Clinical Conduct for a Bruxist Patient: Clinical Case Report
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.
Oral Appliances Indications in Obstructive Sleep Apnea
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.
EVALUATION OF THE VISUAL FUNCTION OF PATIENTS IN TREATMENT FOR HANSENÍASE
Introduction: Leprosy is a long-term infectious and contagious dermatoneurological disease whose etiologic agent is Mycobacterium leprae and manifests itself in the skin and peripheral nerves. This pathology can trigger serious eye complications by altering visual functional performance, impairing visual acuity through retinal lesions triggering blindness. Objective: of this study was to evaluate visual psychophysical performance in leprosy patients with normal or near normal visual acuity. Methodology: The Farnsworth – Munsell 100 Hue multi – paucibacillary test of thirty – one patients with leprosy (59 eyes), 19 men and 40 women, with a mean age of 31.28 ± 10 , 2 years of age, were compared to the control group composed of twenty-eight participants (56 eyes), 20 men and 36 women, with a mean age of 46.29 ± 11.81. Patient data were compared with the confidence interval and tolerance established by the controls. The Agostino-Pearson test and one-way ANOVA were applied in the statistical analyzes. Results and Discussion: Showed that there was statistical difference in Farnsworth – Munsell test between patients and controls. Patients presented higher number of errors than controls (p
Brazil Big Quilombo: Experiencing Experience in Pernambuco Quilombola Community
Introduction: Marked by exclusion and isolation from society over the years, quilombola communities in Brazil are kept invisible in the various social spheres. Based on the knowledge of the National Health Policy of the Black Population, its importance and the objectives that emphasize the prioritization of the reduction of ethnic-racial inequalities, against racism and discrimination in health institutions and services, it is necessary to know the particularities of this public with regard to health care offered. Objective: With the desire to know the current structure of a quilombola community this work brings the report of the experience to a remnant quilombo community in the interior of the state of Pernambuco by a group of collective health residents. Methods: Experience report on a visit to a remaining quilombo community, located in the district of São Lourenço, in the municipality of Goiana, in the Zona Norte Mata de Pernambuco, where a discussion was then held with the residents’ association president and the religious leadership of the community. Results and Discussion: The quilombo was certified in 2005, with a remnant of 3,500 people with more or less 900 families, predominantly urban, still preserving brands of their ancestors in the ways of working, clothing, food and forms of health care, with diseases prevalent in the community such as: Leprosy, tuberculosis, sickle cell anemia. The visit brought a different look to this population that still suffers from prejudice, racism and human violence, has also helped us to reflect the weaknesses of health practices in the municipality and throughout the Brazilian territory. Conclusion: Given the experience, it was possible to observe that there is still a predominance of prejudice by the community itself in its identification as a quilombola and, above all, the insertion of new health and cultural practices, highlighting the violence and fragility of…
Scenario of Insertion Of Nutritionist Professionals in Health Services In Recife – Pernambuco
Introduction: The topic of Human Resources has been occupying space in the researches related to Collective Health due to the importance of the workforce for health services in contributing to the execution of a health system based on Primary Care, such as the Brazilian National Health Service (SUS). Objective: To describe the scenario of the insertion of nutrition professionals in health services in Recife – Pernambuco. Methodology: This is a descriptive study with quantitative approach. This research was carried out with secondary data from the National Registry of Health Facilities (CNES). The population of study are nutrition professionals registered at CNES until December 2016 in the city of Recife, Pernambuco. To select the sample, the EpiInfo program was used. Thus, 219 out of 1077 nutritionists registered in the CNES database were selected to be part of the study, SPSS Statistics 22 was used for the presentation and analysis of the data. Results and Discussion: Among the 219 professionals analyzed, 95% (207) are female and 5% (12) are male. 15.52% (34) of these are registered in other cities besides Recife. Regarding their workplace, 66.5% (145) worked in hospitals, 15.1% (33) in specialized services, 12.8% (28) in Primary Care services and 5.5% (12) in management, 86.7% (189) provide services to SUS. The average workload among the professionals studied was 43 hours per week in SUS services. The sample was quite heterogeneous, regarding the sex and the insertion scenario. Conclusion: Nutritionists in the municipality of Recife are mostly female. Regarding the insertion scenario, the hospital and specialized services area correspond to the main services where this professional is inserted, surpassing Primary Care services, requiring further studies that clarify this limbo of professionals in this level of attention.
Instrumenting Community Health Agents to Address Child and Youth Violence at Home
Introduction: This is an experience report of a descriptive nature related to the project of university extension, developed by two professors and four undergraduate students in Nursing at the Federal Institute of Education, Science and Technology / IFPE, Campus Pesqueira. This research is linked to the extension project entitled “Child and adolescent as victims of domestic violence: sensitization workshops with Community Health Agents (ACS) of the municipality of pesqueira – PE to recognize and cope with child and juvenile violence.” Objectives: The objective of this study was to use the ACS through awareness-raising workshops to recognize cases of domestic violence against children and to adopt means to confront this event. Methodology: The methodology was adopted focusing on the interests and knowledge of the participants, aiming at empowering the individuals’ autonomy and emancipation. The study was carried out between February and October 2017 and had a weekly workload of twenty hours. For the development of the activities, the Family Health Strategies of the Municipality of Pesqueira-PE were selected, justifying the choice of the fact that these units present socio-economic vulnerability; as well as because it has already been a scenario of research on domestic accidents with children, thus characterizing itself as a context of teaching, research and extension experiences. Results and discussion: The sample consisted of 31 ACS, and guiding questions were elaborated to to construct a plan of intervention in the face of a case of violence, guaranteeing the continuity of care in the primary care network. Conclusion: The research becomes relevant as the ACS are aware of the occurrences of child and juvenile violence and the subjects involved can reflect on the importance of adopting preventive behavior to minimize these cases.
