To evaluate the diameter of the placental blood vessels and its relation with the blood supply of the full term newborn
Introduction: The placenta is a poorly studied human organ and one of the most important for the health of the woman and her fetus. The study of the placental phenotype opens the way to the identification of the cause of fetal death, being the progress of pregnancy dependent on the establishment and maintenance of an efficient uteroplacental vascular system. Objectives: To evaluate the diameter of the placental blood vessels and its relation with the blood supply of the full term newborn. Methodology: A total of 111 full-term placenta were analyzed from fragments collected in Recife-PE maternity hospitals. Statistical analysis was performed by SPSS software (version 8.0). Results: There was a significant difference (p
Introduction: In cerebral palsy (CP) there are disorders in posture and movement, and there are innumerable interventions, including Restricted Movement Induction Therapy (TRIMm), associated to the “Pirate Group” protocol, which uses play context and Bimanual Training. Objective: To evaluate changes in gross motor function after modified application of Pirate Group Therapy in children with CP. Methodology: Descriptive, exploratory, quantitative, case report. Sociodemographic questionnaire was used, evaluation by the Gross Motor Function Classification System (GMFM); Classification System of Hand Skills; Pediatric Disability Assessment Inventory (PEDI); International Classification of Functioning, Disability and Health, followed by the initiation of therapy. A total of 14 physiotherapeutic sessions of 60 minutes each were performed. Results and Discussion: In the GMFM, there was an improvement in the Gross Motor Function (82.99 to 86.52); in the field Walking, running and jumping (67 to 69). Already in the PEDI, obtained functional gain in the ten items of the Self-Care Domain. Discussion: Because the patient had unilateral spastic PC (better gross motor function), the results were discrete, corroborating with the literature. Conclusion: Due to the innovative character of the application of effective and playful protocol, it allowed to increase the functional ability of a child with unilateral right spastic CP.
Introduction: Vaccination is an important instrument to spread health care, especially in Brazil, available by the SUS, that offers vaccines recommended by OMS, without any cost, and with strategies that help propagate that prevention, like the Vaccination Calendar, made for the different age groups, including the elderly. Objectives: It is extremely important to evaluate and to unravel all the vaccines recommended and offered by the SUS for elder people, taking a look at its importance and how the doses are administered. Methodology: This research is a transversal, retrospective study, in a bibliographic revision form, about the immunization of the elderly. Articles from 2002, in english, portuguese and spanish, found in Biblioteca Virtual em Saúde, Google Scholar were used. They were sectioned in order of relevance and by their abstracts. Results: One of the groups most benefited by this vaccine situation is the elderly, who has been growing in the last few years, all around the world. The immunization of these people with vaccines against diphtheria and tetanus, yellow fever, pneumococci, hepati is B and influenza. Conclusion: Vaccination is extremely important, because it decreases morbidity and mortality that are associated with infectious diseases, leading to a better quality of life.
Introduction: Hypertension is among the first places in the problems of public health in worldwide. Being the most common chronic disease in the elderly. Objective: To identify the hypertensive elderly community so that we can verify the functional ability, mental health, general health, pain, vitality, social functioning, limitations due to emotional and physical aspects of that population. Methodology: The study was conducted in the Community Center and welfare of the Town of COHAB 7 ° RO, whose sample consisted of 53 elderly hypertensive patients, aged 60 years, of both genders. Later we used the SF-36. Result and Discussion: The final sample comprised 44 volunteers with mean age of 72.5 years. A comparison between scores in different domains of the SF-36 in individuals who engage in activities to entertain and physical activities, observing significantly higher in the SM domain, the group of individuals who practice physical activity (85.1 ± 16 , 0 vs 70.0 ± 18.6, p = 0.02). Conclusion: Given the results run in this study, to denote the deleterious effects of hypertension, thus demonstrating the damage that interfere with the general health of the elderly. Making clear the importance of applying a questionnaire to assess quality of life in this population.
