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Violence In Immigrants: Effects On Health, Perception Of Discrimination And Loneliness

The objective of this study was to analyze the prevalence of violence against Brazilian immigrant women since their arrival in Portugal and to know the consequences of this violence on the women’s experience, specifically on health, perception of discrimination and loneliness. Conducted in the first half of 2016, with 682 women over 18 years of age living in Portugal for more than three months. Two types of collection were instituted: online, through the Limasurvey Platform, and in person, at the Consulate General of Brazil in Porto and Lisbon and in the Mais Association, applying the Discrimination Perceptions, Loneliness Scales (ULS-6) and Mental Health Problems. The results suggest that Brazilian women who have been targets of violence in Portugal have a worse perception of their health, a higher perception of discrimination, a higher level of solitude and more mental problems, which indicates that this group of immigrants has some vulnerabilities in the country, since violence has a harmful effect on physical and mental health. It is believed to be crucial to create a policy that aims at transforming actions aimed at strengthening the citizen and collective consciousness of these immigrant women

from International Archives of Medicine
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The Impact Of Malocclusion On Quality Of Life And Life Satisfaction

Objective: The aim of this study was to evaluate whether the type of malocclusion affects the perception of quality and satisfaction with people’s lives.

Material and Methods: Three questionnaires were applied: the first one assessed the social and economic factors and the diagnosis of malocclusion through Angle´s classification, the second was the OHIP-14, and the third was the Satisfaction With Life Scale (SWLS).

Results: This study involved 444 patients aged 18 to 72 years. According to the classification of malocclusion 48.65% was Class I, 22.75% was Class II division 1, 12.16% was Class II division 2 and Class III 16.44%. The malocclusion did not have negative impact on the level of satisfaction with life, but in all dimensions analyzed by OHIP-14, malocclusion had negative impact on quality of life and was statistically significant. The most severe malocclusions such as Class II and Class III represent a more negative impact when compared to Class I malocclusion. Moreover, for the dimensions assessed by the OHIP-14, physical pain and psychological discomfort were those who showed a greater negative impact on quality of life.

Conclusions: Malocclusions do not interfere with the judgment of the level of satisfaction with life, but they produce a negative impact on quality of life.

from International Archives of Medicine
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The Irritating Effects Of Exposure To Formaldehyde In User Students Of The Human Anatomy Laboratory

Formaldehyde (FA) is commonly used in cadaver fixation for years. FA vapors are released during the dissection process and macroscopic study of preserved anatomical pieces, raising their concentration in the Anatomy laboratory, causing greater exposure for students and teachers. Therefore, the objective of this study was to investigate toxic reactions in 37 students, through a questionnaire, produced by exposure to FA used for preservation of cadaveric material used in Anatomy, Morphofunctional Department, Faculdades Integradas de Patos (FIP), Brazil. Of the 37 interviewees, 26 (70.3%) were affected by the unpleasant and irritating smell of FA, 10 (27%) had no problems, and 1 (2.7%) did not tolerate an irritation produced by FA, ​​not participating in the laboratory practical classes. Exposure to FA was followed by several symptoms: excessive lacrimation (54%), itchy eyes (48.5%), redness of the eyes (40.6%), coryza or congested nose (35.2%) and respiratory distress (29.7%), with persistent symptoms during the permanence in the laboratory for 32.5% of the students. All students wear a lab coat for individual protection. However, only 8% used mascara and did not wear glasses, increasing the risk of contamination. Medical schools should encourage the use of Personal Protective Equipment (PPE) for the manipulation of FA, ensuring the protection of students and teachers in the Anatomy laboratory. Besides finding alternatives for the replacement of FA in the conservation of corpses.

from International Archives of Medicine
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Comparing the Diagnostic Criteria of Metabolic Syndrome in Schoolchildren: Cross-sectional Study

Title: Comparing the diagnostic criteria of metabolic syndrome in schoolchildren: a cross-sectional study.

