INFARTO AGUDO DO MIOCÁRDIO NA EMERGÊNCIA: REVISÃO DE LITERATURA

Heart attack is a serious clinical disease with a high risk of death caused by the occlusion of an epicardial coronary hospital. The objective of this article is to examine the main approaches for emergency management of patients who have suffered an acute myocardial infarction. Methodology: A systematic review of the literature was carried out using 17 articles attached to the BVS platform. These articles present the main techniques used in emergencies related to acute myocardial infarction. Results: The initial approach to care should be rapid and impartial, beginning with an assessment of the symptoms and characteristics of chest pain, as well as a relevant past history, a targeted physical examination, and an electrocardiogram. Considerations: Delays in treating AMI cases can worsen the patient's situation and make it more difficult for the emergency team to approach them. It should also be noted that public health services treated these diseases poorly and did not follow protocols, which led to more cases of heart attacks in emergencies.Keywords: Emergency, Heart attack, Care, ProtocolsO infarto é uma doença clínica grave com alto risco de óbito causado pela oclusão de um hospital coronário epicárdico. O objetivo deste artigo é examinar as principais abordagens para abordagem de emergência com pacientes que sofreram infarto agudo do miocárdio .​ Metodologia : Uma revisão sistemática da literatura foi realizada a partir de 17 artigos anexados à plataforma BVS . Esses artigos apresentam as principais técnicas empregadas em emergências relacionadas ao infarto agudo do miocárdio. Resultados: A abordagem inicial de atendimento deve ser rápida e imparcial, começando com uma avaliação dos sintomas e características da dor torácica, bem como uma história pregressa relevante, um exame físico direcionado e um eletrocardiograma. Considerações: a demora no atendimento de casos de IAM pode piorar a situação do paciente e tornar mais difícil para a equipe de emergência abordá-los. Observe-se ainda que os serviços de saúde pública atenderam essas doenças de forma precária e não seguiram protocolos, o que levou a mais casos de infarto nas emergências

Small bowel obstruction by enterolith in an elderly woman: a case study

          Enteroliths are intraluminal calculi formed in the small bowel, commonly caused by chronic intestinal constipation associated with other comorbidities. We describe an atypical case of enterolithiasis diagnosed with computed tomography scan (CT) and which was confirmed during subsequent surgical resection. A 66-year-old female patient had a history of chronic constipation and use of laxatives and presented with abdominal pain. A CT scan showed heterogeneous annular formations with a hyperdense halo and a hypodense center within the loops of small bowel. A segment was resected for enterectomy, allowing several yellowish stony structures to be identified, corresponding to enteroliths.Enterólitos são cálculos intraluminais formados no intestino delgado, comumente causados por constipação intestinal crônica associada a outras comorbidades. Descrevemos um caso atípico de enterolitíase diagnosticado com tomografia computadorizada (TC) e que foi confirmado durante a ressecção cirúrgica subsequente. Uma paciente do sexo feminino de 66 anos tinha história de constipação crônica e uso de laxantes e apresentou-se com dor abdominal. A TC mostrou formações anulares heterogêneas com halo hiperdenso e centro hipodenso dentro das alças do intestino delgado. Um segmento foi ressecado para enterectomia, permitindo que várias estruturas pétreas amareladas fossem identificadas, correspondendo a enterólitos

Dispositivo Integrado a um Sistema Colaborativo para o Monitoramento e Localização de Pessoas

Este artigo tem por objetivo desenvolver uma solução de hardware e software para a localização e monitoramento de pessoas em ambientes domiciliares, universitários, hospitalares ou empresariais, utilizando equipamentos de prateleira/comuns . A solução proposta se contrapõe às tecnologias existentes que envolvem sensores e oferece um serviço de localização baseado em redes sem fio padrão 802.11b/g/n. Os resultados encontrados mostram que é possível desenvolver um sistema de baixo custo para localização de pessoas com um grau de precisão aceitável para as mais variáveis aplicações na indústria, comércio ou serviços

Sistema para controle de fluxo de passageiros via microcontrolador de baixo custo autenticado por QR-Code / Passenger flow control system via low-cost microcontroller authenticated by QR-Code

A Universidade Federal de Goiás - Regional Jataí oferece aos estudantes o transporte Intercampi como serviço de transporte gratuito para docentes, discentes e funcionários. Alguns dos horários da rota Intercampi apresentam picos de passageiros, formando assim filas extensas. Dentro desse contexto, o objetivo deste trabalho é criar um sistema acessível para o controle de usuários do transporte estudantil oferecido pela Universidade Federal de Goiás - Regional Jataí. O sistema é constituído pelo aplicativo mobile que gera QR Code’s para a autenticação de usuários, um aplicativo desktop que realiza a leitura e decodificação do QR Code, um banco de dados, um microcontrolador Raspberry Pi e uma webcam convencional. Com um sistema eficiente e de baixo custo, será possível então contribuir para o controle de usuários de rotas Intercampi de universidades públicas

What is the role of apelin regarding cardiovascular risk and progression of renal disease in type 2 diabetic patients with diabetic nephropathy?

