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Gastric Outlet Obstruction: Transform in Etiogenesis

Research Article of Open Journal of Gastroenterology and Hepatology GASTRIC OUTLET OBSTRUCTION: TRANSFORM IN ETIOGENESIS: STUDY FROM NORTHERN RAJASTHAN ZUBIN PRADEEP SHARMA, RAVINDRA SHARMA, DIVYA SHARMA, SANTOSH YADAV Department of Gastroenterology, Aditya Hospital And Gastroenterology Centre, Rajasthan, India Objective: To determine the frequency of various etiologies of Gastric Outlet Obstruction in Northern part of Rajasthan, India. Design & Duration: Prospective study carried out from March 2018 to March 2019. Methodology: The data of all the patients who presented with the features of Gastric Outlet Obstruction during the above mentioned period was collected. This data was analyzed with specific reference to recent trends in its etiology. This change in trend was compared with other local and international studies. Results: Fifty patients were included in the study. All patients underwent upper GI endoscopy and biopsy; 40 cases were diagnosed by this method and the remaining by CT scan. Gastric carcinoma was the most common cause of Gastric Outlet Obstruction seen in 36% of the cases. The next common etiology was peptic ulcer disease which was responsible for 32% of the patients. Conclusion: The ratio between benign and malignant etiologies of Gastric Outlet Obstruction is showing a gradual change in favour of malignant lesions. This change is similar to the trends reported in the western literature. Keywords: Gastric Outlet Obstruction, etiology, Gastric Carcinoma, Peptic Ulcer disease ...

Dementia syndromes and health psychology

Research Article of International Journal of Aging Research Dementia syndromes and health psychology Eduardo Falcão Felisberto1, Leopoldo Barbosa2, Paulo César Gomes1, Mônica Cristina Batista de Melo3  1Mestrando em Psicologia da Saúde pela Faculdade Pernambucana de Saúde - FPS; 2Pós-Doutorado em Ciências da Saúde pela Universidade Federal do Rio Grande do Norte. Docente Permanente no Mestrado Profissional em Psicologia da Saúde da Faculdade Pernambucana de Saúde – FPS; 3Pós-Doutorado em Ciências da Saúde pela Universidade Federal do Rio Grande do Norte. Coordenador do Mestrado Profissional em Psicologia da Saúde da Faculdade Pernambucana de Saúde – FPS The aging process is considered a worldwide phenomenon, and it is observed that the population has aged, where there is an inversion in the age pyramid resulting from the increase in life expectancy. This phenomenon has been investigated by several national and international studies. As results, there are some justifications that are being cited. Among these, are the presence of some demographic factors such as a reduction in fertilit, fecundity and mortality rate over the years, in addition, we highlight the technological advances in health and improvement in the quality of life of individuals1,2. Consequently, with the presence of these influencing factors, some studies highlight an epidemiological transition, where infectious diseases are being replaced by chronic-degenerative, as the main cause of morbidity and mortality, giving emphasis on dementia syndromes . In addition of aging, are expected physical, psychological and social changes that lead to changes in the life of each elderly. At this stage of life, in addition to chronic conditions, the decline in cognitive functions, such as changes in memory, speed of reasoning, and attention seem to take on a broader dimension. Thus, with the decline of these and other functions, several difficulties can be observed in the execution of activities of daily living of ...

