Protocol Proposal For The Care Of The Person With Venous Ulcer

Objective: To propose a care protocol for the care of the person with a venous ulcer in highly complex services. Methods and results: This is a methodological study, in three stages: literature review, validation of content and validation in the clinical context. The literature review was carried out from June to August/2011, being the basis for the construction of the Protocol for Venous Ulcers. The content validation included 53 judges (44 nurses, 8 physicians and 1 physiotherapist) selected through the Lattes platform to evaluate the items of the protocol. Validation in the clinical context occurred at the University Hospital Onofre Lopes, in Natal/RN with four judges (nurses), who worked in pairs, evaluating 32 patients with venous ulcers. The protocol was validated with 15 categories: sociodemographic data; anamnesis; examinations; ulcer characteristics; care with the lesion and perilesional area; medicines used to treat the lesion; evaluation and treatment of pain; surgical treatment of chronic venous disease; recurrence prevention (clinical and educational strategies); reference; counter-reference; and quality of life. Conclusion: The validated protocol regarding content and clinical context was applicable. Its implementation is a viable measure that assists in the reorientation of the team in high complexity services, aiming at wound healing and restoration of the patient´s integral health. Keywords: Varicose ulcer; Tertiary Health Care; Protocols; Validation studies

2 nd Brazilian Consensus on Chagas Disease, 2015

Abstract Chagas disease is a neglected chronic condition with a high burden of morbidity and mortality. It has considerable psychological, social, and economic impacts. The disease represents a significant public health issue in Brazil, with different regional patterns. This document presents the evidence that resulted in the Brazilian Consensus on Chagas Disease. The objective was to review and standardize strategies for diagnosis, treatment, prevention, and control of Chagas disease in the country, based on the available scientific evidence. The consensus is based on the articulation and strategic contribution of renowned Brazilian experts with knowledge and experience on various aspects of the disease. It is the result of a close collaboration between the Brazilian Society of Tropical Medicine and the Ministry of Health. It is hoped that this document will strengthen the development of integrated actions against Chagas disease in the country, focusing on epidemiology, management, comprehensive care (including families and communities), communication, information, education, and research

DELINHAMENTO ECOLÓGICO DOS CASOS DE DENGUE NO INTERIOR DO CEARÁ

A dengue é uma moléstia ocasionada por um arbovírus do gênero Flavivírus, endêmica que exibe surtos anuais desde 1986. Sendo conhecidos os sorotipos 1, 2, 3 e 4, apresentando-se como dengue clássica e hemorrágica. Até o momento, a intervenção é com tratamento farmacológico que mostra baixa eficácia e alta toxidade, e a fisioterapia que pode intervir de maneira considerável na mobilização precoce desses pacientes, expondo melhorias na qualidade de vida. O objetivo do artigo é delinear um perfil epidemiológico entre a faixa etária de clientes com diagnóstico de dengue, averiguar e identificar a magnitude de casos da febre e suas consequências no município de Aracati-CE. Foi realizada uma pesquisa ecológica, descritiva e quantitativa onde se buscou compreender fatores associados a altos índices notificados da febre dengue. Coleta de dados foi realizada através de dados do SINAN, período do segundo semestre de 2019. Evidenciou que no ano de 2015 foi confirmado 32,4% de casos de dengue, o maior dos anos estudados no presente manuscrito, sendo 58,6% da população feminina afetada. A faixa etária com maior prevalência foi 29 a 39 anos com 41,4%, quanto à distribuição da sua classificação foram confirmados 43,8% de dengue clássica nos anos estudados. Este estudo evidenciou e contribuiu com o conhecimento acerca de casos da febre dengue no município de Aracati-CE, mostrando com caráter científico as mais recentes evidências sobre o tema, embora ainda sejam escassos estudos ressaltando a importância da fisioterapia em pacientes acometidos com a dengue

Characterisation of microbial attack on archaeological bone

As part of an EU funded project to investigate the factors influencing bone preservation in the archaeological record, more than 250 bones from 41 archaeological sites in five countries spanning four climatic regions were studied for diagenetic alteration. Sites were selected to cover a range of environmental conditions and archaeological contexts. Microscopic and physical (mercury intrusion porosimetry) analyses of these bones revealed that the majority (68%) had suffered microbial attack. Furthermore, significant differences were found between animal and human bone in both the state of preservation and the type of microbial attack present. These differences in preservation might result from differences in early taphonomy of the bones. © 2003 Elsevier Science Ltd. All rights reserved