Recent Articles

Background:The outcomes of techniques employed for depigmentation are varied and no one method can be deemed as ideal. The present case series is an evaluation of 4 popular depigmentation procedures `carried out today. Material and methods: 5 patients with non-syndrome associated gingival hyperpigmentation in all 4 quadrants based on Dummetts scoring criteria were included. Healing and pain were assessed following depigmentation carried out by scalpel, bur, electro surgery and laser in the 4 quadrants respectively and followed up for a period of 2 years. Results: Healing following Scalpel method and laser were better than bur and electro surgery. Post-operative pain was less with the use of scalpel and laser when compared to the other 2 techniques at the end of 1month. Pain was still evident at the site of electro surgery at the end of 2 months. However at the end of 3, 6 months and 1 and 2 years there was no difference in all 4 techniques. Conclusion: Better treatment outcomes were observed with the scalpel and laser techniques than bur and electrosurgery.

Sigmoidal intussusception protrusion through the anus is extremely rare and has only been reported a few times. The majority of cases of prolapsed sigmoid intussusception in adults have an underlying bowel pathology such as carcinoma, polyps, or benign neoplasms, which are usually discovered intra-operatively. Our case is a 25-year old male patient, previously healthy, with no history of constipation or straining, who presented with a painless prolapsed mass out of the anus. It is very unusual for a young healthy male to present suddenly with such a complaint. After failed attempts to reduce the prolapsed segment under general anesthesia, laparotomy was performed and the prolapsed mass was determined to be an intussuscepted sigmoid. Hartmann procedure was performed. 9 cm of the sigmoid was resected. Findings were consistent with a healthy but edematous prolapsed sigmoid colon.

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.

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.

Introduction: Epidemiology is the study of factors that determine the frequency and distribution of diseases in human collectivities. Neurodegenerative diseases compose a very heterogeneous group of diseases, caused by distinct mechanisms and characterized by the neuronal degeneration in different regions of the Nervous System. Objective: The objective of this study was to perform a survey on the number of cases of neurodegenerative diseases in the Sergipe University Hospital (HU). Methodology: In this study, an analytic epidemiology study, with a cross-sectional design, we analyzed the epidemiological profile of patients’s medical appointments at HU Neurology Clinic, from January 2003 to January 2016. The research was based on the analysis of patient medical records. These were selected in fixed percentages, per year, at random sampling. Descriptive statistics were performed and the percentage values of the analyzed data were reported. Results and Discussion: A total of 819 medical records were analyzed, of which 166 were cases of neurodegenerative diseases, representing an incidence of 20.2% in the studied episodes. In these cases, 1.2% was patients with Wilson’s Disease, 7.8% with Amyotrophic Lateral Sclerosis, 9% with Alzheimer’s Disease and 82% with Parkinson’s Disease (PD). In this study, it was possible to observe that there is a high percentage of people in the HU with neurodegenerative diseases, mainly PD. In the national literature, no articles were found that presented results of epidemiological studies in PD. It is estimated that this disease affects about 1% of the world’s population over 65 years old, representing up to 2/3 of patients attending major movement disorders centers around the world. Conclusion: The results of this work contribute to the determination of the profile of care in HU, providing greater clarity for the planning and replanning of actions at all levels of health care.

Introduction:Osteoarthritis is a chronic degenerative disease that affects articular cartilage. Its signs and symptoms include morning stiffness, pain, decreased range of motion in the affected joint, limitations in functional activities, deformity with osteophyte formation, swelling and stiffness in the drive. Hydrotherapy is widely used by thrust account, dipping and reduced gravity, which is the differential treatment. Objectives: To analyze through literature reviews and case studies the effectiveness of hydrotherapy in patients with osteoarthritis of the knee. Methods: A literature review was performed from items available in Scielo databases, PubMed, Lilacs, Medline in August 2017, selecting articles published from 2012 to 2017. Results and Discussion: Initially found 55 studies with the proposed theme, among them, 47 were excluded according to the exclusion criteria. Selecting articles 8, 4 case studies and literature reviews 4. Results report that hydrotherapy helps both assisting in relieving the symptoms and the execution of activities of daily living. Conclusion: Later the acquired data, it can be concluded that the hydrotherapy program on rehabilitation of patients with osteoarthritis patients, was effective in terms of reducing the manifestations of pain and increase in range of motion of the knee. The pool exercises in technique is an excellent environment for rehabilitation of these patients due to buoyant force decrease the force of gravity, therefore, reduces the burden on the injured cartilage when immersed to the chest,Minimizing major changes and making the execution of the exercise less painful as they would be in the ground and thus more comfortable.