The Elderly, Carriers of Dementia Syndromes and Dental Care

Research Article of International Journal of Aging Research The Elderly, Carriers of Dementia Syndromes and Dental Care Berta Luíza Gabriela Moreno¹, Cinthia Natali Pontes dos Santos2, Andreza de Oliveira Melo2, Maria Tereza Nascimento Filgueiras Andrade2, Nathalia Patrícia Almeida Santos3, Aurora Karla de Lacerda Vidal4 1Dental Surgeon, Dental Expert Witness, Home Dental Care; 2Dental Surgeon, Resident of the Multiprofessional Integrated Residency Program in Family Health (RMISF/FCM/UPE); 3Nurse, Resident of the Multiprofessional Integrated Residency Program in Family Health (RMISF/FCM/UPE); 4Dental Surgeon, Oral Pathologist, Doctor in Collective Health, Adjunct Professor of the General Pathological Processes Subject of the Institute of Biological Sciences of the University of Pernambuco - ICB/UPE, Head of the Dentistry Service of the Oncology Center of the Oswaldo Cruz University Hospital (CEON/HUO/UPE), Coordinator of the Residency Program in Hospital Dentistry with emphasis on Oncology, University of Pernambuco - ICB/HUOC/UPE, Tutor of the Dentistry Center of the Integrated Multidisciplinary Residency in Family Health, School of Medical Sciences, University of Pernambuco (RMISF/FCM/UPE). The demographic and epidemiological transition resulting from declining birth rates, increased economically active population, decreased infectious diseases and increased chronic degenerative diseases produce a population scenario with a high number of elderly individuals, prone to developing dementia, whose prevalence is directly related to increasing age. Dementia is progressive and characterized by the loss of self-care ability and ability to perform activities of daily living, including the difficulty to perform oral hygiene and accept dental treatment, thus resulting in decreased oral health. Thus, it is necessary to know and think about oral care to increase the quality of life of this population through actions of health promotion, prevention and recovery with the accomplishment of home and hospital dental procedures, besides the traditional service, at a dental office. Keywords: Aging, Dementia, Oral health ...

Analysis of Cases of Tuberculosis Related to Diabetes Patients and the Concurrent Use of Licit and Ilicit Drugs in the State of Pernambuco

Research Article of International Journal of Virology and Diseases Analysis of Cases of Tuberculosis Related to Diabetes Patients and the Concurrent Use of Licit and Ilicit Drugs in the State of Pernambuco Nardkelly Izabel Santos1; Amanda Gabriela da Silva1; Lucas Isaque Melo da Silva2 1Biomédica formada pelo Centro Universitário Maurício de Nassau, UNINASSAU, Recife, PE, Brasil. 2Discente do Centro Universitário Maurício de Nassau, UNINASSAU, Recife, PE, Brasil. INTRODUCTION: Tuberculosis is an infectious disease caused by the bacterium Mycobacterium tuberculosis. In Brazil, TB is considered a public health problem due to the high rate of cases, ranking 20th in the notified cases ranking. The transmission of the disease is related to some lifestyles, since there is a higher incidence in patients with diabetes Who use illicit and licit drugs such as tobacco and alcohol. Factors such as diabetes, alcoholism, smoking and illicit drugs favor the spread of the disease and may shift from latent to active tuberculosis. OBJECTIVE: Given the above, the objective of this study was to verify the cases of tuberculosis related to patients with diabetes and the use of licit and illicit drugs in the state of Pernambuco from 2015 to 2018. METHODS: This is a descriptive study with approach. To verify the incidence of tuberculosis in a given group. For this data were obtained from the SINAM / DATASUS database. The variables used were: diabetes, alcoholism, smoking and illicit drugs. RESULTS: From 2015 to 2018, 19,733 cases of tuberculosis patients were reported. Of these 1,890 (10%) were affected by diabetes, and in 2017 the most affected with (26.5%). Greater susceptibility to develop tuberculosis due to hyperglycemia, leading to insulin dependence which generates indirect cellular effects. It was observed that of the notified by tuberculosis about 4,584 (23%) stated to use alcohol. Alcohol is also considered a risk ...

