Aesthetic Medicine and Health

  • Impact of nutritional education in groups in the improvement of eating habits in women

    Introduction: the excess of ingestion of food that is rich in fat and/or simple sugars triggers an alteration of the nutritional state in women. Thus, nutrition can help in feminine life quality, for a balanced eating is necessary, that contains all the nutrients indispensable for the good work of the organism, associated to the regular practice of exercises. Nutritional interventions from group care aim to provide the patient an interactive and reflexive environment of learning, what makes possible the change of habits in a collective way. Objetive: it is a review of literature about the impacts of nutritional education in the improvement of women’s eating habits. Methodology: a review of literature existent in the data bases Biblioteca Virtual em Saúde (BVC) and Scientific Electronic Library Online (Scielo) and Google Acadêmico was performed. 15 publications between the years of 2010 to 2016 were selected for suiting the criteria of inclusion initially stated. Results and Discussion: the studies with obese women show good results when there is the use of eating reeducation practices, being that the loss of weight occurred with greater intensity when a hypocaloric diet and the group orientation were allied to the regular practice of physical activity. Another relevant aspect was the analysis of interviews revealing that these programs helped in changes in eating both in qualitative and quantitative aspects. However, some studies showed that women that had inadequate eating habits, after the intervention, presented an improvement in this pattern, except with respect to the consumption of fibers, which remained low. Conclusion: thus, the impact of the nutritional education activity collaborates to the improvement of women’s eating habits. Group nutritional education should, therefore, be encouraged, for it is of low cost and provides moments of discussions about difficulties, adhesion to the treatment, socialization and self-perceived improvements.

  • Parameters used in metabolic syndrome diagnosis

    Introduction: Metabolic Syndrome (MS) is a complex disorder represented by a set of cardiovascular risk factors that are directly related to the patient’s eating style and physical activity, and has long been associated with insulin resistance. All proposed diagnostic criteria for the Metabolic Syndrome (MS) take into account abdominal obesity. Several guidelines to define SM have been proposed over the years, the most accepted ones currently being the WHO and NCEP. Objective: To describe the laboratory parameters used to determine the Metabolic Syndrome (MS). Methodology: The present work consists of a literature review, with articles extracted from the electronic data bases Scielo, Pubmed and Lilacs, where only articles published between 2012 and 2017 were accepted. Results and discussion: The diagnosis of MS occurs when three of the five required criteria are present: large amounts of abdominal fat (men with waist measuring more than 102cm and women over 88cm); low HDL (men below 40mg / dl and in women below 50mg / dl); high triglycerides (150mg / dl or higher, for both men and women); high blood pressure (135/85 mmHg or higher or if you are using any medicine to reduce pressure); (100mg / dl or higher for both sexes). Some additional metabolic criteria may be: atherogenic dyslipidemia, insulin resistance, prothrombotic state, among others. Conclusion: The diagnosis of the Metabolic Syndrome takes into account the clinical characteristics and laboratory data which provide an accurate assessment of the physiological state of the patient. However, it is necessary to establish new parameters more specific for its diagnosis, since some of these already existent, such as triglycerides, can affect others in the case of LDL-c, causing a misdiagnosis.

  • Phyisiotherapy as a Treatment of Progressive Spinal Amyotrophy type I: a case report

    Introduction: The Progressive Spinal Amyotrophy is an autosomal recessive hereditary disease characterized by the spinal cord motoneurons degeneration, as the type I the most severe. PURPOSE: To describe a physical therapy treatment in a child with type I Progressive Spinal Amyotrophy. Methodology: Descriptive study of a case report of a patient with Progressive Spinal Amyotrophy in physical treatment at the Hospital Santo Antônio Maria Zaccaria in Bragança, Pará. The data was collected from the medical records and the by caregiver. Results and Discussion: M.C.O.P, 6 years old girl, presents Progressive Spinal Amyotrophy type I, excellent cognition, wheelchair user, presents quadriparesis with little trunk control, degree of muscle strength between 1 and 2 at the Oxford scale, ligament laxity, contractures, thoracolumbar kyphoscoliosis, reduction of range of motion in lower limbs, ineffective cough and Forced Vital Spirometry of 800ml (54%). The child receives multiprofessional treatment with an Orthopedist; Pneumologist; Cardiologist; Child Neurologist and Physical Therapist since she was 2 years old. Her actual physical therapy treatment protocol consists of: active-assisted kinesiotherapy for the limbs, cervical spine and abdomen (2 sets of 10 repetitions), trunk stabilization exercises (2 sets of 1 minute), and pulmonary re-expansion with Infant Voldyne (3 sets of 5 repetitions), 3 times a week. Studies demonstrate the importance of a multidisciplinary treatment in children with muscular atrophy, highlighting the physical therapy in the disease delay, quality of life and survival. As is observed in the present study, the multidisciplinary treatment has increased the lifetime of the child, because children with this disease normally have as 2 ou 3 years, instead of the patient, that are 6 years old. Conclusion: The physical therapy treatment goal in patients with Progressive Spinal Amyotrophy is to avoid early complications through prophylactic management of disfunctions, therefore increasing lifetime and quality of life in the patients.

