A assistência psíquica no Sistema Único de Saúde: um relato de experiência

The aim was to describe an experience report about the assistance offered by the Unified Health System to psychiatric patients and how this support network can be fundamental in their lives. This is a qualitative, descriptive research, which will report the experience lived in Primary Care correlated with the theoretical aspects of the course, in the context of Mental Health. Some evidenced literatures were selected. Thus, they were used to search for articles on the Google Scholar and Scientific Electronic Library Online search platforms. For the discussion, the two categories were listed: Primary Care in mental health care and multi- and interdisciplinarity in psychiatric and mental health care, which were later analyzed and claimed. It is concluded that the psychic assistance provided to patients with mental problems is essential for them to achieve: autonomy, freedom, exercise their citizenship, equity and access to quality health services.O objetivo principal foi descrever um relato de experiência acerca da assistência ofertada pelo Sistema Único de Saúde aos pacientes psiquiátricos e como essa rede de apoio pode ser fundamental em suas vidas. Trata-se de uma pesquisa qualitativa, do tipo descritiva, que relatará a experiência vivenciada na Atenção Primária correlacionadas com as vertentes teóricas do curso, no âmbito da Saúde Mental. Foram selecionadas algumas literaturas evidenciadas. Desse modo, foram utilizadas para busca de artigos nas plataformas de pesquisa Google Acadêmico e Scientific Electronic Library Online. Para a discussão, foram elencadas as duas categorias: A Atenção Primária na assistência à saúde mental e a multi e interdisciplinaridade no cuidado psiquiátrico e de saúde mental, sendo que, posteriormente, os mesmos foram analisados e pleiteados. Conclui-se que a assistência psíquica prestada aos pacientes com problemas mentais é fundamental para que eles consigam: autonomia, liberdade, exercer sua cidadania, equidade e acesso à serviços de saúde de qualidade

A assistência psíquica no Sistema Único de Saúde: um relato de experiência

The aim was to describe an experience report about the assistance offered by the Unified Health System to psychiatric patients and how this support network can be fundamental in their lives. This is a qualitative, descriptive research, which will report the experience lived in Primary Care correlated with the theoretical aspects of the course, in the context of Mental Health. Some evidenced literatures were selected. Thus, they were used to search for articles on the Google Scholar and Scientific Electronic Library Online search platforms. For the discussion, the two categories were listed: Primary Care in mental health care and multi- and interdisciplinarity in psychiatric and mental health care, which were later analyzed and claimed. It is concluded that the psychic assistance provided to patients with mental problems is essential for them to achieve: autonomy, freedom, exercise their citizenship, equity and access to quality health services.O objetivo principal foi descrever um relato de experiência acerca da assistência ofertada pelo Sistema Único de Saúde aos pacientes psiquiátricos e como essa rede de apoio pode ser fundamental em suas vidas. Trata-se de uma pesquisa qualitativa, do tipo descritiva, que relatará a experiência vivenciada na Atenção Primária correlacionadas com as vertentes teóricas do curso, no âmbito da Saúde Mental. Foram selecionadas algumas literaturas evidenciadas. Desse modo, foram utilizadas para busca de artigos nas plataformas de pesquisa Google Acadêmico e Scientific Electronic Library Online. Para a discussão, foram elencadas as duas categorias: A Atenção Primária na assistência à saúde mental e a multi e interdisciplinaridade no cuidado psiquiátrico e de saúde mental, sendo que, posteriormente, os mesmos foram analisados e pleiteados. Conclui-se que a assistência psíquica prestada aos pacientes com problemas mentais é fundamental para que eles consigam: autonomia, liberdade, exercer sua cidadania, equidade e acesso à serviços de saúde de qualidade

Necrotizint external otitis with peripheral facial paralysis and cavernous sinus thrombosis: case report

Necrotizing external otitis (NEO), formerly known as malignant external otitis (MEO), strikes the external auditory canal, causing severe otalgia, fetid otorrhea, and in more severe cases, impairment of the skull bones and neurological deficit. The most common etiological agent is Pseudomonas aeruginosa. It mainly affects elderly, diabetic and immunodepressed patients. Cranial nerve impairment leading to facial paralysis and intracranial sinus thrombosis are of bad prognos. The diagnosis depends on the clinical suspicion. Complementary exams are imprecise, although essential in the follow-up. The multidisciplinary approach is always recommended. The objective of this paper is to report the clinical complications of a case of necrotizing external otitis with facial paralysis and cavernous sinus thrombosis, leading to death.Otite externa necrotizante (OEN), conhecida antigamente como otite externa maligna (OEM), atinge o conduto auditivo externo, causando otalgia intensa, otorreia fétida, e em casos mais severos, comprometimento dos ossos do crânio e déficit neurológico. O agente etiológico mais comum é a Pseudomonas aeruginosa. Acomete principalmente pacientes idosos, diabéticos e imunodeprimidos. O comprometimento de nervo craniano levando a paralisia facial e trombose dos seios intracranianos são de piores prognósticos. O diagnóstico depende da suspeita clínica inicialmente. Os exames complementares são imprecisos, embora essenciais no seguimento. A abordagem multidisciplinar é sempre recomendada. O objetivo do trabalho é relatar as complicações clínicas de um caso de otite externa necrotizante com paralisia facial que evoluiu para trombose do seio cavernoso, levando ao óbito

Using ERG inquiry to evaluate otoplasty satisfaction in an otorhinolaryngology medical residency training hospital