Effects of Sublingual Misoprostol as Adjunct to Oxytocin for Active Management of Third Stage of Labour in Paturients at Risk of Post-partum Haemorrhage in Abakaliki : a Comparison of 200 Versus 400 Micrograms

Research Article of International Research Journal of Obstetrics and Gynecology EFFECTS OF SUBLINGUAL MISOPROSTOL AS ADJUNCT TO OXYTOCIN FOR ACTIVE MANAGEMENT OF THIRD STAGE OF LABOUR IN PATURIENTS AT RISK OF POST-PARTUM HAEMORRHAGE IN ABAKALIKI : A COMPARISON OF 200 VERSUS 400 MICROGRAMS NWALI Silas Alegu1, ONOH Robinson C1, EGEDE John Okafor1, OBI Vitus OKWUCHUKWU1, JOMBO Sunday Emmanuel2, OGBUINYA Oliver Onukwube1 1DEPARTMENT OF OBSTETRICS AND GYNAECOLOGY, AE-FUTH, ABAKALIKI 2DEPARTMENT OF OBSTETRICS AND GYNAECOLOGY, FMC, ASABA Background: Postpartum Haemorrhage (PPH) still remains a major cause of maternal mortality despite adequate knowledge of its causes and treatment. Oxytocin administration is one of the major components of active management of third stage of labour (AMTSL). Evidence suggest benefit of misoprostol as an adjunct however optimal dose is yet to be determine considering the dose depended side effect profile of misoprostol. . Objective: This study evaluated the efficacy and side effect profile of 200µg versus 400µg of prophylactic sublingual misoprostol as adjunct to AMTSL among parturient at risk for PPH. Methods: This was a double blinded, single centre, randomized controlled trial involving two hundred and forty parturient with 2.1% drop out rate , thus 235 of them were analyzed; 117 (48.8%) and 118(49.2%) for 200 and 400 microgram group respectively. Data was analyzed using Statistical Package for Social Science (IBM SPSS) software (version 24, Chicago II, USA). Continuous variables were presented as mean and standard deviation (Mean ± 2SD), while categorical variables were presented as numbers and percentages. Chi-square test (X2) was used for comparison between groups for qualitative variables while t-test was used for comparison between groups for quantitative variables. A difference with a P value <0.05 was considered statistically significant. Results: The mean blood loss was similar between the 200µg and 400µg groups of the study with 280.68±179.40mls and 253.86±169.80mls for the ...

Oral Health Care for People With Mental and Behavioral Disorders

Research Article of International Journal of Dental Research and Reviews ORAL HEALTH CARE FOR PEOPLE WITH MENTAL AND BEHAVIORAL DISORDERS Isabela Vicência Menezes Castelo Branco¹, Mayara Larissa Moura de Souza ¹, Angélica Lopes Frade¹, Cristianne de Barros Santos¹, Laís Azevedo Lins de Holanda¹, Aurora Karla de Lacerda Vidal2 1Dentist - Resident of the Residency Program in Hospital Dentistry focusing on Oncology, University of Pernambuco - ICB / HUOC / UPE; 2Dental Surgeon, Oral Pathologist, PhD in Collective Health, Assistant Professor, General Pathological Processes Discipline, Institute of Biological Sciences, University of Pernambuco - ICB / UPE, Head of the Dentistry Service, Oncology Center, Oswaldo University Hospital Cruz (CEON / HUO / UPE), Coordinator of the Residency Program in Hospital Dentistry, focusing on Oncology, University of Pernambuco - ICB / HUOC / UPE, Tutor of the Dentistry Center of the Integrated Multidisciplinary Residency in Family Health, School of Medical Sciences University of Pernambuco (RMISF / FCM / UPE). There are many mental and behavioral disorders, being necessary to understand and differentiate them and their nuances for better care and dental care. This chapter will address depression, bipolar affective disorders, schizophrenia, and attention deficit hyperactivity disorder related to oral-dental care and repercussions such as reduced salivary flow due to depression and / or medication action. In general, anxiolytics and antidepressants are used. This salivary reduction contributes to the high rate of dental caries and periodontal diseases, favors the emergence of fungal infections and makes the oral mucosa fragile and susceptible to ulceration and trauma. Health promotion, including individual and collective actions, for prevention and early detection of oral lesions and oral cancer, restorative, anatomical, biological, functional and aesthetic oral care are necessary and contribute to the improvement of the quality of life of these patients. The worst dental condition found in patients with ...