  • Multidisciplinary assistance to breast cancer the nursing and physiotherapys expertise

    Introduction: The breast cancer is a multifactorial pathology, which strikes especially women, usually after 35 years old, considered a global health problem. In Brazil, it is the second cancer with the most incidence in the feminine population. It is responsible for the death of a great number of women in the country. The treatments for this neoplasm vary from mastectomy, chemotherapy, radiotherapy to hormonotherapy. Objectives: To clarify the nursing and physiotherapy assistance in the breast cancer treatment. Methodology: It is a literature review that uses the data from SciELO, LILACS. To select the articles there were used these inclusion criteria: Portuguese language, published between 2007 and 2017, with free access and being result of the use of keywords (DECS-BIREME): Breast Neoplasm, Nursing, Physiotherapy, being found seven articles. Results and Discussion: Regarding the psychological, physical and social repercussions that this disease causes to the patient’s life, it is evident that a bigger involvement of the health professionals is necessary. The aimed physiotherapy in treating patients previously affected by this neoplasia is the onco-functional one, acting before and after surgeries, which seeks to prevent, preserve and restore the kinetic-functional capacity of the patients; on the other hand, the nursing, will be involved during the whole therapeutic process in which the patient will undergo, the action measures ranging from first, second, third-level and postmortem, focusing on the educational and caregiving nature of the profession. The palliative cares that will be given from both professions require a holistic and humanized assistance, considering all the patient’s dimensions. Conclusion: Thus, the multiprofessional team reaches a multidisciplinary assistance that has a direct impact in the care of the patient, proving to be essential to the improvement of the care and treatment given.

  • Utilization stem cells and antiangiogenic treatment of age-related macular degeneration (AMD)

    Introduction: Age-related macular degeneration (AMD) is an increasingly common pathology due to the general aging of the population, and has assumed the dimension of a true public health problem. Currently, the applications of cellular therapies are viable in the repair of the corneous tissue. Angiogenesis inhibitors, however, are a class of drugs most commonly used to block the proliferation of new blood vessels. Advances in the study with stem cells and antiangiogenic have provided expectations in the scientific community, as to its use in regeneration of tissues damaged by degenerative diseases. Objective: To relate the advances in research on AMD with the use stem cells and antiangiogenic as an effective treatment for this pathology. Methodology: Electronic data platforms (MEDLINE, PubMed, Scopus) were consulted from 2011 to 2016, using descriptors: “stem cells”, “macular degeneration”, “AMD” and “antiangiogenic”. Results and Discussion: Clinical studies in adult rats showed that stem cells derived from bone marrow applied to the ocular tissue, activated neurological cells called astrocytes, contributed to the regeneration of this tissue due to trauma. The results correlating antiangiogenic as Bevacizumab were included by ANVISA (Agência Nacional de Vigilância Sanitária) in 2011. Therefore, due to its inhibitory effect of angiogenesis, it has been used in ophthalmologic degenerative diseases such as AMD. The regeneration of ocular tissues, through therapy with stem cells presents problems to be solved, by the different types of embryonic tissues. This differentiation should establish criteria for the best choice of the origin of stem cells. Bevacizumab has been used in the treatment of this disease by intravitreal injections directly into the eye, but repeated intraocular injections can cause serious complications. Conclusion: Despite the need for further studies, the use of these therapies for regeneration and repair of injured ocular tissues has presented excellent advances in the field of ophthalmology.