Background: Various cast materials have been used to manage idiopathic club foot by Ponseti method of serial casting and bracing each material have it`s advantage and disadvantage. Objectives: To compare between two cast materials used to treat idiopathic clubfoot in response to the number of casts required in achieving correction, the need for tenotomy, and skin problems that can result from using these materials. Methods: Patients were randomized to fiberglass cast group and plaster cast group. The outcome measures were: the number of casts required to obtain clubfoot correction, need for Achilles tenotomy, and skin problems that are associated with the use of different cast materials Results: We enrolled 33 children in the study with 40 clubfeet. 22 (55%) clubfeet were randomized to fiberglass and 18 (45%) to plaster casts. taking in consideration that bilateral feet have the same cast material for correction. There was a significant difference in the number of casts required for clubfoot correction between the two groups (p=0.005). Tenotomy was performed in 19 (47.5%) clubfeet with no significant association between tenotomy and cast material groups. Skin problem occurred in 8 (20%) clubfeet during the process of their correction. Conclusion: The historical plaster of Paris remain to be the material of choice which can be used for correction of clubfeet by Ponseti method.
Myxoma is a rare, benign mesenchymal tumor composed of undifferentiated stellate cells within a myxoid stromaresembling that of the umbilical cord . Apart from cardiac locations, skeletalmuscle involvement is commonly seen around thigh muscles, although other muscles could be affected with intermuscular, para-articular and even subcutaneous subsets. The authors intend to highlight the diagnostic challenge that could arise in the management of what is a benign tumor through a case report and review of relevant literature.
Introduction: Rheumatoid arthritis and periodontitis are two chronic inflammatory diseases where inflammatory mediators induce bone loss and destruction involving joints and supporting tooth tissues, respectively. The observance of similarities in its pathogenic mechanisms has aroused interest in research on the association between these conditions. Objectives: To verify the interrelationship between rheumatoid arthritis and periodontitis. Methodology: Literature review where articles were searched in the 2007-2017 period, available on the Internet, in the database systems: Medlars on line International Literature (Medline), Latin American and Caribbean Literature in Health Sciences (Lilacs) and Brazilian Bibliography of Dentistry (BBO) present on the website of the Virtual Health Library (BVS). Results and Discussion: The literature does not yet confirm the interrelation between rheumatoid arthritis and periodontitis. However, considering the similarity of the pathogenic processes, these chronic and destructive inflammatory diseases are still under investigation worldwide, and it is believed that the relationship between the two processes can be scientifically proven. Although several clinical trials show worse periodontal conditions and higher frequency of dental loss in patients with rheumatoid arthritis, when compared to healthy controls; yet it is not possible to point out the interrelation or degree of dependence and / or favoring the development of these processes between these two diseases. Conclusion: The interrelation between rheumatoid arthritis and periodontitis has not been completely clarified nor scientifically proven despite the similarity between pathogenic mechanisms. However, considering the severity of the same should seek the prevention, diagnosis and appropriate treatment, as early as possible.
Introduction: Femoral fractures are common in the geriatric population, representing the 2nd largest cause of hospitalizations in these individuals. They occur due to traumas of low intensity and present high late morbimortality. Projections indicate that by 2050, six million people will be affected. Objective: To describe the experience of nursing care to an elderly victim of left femoral fracture. Methodology: This was a descriptive study, of the case report type. The scenario was the emergence of a hospital located in Recife in January 2017. A care plan was elaborated based on the nursing diagnoses survey Proposed by the taxonomy of NANDA international. Results: The main diagnoses were: anxiety, acute pain, risk of infection, risk of impaired skin integrity, impaired sleep pattern, impaired physical mobility, impaired self-care and impaired gas exchange. Conclusion: The identification of nursing diagnoses favors nursing care, since the care becomes directed, thus promoting the reduction of the diseases and improvement of the patient.
Introduction: Osteoarthritis, a predominant rheumatic disease in the elderly, is characterized by being degenerative, with the knee joint being the most affected. Such involvement leads the individual to experience severe pain, affecting physical and psychological performance, interfering with quality of life (QoL). Objective: To analyze QoL in patients with knee osteoarthritis. Methodology: Cross-sectional observational study. Including male subjects, aged 50 to 69 years, with knee arthrosis with diagnosis based radiographically. Excluding those with other associated osteomioarticular pathologies and administering drugs that could interfere with the responses given for evaluation of QoL through the SF-36 instrument. Results: Men (n = 15), 59.3 ± 6.3 years, mostly overweight (60%), reduced functional capacity (p
Introduction: Staying physically active is critical for an individual who has osteoarthritis, depending on the degree of joint inflammation, there will be present a lower mobility, affecting the of daily life activities. Aims: This study investigated the skin thermal response of lower limbs in elderly with or without osteoarthritis before and after exercise. Methods: 70 elderlies (75.1±6.7 yrs., wt: 70.5 ±9.3 kg, ht:1.6±0.1 m, BMI: 29±3.4 kg/m2) were divided in 4 groups: men with osteoarthritis (n=7), men control (n=17), women with osteoarthritis (n=13), women control (n=33). Results and Discussion: Men with osteoarthritis presented higher temperature in the anterior and posterior thigh before exercise in comparison to the Control (p
Introduction: Spinal cord injury (MRT) is a traumatic external injury that compromises or not the function of the spinal cord or nerve roots. In Brazil it is estimated that about 40 new cases per year per million inhabitants occur. OBJECTIVES: To compare scientific publications through an integrative review, related to the prevalence of MRT in young adults in Brazil. Methodology: This is an integrative review based on articles from LILACS (Latin American and Caribbean Literature in Health Sciences) and SCIELO (Scientific Electronic Library Online), published from 2007 to 2017. It was built in the following phases: 1) problem formulation 2) data collection 3) data evaluation 4) analysis and interpretation 5) presentation of results. Results and Discussion: It was observed that the articles found that deal with spinal cord trauma, point to the prevalence of MRT in an age group that picks up from childhood the old age being more recurrent in young male adults. The results reveal that accidents involving cervical trauma are more frequent in the age group of 20- to 30-year-old males. It has also been observed in state hospitals that TRM injuries generate a longer time of hospitalization and, consequently, an increase in hospitalization costs. The main etiologies of TRM were falls and traffic accidents with cars and motorcycles. Conclusion: It is extremely important to educate the population about the risks of TRM through health education, as well as the creation of preventive campaigns both to reduce the occurrence of traffic accidents and to reduce the incidence of falls.