Effectiveness of low flow vascular lesions sclerosis with monoetanolamine : report of six cases

Vascular malformations or even hemangiomas need therapeutic intervention if they start to cause clinical symptoms or personal discomfort. Different therapeutic modalities, including cryotherapy, corticosteroids, laser therapy, sclerotherapy, surgery, and/or embolization, can be performed successfully. Sclerotherapy with monoethanolamine is a relatively simple and effective method to treat low flow vascular lesions. We presented a report of six cases of vascular malformations treated with monoethanolamine. There were 3 male and 3 female patients, with an age range of 20 to 68 years. The patients were submitted to applications according to clinical response and/or tolerability. In all cases, low-flow vascular lesions were recorded and submitted to infiltration with 2.5% monoethanolamine, directly into the lesions. The volume applied was approximately the middle of affected area. Vascular lesions were characterized as low-flow due to absence of arterial pulsation and flat consistence. The sclerosis with 2.5% monoethanolamine resulted in complete or partial involution, without severe complications

Cognitive Impairment Following Acute Mild Traumatic Brain Injury

Patients with mild traumatic brain injury (mTBI) may present cognitive deficits within the first 24 h after trauma, herein called “acute phase,” which in turn may lead to long-term functional impairment and decrease in quality of life. Few studies investigated cognition in mTBI patients during the acute phase. The objectives of this study were to investigate the cognitive profile of patients with mTBI during the acute phase, compared to controls and normative data, and whether loss of consciousness (LOC), previous TBI and level of education influence cognition at this stage. Fifty-three patients with mTBI (aged 19–64 years) and 28 healthy controls participated in the study. All patients were evaluated at bedside within 24 h post-injury. Demographic and clinical data were registered. Cognitive function was assessed with the Mini-mental state examination (MMSE), the Frontal Assessment Battery (FAB), Digit Span (working memory), and the Visual Memory Test/Brief Cognitive Battery (for episodic memory). The clinical sample was composed mainly by men (58.5%). The mean age was 39 years-old and 64.3% of the patients had more than 8 years of education. The most common causes of mTBI were fall from own height (28.3%), aggression (24.5%), and fall from variable heights (24.5%). Compared to controls, mTBI patients exhibited significantly worse performance on MMSE, FAB, naming, incidental memory, immediate memory, learning, and delayed recall. Compared to normative data, 26.4% of patients had reduced global cognition as measured by the MMSE. Episodic memory impairment (13.2%) was more frequent than executive dysfunction (9.4%). No significant differences were found in cognitive performance when comparing patients with or without LOC or those with or without history of previous TBI. Patients with lower educational level had higher rates of cognitive impairment (VMT naming−28.6 vs. 4.2%; VMT immediate memory−32 vs. 4.2%; VMT learning−39.3 vs. 4.2%, all p < 0.05). In sum, we found significant cognitive impairment in the acute phase of mTBI, which was not associated with LOC or history of TBI, but appeared more frequently in patients with lower educational level

Pulp Tissue Dissolution Capacity of Sodium Hypochlorite Combined with Cetrimide and Polypropylene Glycol

This study evaluated the influence of the addition of cetrimide and polypropylene glycol to sodium hypochlorite (NaOCl) on its capacity to dissolve pulp tissue. Bovine pulp fragments with standardized weight and volume were immersed for 5, 15 and 30 min in 2 mL of NaOCl and Hypoclean (NaOCl added with cetrimide and polypropylene glycol) solutions at 5.25%, 2.5%, 1%, 0.5% and 0.25% and afterwards re-weighted. Distilled water was used as a control. The percentage of tissue loss was considered for statistical analysis (univariate ANOVA, SPSS, v. 17.0) at 5% significance level. There was no tissue dissolution in the control group. NaOCl added with surfactants (Hypoclean) dissolved more pulp tissue (p<0.05) than NaOCl alone. Tissue dissolution was directly dependent on the concentration of solutions (p<0.05), and also on the time range (p<0.05). The combination of NaOCl at high and low concentrations with the surfactants cetrimide and polypropylene glycol increased significantly its capacity to dissolve pulp tissue