Introduction: Acupuncture is a millenary therapeutic technique, whose practice implies the energetic balance of individuals. This therapy, usually, applies needles into acupoints, which when stimulated, promote several health benefits. With greater dissemination, Acupuncture has been an alternative means in the relief of chronic pain. Objectives: Describe the therapeutic efficacy of the use of Acupuncture in chronic pain control. Methodology: It is an integrative review, whose articles analyzed were obtained through analysis of databases: LILACS, MEDLINE and SciELO. The descriptors used were: Acupuncture, Pain, Nursing, and Traditional Chinese Medicine. Such analysis was held on September 22-24, 2017, using the following inclusion criteria: articles published in Portuguese, English and Spanish, from 2011 to 2016, and deleted all articles that do not possess the theme of the study. As a conductive question: The efficacy of the use of Acupuncture for chronic pains? Results and discussion: By means of the criteria 83 publications were identified, of which 72 were deleted by the eligibility criteria. Articles obtained have shown that the treatment is carried out at strategic points, which in some cases provide immediate analgesia and aims to improve or cure of chronic pain. Among the studies reviewed, technique as Electro Acupuncture, Auriculo Acupuncture, Craniopuncture are the most used and which allow the development of good results, aiming at a supplement and improvement of allopathic treatment, improving the prognosis of the patient. Conclusion: It seems clear, that the use of acupuncture, decreases the pain and discomforts levels, having an action similar with the chronic pain medicines.

Introduction: The trigeminal neuralgia is an idiopathic chronic disease known for its intense and unbearable pains. It is associated to the trigeminal nerve which is responsible for the sensation in the face and also motor functions such as the motor control of chewing muscles. The diagnosis is complex and requires a meticulous clinic examination – to be distinguished from others conditions – besides an evaluation of complementary and multidisciplinary exams aiming an effective treatment according to the needs of each patient. Objetives: The purpose of this article is to address the concept of the trigeminal neuralgia, pointing out its etiology, clinical features, diagnosis and treatment methods. Methodology: Several papers concerning the topic of interest were selected and analyzed through the searching means: Google academics, LILACAS and SCIELO. Results: The results show that the first drug chosen for treatment is Carbamazepine. The drug therapy can be broad, depending on each patient. When ineffective, surgical treatment is necessary, which may be by many techniques, with a 73% rate of positive results. Conclusion: The trigeminal neuralgia is considered the most prevalent and uncomfortable of the neuralgias. According to the analyzed researches, an adequate diagnosis allows an effective treatment.

Introduction: Leprosy is a chronic infectious disease caused by the bacillus Mycobacterium leprae, popularly known as leprosy, and has great neuropathic potential, as it affects the nervous system, causing severe sequelae. It mainly affects low-income people, who live in places without basic sanitation and without adequate housing conditions. Because it is a secular disease and with immense prejudice, people who are affected seek health networks late because of fear, causing delay in diagnosis and bringing severe sequelae to them, and may even be irreversible. Objective: To understand leprosy and its neuropathic potential, emphasizing the importance of nursing a qualification. Methodology: This is a literature review, whose data collection was performed through the SciELO and Lilacs databases. A total of 8 conventional and non-conventional articles were found, using the descriptors leprosy, nursing, basic health unit and early diagnosis. Results and Discussion: In all forms of leprosy, there is a nervous compromise occurring a preference for the sensory-autonomic nerves of the dermis and in the region of the nerve trunk becoming a standard feature of the disease, so people tend to develop deficiency and physical deformities , But its impact will depend on the immunity of the individual. The nurse of the unit, properly trained becomes essential in the monitoring and healing process of the patient. Conclusion: It is of fundamental importance that nursing qualify to serve these users, so that in the future, they will not suffer from severe neuropathic sequelae, hindering their daily activities, their social experiences and self esteem.

Introduction: Neoplasms are a kind of the principal chronic and degenerative diseases that more causes morbidity and death in the world, being indispensable the attempt to reduce the torment, thus, the spirituality comes like a support that promotes a better quality of life. Objectives: Describe like spirituality can to influence in the treatment of oncologics patient. Methodology: The present study is a revision of integrative role, whose reviewed articles were captured through database analysis: BDENF, LILACS and SciELO. The descriptors utilized were: Spirituality, Cancer, Oncology and Patient. This analysis were realized on september 22 ᶯ ͩ and 23ʳ ͭ , 2017; the criterions of the included were published articles in portuguese and english, in 2010 to 2016, being excluded all that haven’t adequation at thematic of study. By means of the criterions defined were found 124 publisheds, but, only 8 articles met the criterions of the principal objective. Results and Discussions: The oncologic diagnostic is seen in the contemporary society like incurable, although of exist many ways of treatment, this ascend the mental disorder in the patients and family that searches in the spirituality a protector paper against this morbidity. In the search of this spiritual care, scientific evidences shows that it has influenced the clinic and disease course, increasing thus the quality of life in the patient. Conclusion: Not is possible treat a singly disease, is important that the patient been integrated in the treatment with aspects biopsychosocial, spiritual and ecologic for that has a improvement or cure. With this, can accentuate that the spirituality is indispensable for a good diagnostic.