Introduction: The demographic situation in Brazil has changed with the elderly, increasing the need for caregivers to help with their daily activities. The tasks assigned to the caregiver can lead to physical and emotional exhaustion. Objective: To evaluate the quality of life of family caregivers of patients with knee osteoarthritis. Method: This is an observational, descriptive and cross-sectional study conducted at a school clinic and at the hospital outpatient clinic in Recife. Caregivers of both sexes, aged between 18 and 70 years, were included, and those with cognitive deficits were excluded. Participants signed the informed consent form. Questionnaires were then applied: Socio-clinical, SF-36 and WHOQOL-BREF. Results: Nine caregivers were evaluated, the majority female (66.7%), mean age 51.44 ± 9.88 years, 66.7% did not practice physical activity and BMI of 25.39 ± 5.79. Of these, 66.7% are children, with associated diseases and similar to high school. No SF-36 questionnaire, as well as no WHOQOL-BREF, a moderate to good quality of life. In the linear correlation of Pessoa, there was a positive association between WHOQOL-BREF and SF-36. Conclusion: it was verified that the caregivers presented moderate to very good quality of life, such as the good relationship between the couple.
Chinese medium-sized cities have different travel characteristics compared to big cities. And as the rapid development of e-bike in China, some problems such as transportation safety has been discussed by scholars. This paper examines the factors affecting residents’ travel mode choice in medium-sized city using travel survey data collected from residents in Zhongshan city. An estimated nested logit model of travel mode choice reveals that: (1) Older people prefer to travel by e-bikes than younger people. (2) Residents who own e-bikes tend to choose e-bikes, while not other vehicles. And the profession of people who prefer to travel by electric bicycle the white collar and blue collar. (3) About the attitude of Zhongshan residents to choose the way of transportation, the e-bike is considered the least safe, and electric bicycle users are concerned about the improvement of bicycle lanes. (4) The influence of built environment in the place of origin and the place of destination on the choice of e-bikes is different. (5) There is a substitution effect between e-bikes and traditional bicycles. The results strongly suggest that e-bike is a kind of important transportation in Chinese medium-sized city, and it is likely to regulate e-bike by transportation policies.
Introduction: Obesity is understood as a global epidemic due to its degree of expansion in the last decades. Early Interruption of breastfeeding, in turn, has a significant influence on the prevalence of obesity in children and adolescents, taunting a high negative impact on public health. Objective: Had as objective to make a literature review to rate the association between duration of breastfeeding, relating it to risks and comorbidities of obesity. Methodology: The applied methodology consists of a review of scientific articles indexed in the databases LILACS, PubMed/ MEDLINE, BDENF and SciELO, using the terms “breastfeeding”, “childhood obesity”, “food introduction” as the descriptor of the article and “nursing” as a word throughout the text without period from 2006 to 2016. Results and Discussion: Several articles on obesity and breastfeeding were found, the review it consisted of 9 scientific papers. Where 06 shows obesity and other metabolic detrimental effects in the child’s body due to lack of breast milk benefits and 03 discuss inadequate nutritional practices, initiated concurrently after the early interruption of breastfeeding. Conclusion: Exclusive breastfeeding up to six months of age, as well as complementary feeding practices, allows the prevention of obesity, promoting the physical and mental health of the infants and the woman who breastfeeds, being extremely important for the growth and development of the child. Therefore, the incentive to breastfeed by the nurse should be intense, so that the children have an adequate and healthy development, since Breastfeeding, included as one of the national priorities, is considered the strategy that most prevents infant morbimortality.