Obesidade abdominal e fatores associados em comunidades quilombolas do Norte de Minas Gerais, 2019

Objective: to analyze the prevalence of abdominal obesity and associated factors in quilombola communities in Northern Minas Gerais, Brazil. Methods: cross-sectional study conducted in 2019 based on structured interviews and measurement of waist circumference; Poisson regression, separated by sex, was used to calculate prevalence ratios (PR) of abdominal obesity adjusted by independent variables and a 95% confidence interval (CI95%). Results: 56.6% (CI95% 50.9;62.0) had abdominal obesity. In the adjusted analysis, among men there was an association of the outcome with age ≥60 years (60-69 years: PR=2.52 – CI95% 1.33;4.75), non-smokers (PR=1.73 – CI95% 1.17;2.55), and hypertension (PR=1.42 – CI95% 1.11;1.80); in women, the outcome was associated with age ≥50 years (50-59 years: PR=1.25 – CI95% 1.01;1.54), ex-smokers (PR=1.26 – CI95% 1.00;1.58), consumption of chicken with skin (PR=1.09 – CI95% 1.00;1.19), and hypertension (PR=1.22 – CI95% 1.11;1.36). Conclusion: the prevalence of abdominal obesity was high among quilombolas, and it was higher in the elderly, hypertensive, smokers and ex-smokers.Objetivo: analisar a prevalência de obesidade abdominal e fatores associados em comunidades quilombolas do Norte de Minas Gerais, Brasil. Métodos: estudo transversal realizado em 2019, sobre entrevistas estruturadas e mensuração do perímetro da cintura; empregou-se regressão de Poisson, separada por sexo, para calcular razões de prevalências (RP) da obesidade abdominal ajustada pelas variáveis independentes e intervalo de confiança de 95% (IC95%). Resultados: 56,6% (IC95% 50,9;62,0) dos quilombolas observados apresentaram obesidade abdominal; na análise ajustada, entre homens, verificou-se associação do desfecho com idade de ≥60 anos (60-69 anos: RP=2,52 – IC95% 1,33;4,75), não ser tabagista (RP=1,73 – IC95% 1,17;2,55) e referir hipertensão arterial (RP=1,42 – IC95% 1,11;1,80), enquanto nas mulheres, associou-se com idade ≥50 anos (50-59 anos: RP=1,25 – IC95% 1,01;1,54), ex-tabagismo (RP=1,26 – IC95% 1,00;1,58), consumo de frango com pele (RP=1,09 – IC95% 1,00;1,19) e hipertensão (RP=1,22 – IC95% 1,11;1,36). Conclusão: encontrou-se prevalência de obesidade abdominal alta entre os quilombolas, maior nos idosos, hipertensos, fumantes e ex-fumantes

Geotechnology Applied to the Environmental Analysis of the Olho d’Água River Watershed, Municipality of Jardim, Mato Grosso do Sul - Brazil

The preservation of natural resources is essential to the balance of Environmental systems. Water is an indispensable natural resource for life. In order to implement the environmental management of this resource, the National Water Resources Policy was created based on some principles, such as the adoption of the watershed as a planning unit. The use of geotechnologies constitutes an important tool for this work, since it allows evaluating the area to be studied, to visualize the situation of the vegetation cover and the soil, besides attaching them to georeferenced databases. The objective of this work is the environmental analysis of the Olho D’Água River Watershed, located in the Municipality of Jardim, State of Mato Grosso do Sul. For the delimitation of this watershed, SRTM data were used and with the objective of evaluating the quality of the coverage of this area, the NDVI was calculated based on the scenes of Landstat TM sensor. Subsequently, the classes of Permanent Preservation Area were analyzed. It was concluded that the conservation status of Permanent Preservation Area is in compliance with environmental legislation, fulfilling its role in maintaining biodiversity and the quality of water resources. The use of geotechnologies allowed the integration of various levels of information, generating maps, characterizing the environment and producing information that helps in the planning and management of Cabeceira do Prata Farm