Introduction: The Metabolic Syndrome has been highlighted by being the result of the meeting of several cardiovascular risk factors. However, there is still no consensus for the determination of MS in children and adolescents, since the diagnostic criteria and its cut-off points considered at risk are not established and, depending on the criteria used, the prevalence of MS found in the literature may vary.

Objective: To compare the diagnostic criteria for metabolic syndrome in adolescents in the private school system.

Method: This is a cross-sectional study of 325 adolescents from private schools in the urban area of a city in northeastern Brazil. The analysis was performed through the descriptive statistics, and the verification of the agreement between the results was given by the calculation of the Kappa index. The study was approved by the Ethics Committee (opinion 352.372).

Results: In only 7 adolescents, the diagnosis was like the three definitions of metabolic syndrome. Regarding the number of components of metabolic syndrome, a large percentage of adolescents presented 02 or more altered parameters. Regarding the comparison of the diagnostic criteria, the criteria established by De Ferranti presented a higher positive proportion for the syndrome.

Conclusion: There were differences between the proportions obtained through the three diagnostic criteria, which may impair the diagnosis of the metabolic syndrome in adolescents.

from International Archives of Medicine
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Profile of Patients with Penile Neoplasms Who Have Undergone Penectomy

Introduction: Penile cancer accounts for 10% to 20% of the male urogenital tumors. In Brazil, the North and Northeast regions have the highest rates.

Objective: Analytical, retrospective, and cross-sectional study addressing the profile of individuals with penile neoplasms who have undergone penectomy in Recife, Pernambuco, Brazil.

Methods: The population of this study consisted of 305 men who underwent penectomy at the Pernambuco State Cancer Hospital (HCP), from 2000 to 2009. There was prevalence of elderly, low-schooling and low-income men, as well as individuals from municipalities outside the Metropolitan Region of Recife.

Results: Poor hygiene, smoking, and phimosis were the main risk factors identified. Patients showed epidermoid carcinoma (type I) and metastasis. The early signs and symptoms were tumor and painful ulcer.

Conclusion: Most of the individuals have undergone partial penectomy.

Keywords: Penile Neoplasms; Epidemiology; Hygiene; Phimosis; Brazil.

from International Archives of Medicine
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Predisposing Factors For Incidence Of Congenital Syphilis

The study aims to synthesize the knowledge produced in articles about the predisposing factors for the incidence of Congenital Syphilis. An integrative review was conducted in May and June 2014. Three databases were consulted and all publications available at the pre-established time frame were collected. The descriptors congenital syphilis, incidence and causality in Portuguese, English and Spanish were used, resulting in 1723 articles, of which 23 were selected. The results show deficiency in prenatal care; poor diagnosis; inadequante care of the disease; unequal socioeconomic conditions; difficult access to health services; and poor guidelines. The increasing number of new cases of congenital syphilis is due to several factors that can be prevented through quality prenatal care. Therefore, care actions during pregnancy and puerperium need to be redirected so that they are based on early diagnosis, immediate treatment of the couple and health education.

from International Archives of Medicine
http://ift.tt/2u558r9

Prevalence Of Obesity Among Elderly Participants Of A Health Education Service

BACKGROUND: the detection of obesity is shown relevant considering that with aging there is progressive loss of lean body mass and increased the proportion of body fat, and also metabolic changes and reduced physical activities that require increased energy and weight loss, contributing to obesity installation, which in turn exert implications on health and social life of the elderly. Before with these consequences of obesity and its impact on the health of the elderly, the study aimed to identify the prevalence of obesity among elderly participants of a university extension project.

METHOD: Exploratory and descriptive study with a quantitative approach. The sample is constituted by 96 elderly people of both sexes registered in the project.

RESULT: It appears that the 37 elderly people (38.54%) had some degree of obesity. Obesity classification prevailed 57.63% of non-obese overweight status, while among the obese, 67.57% is in obesity I.