Introduction: Poor oral hygiene is common in ICU patients, which leads to colonization of the oral biofilm by pathogenic microorganisms, especially respiratory pathogens, which may be a source of nosocomial infection. Once the bacteria present in the mouth can be aspirated and cause aspiration pneumonia. Objective: Review of the literature regarding the importance of dental intervention in patients hospitalized in intensive care units. Methodology: An integrative review was carried out in the LILACS databases and in the SCIELO Virtual Library, using the descriptors: Dental care, Periodontal diseases and ICU. Inclusion criteria were: full-text articles available in Portuguese or English and with a temporal cut between 2013 and 2017. Results: Three articles were selected to meet the criteria for inclusion. Discussion: The oral cavity is the first portal of entry for respiratory pathogenic organisms that cause systemic infections, with pneumonia being one of them. Aspiration pneumonia is the most common type of nosocomial or hospital pneumonia and is an infection of the pulmonary parenchyma caused by different types of etiological agents including bacteria, fungi and viruses. This disease is of high cost and represents a significant cause of morbidity and mortality, diagnosed 48 hours after the patient’s hospitalization in the ICU. The absence of attention with oral hygiene and the reduction of salivary flow results in an increase in the quantity and complexity of dental plaque, which may favor bacterial interaction between native plaque bacteria and respiratory pathogens such as P. aeruginosa and enteric bacilli. Conclusion: The evaluation of the oral condition and the need for dental treatment in hospitalized patients require follow-up by a dental surgeon qualified in hospital dentistry avoiding an increase in the proliferation of fungi and bacteria and, consequently, infections and systemic diseases.
Introduction: Sleep bruxism is an activity of stereotyped movements promoted by the subconscious in the masticatory system that includes the functions of clenching and / or grinding, where neuromuscular protection mechanisms are absent, which can lead to damages to the masticatory system and temporomandibular disorders. Aim: This article aims to demonstrate conducts used in a clinical case to assist in similar case planning. Case report: A 58-year-old male patient required an appointment at the Federal University of Pernambuco integrated dentistry clinic, presenting a complaint of pain in the face region and lack of adaptation with prostheses, he had posterior maxillary edentulism, loss of vertical dimension and severe wear on the remaining teeth. The anamnesis was made in his initial clinical examination, later, was prepared the diagnostic wax-up, the waxing was moulded with condensation silicone for restoration in composite resin with prefabricated pins. Afterward the molding were made to prepare removable partial dentures for the patient. In the old prostheses overlays were prepared to slide between them forming a type of plaque, reprogramming the jaw and avoiding that the patient destroyed the already made restorations. In the following session, the well-adapted prostheses were delivered and the occlusal adjustment was properly performed with intraoral test. Results: The patient reported aesthetic improvement, total pain reduction and better adaptation with the prostheses, he also related comfort in using them. Conclusion: It is possible to perform the rehabilitation of partial edentulous bruxers, approximating the patient to his or her centric relation, without the necessity of plaques and maintaining a quality treatment.
Introduction: Obstructive sleep apnea (OSA) is a respiratory disorder that causes upper airway obstruction during sleep. The performance of a dentist in patients with OSA is evidenced by the preparation and indication of the Oral Appliances (OA) as a treatment measure. The OAs are devices used in the oral cavity during sleep avoiding an obstruction of the oropharynx. These are classified as lingual, mandibular and/or conjugate control devices. Objective: To describe the OA models and to make explicit the indication of each one for the type of apnea in question. Methodology: A database was searched (Pubmed, Scielo) using the following documents: Intraoral device, lingual control, mandibular advancement, indication. Publications from 2010 to 2017 were included in the Portuguese and English languages whose content was pertinent to the theme. Results and Discuss: 60 articles were found. Of these, 24 directly addressed the theme and only 4 articles were used. A practicality and comfort provided by the OAs make them more accepted and indicated for OSA. The indications for the use of OAs include: patients with the diagnosis of mild, moderate and severe OSA. The lingual control device is based on control of the positioning of the aforementioned organ and is indicated for patients with extensive dental loss, edentulous, periodontal problems, temporomandibular dysfunction and bruxism. The most commonly indicated mandibular advancement OA is retained by teeth and protrudes the mandible in order to increase the volume of the oropharynx. Ideal for patients with at least 10 teeth in each arch and on a semi-flexible model for transport conditions, small mandibular movements. Conclusion: The indication of AIO depends on the oral cavity conditions and the general health of the patient and are potentially capable of improving the quality of life of an OSA carrier.