Volume 12, Number 1, January/March 2014

Morbidity due trauma in children of the community of Paraisopolis, São Paulo, Brazil

Renata Dejtiar Waksman, Renato Melli Carrera, Erica Santos, Sulim Abramovici, Cláudio Schvartsman

DOI: 10.1590/S1679-45082014AO2434

Objective:: To identify the factors that determine unintentional injuries in children living in the community of Paraisopolis, in the city of São Paulo, Brazil.Methods: A cross-sectional and non-controlled study. Data collected during 4 consecutive months through questionnaires filled out for the Einstein Program in Paraisopolis Community included identification of the patient and his/her family, scholarity level, housing conditions, storage of hazardous products, access to the streets and concrete slab ceilings, supervision, and trauma mechanism involved. The observed data were treated […]

Oral health promotion in early childhood: age of joining preventive program and behavioral aspects

Letícia Vargas Freire Martins Lemos, Silvio Issáo Myaki, Luiz Reynaldo de Figueiredo Walter, Angela Cristina Cilense Zuanon

DOI: 10.1590/S1679-45082014AO2895

Objective:To analyze the interference of age in the entrance into a public dental care program for infants as well as family behavioral aspects about tooth decay experience in children 0 to 4 years old.Methods: Cross-sectional study involving 465 children who were divided into 3 groups: infants whose mothers joined the program during pregnancy (n=50); infants enrolled in the program during the first year of life (n=230); and infants enrolled in the program between 13 and 18 months old (n=185). The […]

Influence of assessment site in measuring transcutaneous bilirubin

Cristiane Maria da Conceição, Maria Fernanda Pellegrino da Silva Dornaus, Maria Aparecida Portella, Alice D’Agostini Deutsch, Celso Moura Rebello

DOI: 10.1590/S1679-45082014AO2711

Objective:To investigate the influence of the site of measurement of transcutaneous bilirubin (forehead or sternum) in reproducibility of results as compared to plasma bilirubin.Methods: A cohort study including 58 term newborns with no hemolytic disease. Transcutaneous measurements were performed on the forehead (halfway between the headline and the glabella, from the left toward the right side, making consecutive determinations, one-centimeter apart) and the sternum (five measurements, from the suprasternal notch to the xiphoid process with consecutive determinations, one-centimeter apart) using […]

Premalignant and malignant lesions in endometrial polyps in patients undergoing hysteroscopic polypectomy

Marco Antonio Lenci, Vanessa Alessandra Lui do Nascimento, Ana Beatriz Grandini, Walid Makin Fahmy, Daniella de Batista Depes, Fausto Farah Baracat, [...]

DOI: 10.1590/S1679-45082014AO2764

Objective:To evaluate the incidence of premalignant lesions and cancer in endometrial polyps, in patients undergoing hysteroscopic polypectomy.Methods: The results of 1,020 pathological examinations of patients submitted to hysteroscopic polypectomy were analyzed, as well as their diagnostic and surgical hysteroscopy findings. As to their menstrual status, 295 (28.9%) patients were in menacme. Of the total, 193 (65.4%) presented abnormal uterine bleeding, and 102 (34.6%) were asymptomatic with altered endometrial echo on transvaginal ultrasound. Out of 725 (71.1%) postmenopausal patients, 171 (23.6%) […]

Parturient perineal distensibility tolerance assessed by EPI-NO: an observational study

Mary Uchiyama Nakamura, Nelson Sass, Julio Elito Júnior, Carla Dellabarba Petricelli, Sandra Maria Alexandre, Edward Araujo Júnior, [...]

DOI: 10.1590/S1679-45082014AO2944

Objective:To determine how parturient women tolerate the use of a perineal distensibility assessment technique using the EPI-NO device.Methods: An observational study with a total of 227 full-term parturient women was performed. During the evaluation with EPI-NO, parturient patients were asked about their sensation of discomfort. The degree of discomfort was measured using the Visual Analogue Scale, with a score from zero to 10. The Mann-Whitney test was applied to assess perineal distensibility measured by EPI-NO and the degree of discomfort […]

Implementation of vertical clinical pharmacist service on venous thromboembolism prophylaxis in hospitalized medical patients

Celina Setsuko Haga, Cassio Massashi Mancio, Micheline da Costa Pioner, Fabricia Aparecida de Lima Alves, Andreia Ramos Lira, João Severino da Silva, [...]

DOI: 10.1590/S1679-45082014AO2526

Objective:To describe the vertical clinical pharmacist service’s interventions in prevention of venous thromboembolism.Methods: This prospective study was done at a private hospital. From January to May 2012, the clinical pharmacist evaluated medical patients without prophylaxis for thromboembolism. If the patient fulfilled criteria for thromboembolism and did not have contraindications, the clinical pharmacist suggested inclusion of pharmacologic agents and/or mechanical methods for venous thromboembolism prevention. In addition, the appropriate dose, route of administration, duplicity and replacement of the drug were suggested.Results: […]

Prevalence of sexually transmitted diseases in female athletes in São Paulo, Brazil

Maíta Poli de Araujo, Henrique Truffa Kleine, Tathiana Rebizzi Parmigiano, Natalia Tavares Gomes, Graziela Pascom Caparroz, Ismael Dale Cotrim Guerreiro da Silva, [...]

DOI: 10.1590/S1679-45082014AO2949

Objective:To determine the prevalence of sexually transmitted diseases in female athletes.Methods: An observational, cross-sectional study was conducted including 50 female athletes with mean age of 20±3 years. Colposcopy, pap smear, and polymerase chain reaction for Chlamydia trachomatis, human papillomavirus and Neisseria gonorrhoeae were performed. Blood samples were collected to test for the human immunodeficiency virus, syphilis, hepatitis B and C. The athletes presenting clinical diseases or conditions identifiable by laboratory tests were treated and followed up in the unit.Results: Forty-six […]

Use of rituximab as a treatment for systemic lupus erythematosus: retrospective review

Roberta Ismael Lacerda Machado, Morton Aaron Scheinberg, Maria Yvone Carlos Formiga de Queiroz, Danielle Christinne Soares Egypto de Brito, Maria Fernanda Brandao de Resende Guimarães, Raquel Altoé Giovelli, [...]

DOI: 10.1590/S1679-45082014AO2706

Objective:To report the experience in three Brazilian institutions with the use of rituximab in patients with different clinical forms of lupus erythematosus systemic in activity.Methods: The study consisted of a sample of 17 patients with LES, who were already being treated, but that at some stage of the disease showed refractory symptoms. The patients were subdivided into groups according to the clinical manifestation, and the responses for the use of rituximab were rated as complete, partial or no response. Data […]

Analysis of oxybutynin treatment for hyperhidrosis in patients aged over 40 years

Nelson Wolosker, Mariana Krutman, Marcelo Passos Teivelis, Rafael Pessanha de Paula, Paulo Kauffman, Jose Ribas Milanez de Campos, [...]

DOI: 10.1590/S1679-45082014AO2841

Objective:Our aim was to analyze the effectiveness of oxybutynin for hyperhidrosis treatment in patients over 40 years.Methods: Eighty-seven patients aged over 40 years were divided into two groups. One group consisted of 48 (55.2%) patients aged between 40 and 49 years, and another was composed of 39 (44.8%) patients aged over 50 years (50 to 74 years). A comparative analysis of Quality of Life and level of hyperhidrosis between the groups was carried out 6 weeks after a protocol treatment […]

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