CONCLUSION: It is believed that knowing this reality helps medical and nursing actions in promotion of strategies of healthy lifestyles and encouragement, making interaction for personal responsibility in training for self-care and improved quality of life.

 

from International Archives of Medicine
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Catheter Related Blood Stream Infections In Patients Of The Intensive Care Unit

Objective: To identify the prevalence of bloodstream infection associated with the Catheter related Blood stream infections in patients of the Intensive Care Unit, and the characteristics of its use and handling. Methods: Descriptive and transversal study with a sample of 88 participants. Data were collected through the observational method and the records in the medical records. The absolute and relative frequencies were used for data analysis. Results: 73.86% of the patients had central venous access in the subclavian vein, 100% used double lumen Catheter related Blood stream infections, 0.5% chlorhexidine solution for skin antisepsis, dressing coverage is performed mostly with Sterile gauze and tape, with a daily exchange. The rate of infection related to the use of the Catheter related Blood stream infections was (6.81%). The most infused pharmacological drugs were antimicrobials (69.32%). Conclusion: The study showed that care with central venous accesses is performed according to recommendations for prevention of bloodstream infection related to the use of these devices. The infection rate is close to the standards found in the literature.

Key words: Central Venous Catheterization. Hospital Infection. Intensive care unit. Risk factors. Catheter-Related Infection..

 

from International Archives of Medicine
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A Rare Case Of Graves’ Disease With Splenomegaly And Pancytopenia

Introduction: Splenomegaly and pancytopenia are rare complications of Graves’ disease with few reports in the literature about this association. The pathogenesis is unknown and immunological mechanisms seem to be involved. The possibility of hyperthyroidsm should always considered in patients with pancytopenia.

Objective: Describe  clinical case of association between Grave’s disease, splenomegaly and pancytopenia.

Method: This is a case report, obtained through data from medical records of a reference hospital located in the city of Juazeiro do Norte, Ceara, Brazil. Case report: Patient, 46 years old, female, sought treatment at a reference hospital with abdominal pain that started two days earlier, prevalent in mesogastric region and left hypochondrium very intense and recurrent, associated with significant consuptive syndrome ( loss of 10 Kg in 4 months), asthenia, dyspnea on minimum exertion, irritability and fine tremor in extremitie. SHe denied fever, palpitations, heat intolerance, skin ou eye changes. A diffuse thyroid enlargement with the presence of thrill and murmur, digital clubbing, fixed and bright look, light exophthalmos and splenomegaly about 6 cm below the left costal margin were abserved after physical examination. Ultrasound examination (USG) of the abdomen and CT scan showed moderate splenomegaly. Laboratory tests showed normocytic and normochromic anemia, leukocytosis and mild thrombocytopenia. Thyroid USG showed characteristic features of Graves’ disease, a bone marrow biopsy revealed maturation preserved in all strains and lack of fibrosis and megakaryocytes present in normal number without atypia. treatment was set with propylthiouracil 300 mg a day and after the first revaluation after hospital discharge three weeks later a regression of splenomegaly has been observed.

Conclusion: This case ilustrates the rare association between hyperthyroidism and splenomegaly with pancytopenia.

 

from International Archives of Medicine
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Practical education in family planning: integrative review

Objectives: To identify educational practices in family planning, facilitating factors, difficulties and resulting impacts.

Method: This is an integrative literature review, using the three descriptors: “family planning”, “health education” and “contraception”; In the databases of the Scientific Electronic Library Online (SciELO), Latin American and Caribbean Literature in Health Sciences (LILACS) and Nursing Database (BDENF), were searched in January and February 2016.

Results: Regarding the accomplishment of educational practices, most of the studies pointed out its accomplishment. The difficulties and facilitators aspects were related to the management of the health service, professional competence and users. Guarantee of family rights and autonomy were the impacts pointed out.

Conclusion: The study showed that educational practices in family planning are tools to be encouraged as a guarantee and respect for sexual and reproductive rights.

Descriptors: family planning; education in health; contraception.

 

from International Archives of Medicine
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