Assess the level of knowledge about sustainability, appreciation of popular knowledge and the concept of health of children, pre-teenagers and teenagers from low-income community of the neighborhood Pina, Recife-PE
This study aimed to review three activities undertaken by the Group of Biological Sciences, Federal University of Pernambuco (UFPE) with young people between 2 and 14 years of the NGO in Recife-PE, in search of each methodology effect applied to learning students. In the days of group visits, the activity was applied at three different times relative to the time that young people are playing football, and analyzed how they behaved in relation to the activity brought. It was observed more interest and curiosity in applied after the game, where children and adolescents were already filled, and able to do something different. Observed indicates that in addition to the theme of a dynamic, the occasion and the way it will be displayed directly influences the knowledge that students can absorb a day of visits to the project.
Health Education in the Construction Of Knowledge about Trichomoniasis for Students of the Areas of Engineering and Geosciences of the Federal University of Pernambuco
Introduction: According to National Policy for Integral Attention to Men’s Health, the male teenager is risk group for health problems by not adopting preventive practices. This program includes the prevention of sexually transmitted infections (STI). Trichomoniasis is a non-viral STI widely disseminated. However, 92% of cases are registered in women. Overall, man presents with asymptomatic. When affected the man may develop secretion urethral, lesions in the seminal vesicle, penis, prostate and urethra. This framework directs man as responsible for transmission of parasitosis. Additionally, Trichomoniasis is risk factor for HIV, HPV, herpes, gonorrhea, chlamydia and syphilis. Objetive: To build knowledge about trichomoniasis among male students of the courses of engineering and geosciences. Methodology: It’s a research-extension quantitative, descriptive and transversal what happened during the 2nd semester of 2017 in the hall do Centro de Tecnologia e Geociências-UFPE. The strategy of educational intervention was based on wheels of conversations. We set up a stand with billboards and posters and activities were conducted about the epidemiology, transmission, pathogenesis, prevention and treatment of trichomoniasis. we proceeded with caution, respect and consider individuality. Results and Dsicussion: Intervention reached 513 students with an average age of 22.16±3.53 (minimum 15 and maximum 40). Of these, 91.6% reported not knowing what is trichomoniasis. Leaflets on Trichomonas vaginalis and trichomoniasis were distributed. In addition to this material, we distributed leaflets, acquired in partnership with the State Health Secretariat, on HIV / AIDS, Syphilis, Hepatitis A, B and C. The students were instructed on the correct use of condoms and we distribute about 1.500 male condoms, 100 female condoms and 500 sachets of lubricating gel. Conclusion: Our educational intervention come to contribute with programs sensitization of STIs and made possible the construction of knowledge about trichomoniasis. Our results indicate that male students of engineering and geosciences deserve attention in sex…
Herpes Zoster: Increased Risk for Parkinson Disease Development?
Introduction: Parkinson’s disease is a neurodegenerative disease characterized clinically by tremor, stiffness, bradykinesia and postural instability. In addition to motor symptoms, some non-motor signals may be observed, such as olfactory dysfunction, sleep disturbance, constipation, depression, irritable bowel syndrome, hearing loss, cataract and others. Some non-motor symptoms may precede the onset of motor symptoms that are characteristic of Parkinson’s disease. Herpes zoster infection as a potential predecessor for the disease was recently reported. Objective: In this study, we do a case report of a patient, attended at the University Hospital of Sergipe (HU), with initial symptoms of herpes zoster infection who developed Parkinson’s disease in a subsequent year. Methodology: A medical record analysis was performed. Information such as age, sex, occupation, residence, previous pathological history and clinical evolution were collected. Results and Discussion: A 70-year-old male patient was admitted to the Neurology outpatient clinic, HU, in 2007. He reported being a former smoker and having cancer in the axillary region in 2003. Physical examination showed bilateral tremor, accentuated in upper left and left cog wheel. The patient was attended until 2015 in the hospital, followed with use of Prolopa, symptomatic treatment and motor physiotherapy. He did not evolve with psychiatric alterations. The symptoms of Parkinson’s disease began approximately one year after herpes zoster infection in the chest region. The following year, patient started a tremor in the fingers of one hand, which evolved throughout the arm, leading the patient to his first medical care in the HU, in 2007. Conclusion: Herpes zoster infection may possibly confer a risk factor for Parkinson’s Disease development.
Tracing a Diagnosis under the Multiprofessional Look at a Hospital De Pernambuco
Introduction: It is important to chart the profile of service users so that actions and resources are planned to ensure effectiveness, and proportionality. The funds will be procured in accordance with hospital demand, with the best of them and loss prevention. And the shares will be effected in a targeted manner to the real needs of users. Objective: To describe the situational diagnosis of a Regional Hospital of Pernambuco. Methodology: Descriptive sectional research, with a quantitative approach performed in the period from january to december, 2016 at the Belarmino Correa Hospital, located in the city of Goiana, Pernambuco. Secondary data were analyzed in the Excel® 2017 program. Results and Discussion: Female users predominated (56%). Prevalent age range of 15 to 59 years (55%). The main place of residence was the home (93%), highlighting the demand of users for the emergency medical clinic (43%). In view of the findings, it can be inferred that the female sex is the majority in the total number of visits, with emphasis on the adult and economically active population, standing out health problems related to clinical demands. It is noteworthy that the users’ preferential entrance door is still the hospital first to the detriment of the family health units, since this is responsible for 80% of the resolution of community health problems it covers. Conclusion: With the study it was possible to identify the difficulties that the institution presents in solving the health problems of the population, evidencing the increase in the demand in the entrance doors mainly of clinical nature and that could be being solved in Primary Care.