Position statement of the Brazilian Academy of Rhinology on the use of antihistamines, antileukotrienes, and oral corticosteroids in the treatment of inflammatory sinonasal diseases

Introduction: Inflammatory conditions of the nose and paranasal sinuses are very prevalent in the general population, resulting in marked loss of quality of life in affected patients, as well as significant work, leisure, and social activity losses. These patients require specific and specialized treatment. A wide range of oral medications are available. Objective: The present document is aimed to clarify, for professionals treating patients with inflammatory sinonasal diseases, both specialists and general practitioners, specific oral therapies in noninfectious nasal inflammatory conditions. Methods: The methodology used to create this article included the search for the key words: oral corticosteroids, antihistamines, antileukotrienes, rhinitis, rhinosinusitis in the MEDLINE and EMBASE databases in the last 5 years. Since no relevant article was found for the text on the subject of interest in the last 5 years, the search was extended for another 5 years, and so on, according to the authors' needs. Results: Relevant literature was found regarding the use of antihistamines, antileukotrienes and oral corticosteroids in these conditions. The Brazilian Academy of Rhinology emphasizes, after extensive discussion by the collegiate, key points in the treatment with these drugs. Conclusion: There is support in the literature for the use of these drugshowever, final considerations about the role of each of them have been made. (C) 2017 Published by Elsevier Editora Ltda. on behalf of Associacao Brasileira de Otorrino-laringologia e Cirurgia Cervico-Facial.Univ Sao Paulo, Disciplina Otorrinolaringol, Sao Paulo, SP, BrazilUniv Sao Paulo, Fac Med, Sao Paulo, SP, BrazilUniv Sao Paulo, Fac Med, Dept Otorrinolaringol, Sao Paulo, SP, BrazilUniv Sao Paulo, Fac Med Ribeirao Preto, Dept Otorrinolaringol, Ribeirao Preto, SP, BrazilUniv Fed Sao Paulo, Ciencias Saude, Sao Paulo, SP, BrazilUniv Fed Sao Paulo, Otorrinolaringol, Sao Paulo, SP, BrazilUniv Fed Minas Gerais, Fac Med, Belo Horizonte, MG, BrazilUniv Sao Paulo, Fac Med Ribeirao Preto, Ribeirao Preto, SP, BrazilUniv Fed Bahia, Fac Med, Disciplina Otorrinolaringol, Salvador, BA, BrazilHosp Inst Paranaense Otorrinolaringol, Centro Rinite & Alergia, Curitiba, PR, BrazilUniv Estado Rio De Janeiro, Rio De Janeiro, RJ, BrazilUniv Brasilia, Fac Med, Brasilia, DF, BrazilUniv Fed Sao Paulo, Dept Otorrinolaringol & Cabeca & Pescoco, Sao Paulo, SP, BrazilUniv Luterana Brasil, Fac Med, Otorrinolaringol, Canoas, RS, BrazilMt Sinai Hosp, Dept Othorhinolaryngol, Toronto, ON, CanadaUniv Sao Paulo, Fac Med, Ciencias, Sao Paulo, SP, BrazilUniv Sao Paulo, Fac Med Ribeirao Preto, Dept Oftalmol Otorrinolaringol & Cirurgia Cabeca, Ribeirao Preto, SP, BrazilUniv Fed Sao Paulo, Ciencias Saude, Sao Paulo, SP, BrazilUniv Fed Sao Paulo, Otorrinolaringol, Sao Paulo, SP, BrazilUniv Fed Sao Paulo, Dept Otorrinolaringol & Cabeca & Pescoco, Sao Paulo, SP, BrazilWeb of Scienc