A importância da intervenção cirúrgica em diminuir o sofrimento psicológico e melhorar a autoestima em pacientes com deformidades auriculares já está bem documentada. As pesquisas têm focado nos resultados das terapias com ênfase no paciente, observando principalmente satisfação, resultado funcional e impacto na qualidade de vida. Quantificar alterações na qualidade de vida tem sido um desafio. O uso de inquéritos válidos, a exemplo da Escala de Resultados de Glasgow (ERG), auxiliam na obtenção dos dados. OBJETIVO: Avaliar o impacto na qualidade de vida dos pacientes submetidos à otoplastia realizada em serviço de residência médica, utilizando como base a ERG, bem como sua funcionalidade. CASUÍSTICA E MÉTODOS: Estudo retrospectivo incluindo pacientes submetidos à otoplastia entre julho de 2009 e julho de 2010. Os dados foram coletados por meio de questionário oferecido ao paciente no retorno pós-operatório. RESULTADOS: Trinta e seis pacientes responderam ao questionário. Houve aumento na qualidade de vida, demonstrado pelas medianas positivas obtidas pelo questionário. Não houve diferença significativa quanto aos valores obtidos entre os sexos e entre diferentes faixas etárias. CONCLUSÃO: Os pacientes mostraram-se satisfeitos com o resultado pós-operatório. Houve aumento de qualidade de vida, conforme demonstrado pelos resultados positivos. A ERG pareceu-nos fácil e elucidativa

Platelet Activating Factor Blocks Interkinetic Nuclear Migration in Retinal Progenitors through an Arrest of the Cell Cycle at the S/G2 Transition

Nuclear migration is regulated by the LIS1 protein, which is the regulatory subunit of platelet activating factor (PAF) acetyl-hydrolase, an enzyme complex that inactivates the lipid mediator PAF. Among other functions, PAF modulates cell proliferation, but its effects upon mechanisms of the cell cycle are unknown. Here we show that PAF inhibited interkinetic nuclear migration (IKNM) in retinal proliferating progenitors. The lipid did not, however, affect the velocity of nuclear migration in cells that escaped IKNM blockade. The effect depended on the PAF receptor, Erk and p38 pathways and Chk1. PAF induced no cell death, nor a reduction in nucleotide incorporation, which rules out an intra-S checkpoint. Notwithstanding, the expected increase in cyclin B1 content during G2-phase was prevented in the proliferating cells. We conclude that PAF blocks interkinetic nuclear migration in retinal progenitor cells through an unusual arrest of the cell cycle at the transition from S to G2 phases. These data suggest the operation, in the developing retina, of a checkpoint that monitors the transition from S to G2 phases of the cell cycle

NEOTROPICAL XENARTHRANS: a data set of occurrence of xenarthran species in the Neotropics

Xenarthrans – anteaters, sloths, and armadillos – have essential functions for ecosystem maintenance, such as insect control and nutrient cycling, playing key roles as ecosystem engineers. Because of habitat loss and fragmentation, hunting pressure, and conflicts with 24 domestic dogs, these species have been threatened locally, regionally, or even across their full distribution ranges. The Neotropics harbor 21 species of armadillos, ten anteaters, and six sloths. Our dataset includes the families Chlamyphoridae (13), Dasypodidae (7), Myrmecophagidae (3), Bradypodidae (4), and Megalonychidae (2). We have no occurrence data on Dasypus pilosus (Dasypodidae). Regarding Cyclopedidae, until recently, only one species was recognized, but new genetic studies have revealed that the group is represented by seven species. In this data-paper, we compiled a total of 42,528 records of 31 species, represented by occurrence and quantitative data, totaling 24,847 unique georeferenced records. The geographic range is from the south of the USA, Mexico, and Caribbean countries at the northern portion of the Neotropics, to its austral distribution in Argentina, Paraguay, Chile, and Uruguay. Regarding anteaters, Myrmecophaga tridactyla has the most records (n=5,941), and Cyclopes sp. has the fewest (n=240). The armadillo species with the most data is Dasypus novemcinctus (n=11,588), and the least recorded for Calyptophractus retusus (n=33). With regards to sloth species, Bradypus variegatus has the most records (n=962), and Bradypus pygmaeus has the fewest (n=12). Our main objective with Neotropical Xenarthrans is to make occurrence and quantitative data available to facilitate more ecological research, particularly if we integrate the xenarthran data with other datasets of Neotropical Series which will become available very soon (i.e. Neotropical Carnivores, Neotropical Invasive Mammals, and Neotropical Hunters and Dogs). Therefore, studies on trophic cascades, hunting pressure, habitat loss, fragmentation effects, species invasion, and climate change effects will be possible with the Neotropical Xenarthrans dataset

Pervasive gaps in Amazonian ecological research

Biodiversity loss is one of the main challenges of our time,1,2 and attempts to address it require a clear un derstanding of how ecological communities respond to environmental change across time and space.3,4 While the increasing availability of global databases on ecological communities has advanced our knowledge of biodiversity sensitivity to environmental changes,5–7 vast areas of the tropics remain understudied.8–11 In the American tropics, Amazonia stands out as the world’s most diverse rainforest and the primary source of Neotropical biodiversity,12 but it remains among the least known forests in America and is often underrepre sented in biodiversity databases.13–15 To worsen this situation, human-induced modifications16,17 may elim inate pieces of the Amazon’s biodiversity puzzle before we can use them to understand how ecological com munities are responding. To increase generalization and applicability of biodiversity knowledge,18,19 it is thus crucial to reduce biases in ecological research, particularly in regions projected to face the most pronounced environmental changes. We integrate ecological community metadata of 7,694 sampling sites for multiple or ganism groups in a machine learning model framework to map the research probability across the Brazilian Amazonia, while identifying the region’s vulnerability to environmental change. 15%–18% of the most ne glected areas in ecological research are expected to experience severe climate or land use changes by 2050. This means that unless we take immediate action, we will not be able to establish their current status, much less monitor how it is changing and what is being lostinfo:eu-repo/semantics/publishedVersio