level of disability of elderly patients with respect to basic activities of daily living, so that full and individualized care can be provided and the patients’ remaining autonomy can be preserved.

Retorno à atividade reprodutiva de touro angus após fimose traumática com obliteração parcial da luz prepucial: relato de caso

The main disturbs affecting the genital segment of bulls are balanitis, phimosis and preputial injuries, abscesses or prolapses, resulting in decreased libido or mating ability. One case of traumatic phimosis with partial obliteration of preputial lumen is reported in Aberdeen Angus bull. During anamnesis, it was reported that the animal was unable to expose the penis and presented increased penile and preputial volume of unknown etiology after being submitted to a libido test. During clinical examination, a firm preputial mass of 15 cm in diameter was observed in the middle third of the prepuce and stenosis of preputial lumen was detected approximately 17 cm from the preputial orifice. Reconstructive surgery was the chosen therapy, with amputation of the affected foreskin portion. A skin segment of about 12 cm and affected mucosal portion were removed. Postoperative therapy consisted of dressing with chlorhexidine digluconate based ointment, povidone iodine and topical insect repellent (cypermethrin and carbamyl), systemic antibiotic therapy with benzathine penicillin (30,000 IU / kg, repeated after 48 hours) and anti-inflammatory therapy with flunixin meglumine (2 , 0 mg / kg SID) for three days. After twenty days, semen was collected by massage of the accessory glands. The ejaculate volume was 3 mL, with 200x106 spermatozoa / mL, white color, "suis generis" odor, 88% of motile sperm, 64% of progressively motile sperm and 82% of rapid sperm. Thus, the chosen surgical treatment was effective to correct the pathology and reintroduce the animal into reproductive activity

Mensurando níveis de atividade física e seu impacto na qualidade do sono e na dor lombar

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Capacidade funcional de idosos dependentes cadastrados na estratégia saúde da família do município de Londrina,PR

Pós-graduação em Saúde Coletiva - FMB

Aspectos estruturais e moleculares do músculo cardíaco durante a transição entre a disfunção e a insuficiência cardiaca

Pós-graduação em Biologia Geral e Aplicada - IBB