Aims. To evaluate the association of different apelin levels with cardiovascular mortality, hospitalization, renal function, and cardiovascular risk factors in type 2 diabetic patients with mild to moderate CKD. Methods. An observational, prospective study involving 150 patients divided into groups according to baseline apelin levels: 1 = 329 pg/mL. Baseline characteristics were analyzed and compared. Multivariate Cox regression was used to find out predictors of cardiovascular mortality, and multivariate logistic regression was used to find out predictors of hospitalization and disease progression. Simple linear regressions and Pearson correlations were used to investigate correlations between apelin and renal disease and cardiovascular risk factors. Results. Patients' survival at 83 months in groups 1, 2, and 3 was 39%, 40%, and 71.2%, respectively (P = 0.046). Apelin, age, and eGFR were independent predictors of mortality, and apelin, creatinine, eGFR, resistin, and visfatin were independent predictors of hospitalization. Apelin levels were negatively correlated with cardiovascular risk factors and positively correlated with eGFR. Patients with lower apelin levels were more likely to start a depurative technique. Conclusions. Apelin levels might have a significant clinical use as a marker/predictor of cardiovascular mortality and hospitalization or even as a therapeutic agent for CKD patients with cardiovascular disease

Organic matter composition and paleoclimatic changes in tropical mountain peatlands currently under grasslands and forest clusters

Tropical peatlands are important ecosystems for Planet Earth, as they store large amounts of carbon and water. A better understanding of the impact of vegetation type and altitude in content, composition, and rate of accu mulation of organic matter is key for assessing the current role of such environments. This study evaluated fibric and soluble fractions as well as the lignocellulosic and the isotopic compositions of the peat organic matter from four tropical mountain peatlands located at different altitudes of the Serra do Espinhaço Meridional, state of Minas Gerais, Brazil. The peatlands are currently under grasslands and forest clusters. Samples of peat under both vegetation types were collected and analyzed for organic matter fractions, cellulose, and lignin (van Soest method), as well as carbon and nitrogen isotopes. Different depths were chosen for radiocarbon dating of se lected samples. The organic matter of peatlands currently under grasslands and forest clusters presented dif ferences in soluble fractions, lignocellulosic composition, and δ13C values. Multivariate analyses allowed grouping the peatlands by altitude and vegetation type. The chronological succession of grassland and forest clusters in tropical mountain peatlands was influenced by altitude and was related to paleoclimatic changes.info:eu-repo/semantics/publishedVersio

Metabolic response of endangered goats fed spineless cactus associated with Tifton-85 hay or Maniçoba hay

The aim of this study was to evaluate the effects of replacement of Tifton-85 hay by maniçoba hay, in spineless cactus-based diets, on markers of energy, protein, mineral metabolism and serum enzyme activity of Moxotó goats. Sixteen uncastrated male Moxotó breed goats, with 20 months old and initial body weight of 21.7 ± 3.92 kg were used in a randomized blocks design, using the initial weight as the criterion for the formation of blocks, with two treatments and eight replicates per treatment. The experimental treatments consisted of two diets: diets containing Miúda spineless cactus associated with Tifton-85 hay (1) or maniçoba hay (2), with roughage:concentrate ratio of 70:30. Blood samples were collected fortnightly (baseline, 15 days, 30 days and 45 days) during the feedlot period. There was a higher serum concentration of total protein and fructosamine (P < 0.05) in goats that received maniçoba hay. However, there was higher serum gamma-glutamyl transferase (GGT) enzyme activity in goats that ingested Tifton-85 hay (P < 0.05). Concerning to the profile of blood metabolites in the different fortnightly collections, it was possible to verify a significant effect for urea, fructosamine, GGT enzyme activity, K and Cl levels (P < 0.05). In conclusion, Tifton-85 hay and maniçoba hay combined with spineless cactus does not cause metabolic disorders in feedlot native goats

Amyotrophic lateral sclerosis: one or multiple causes?

The Amyotrophic lateral sclerosis (ALS) is the most common form of motor neuron disease in the adulthood, and it is characterized by rapid and progressive compromise of the upper and lower motor neurons. The majority of the cases of ALS are classified as sporadic and, until now, a specific cause for these cases still is unknown. To present the different hypotheses on the etiology of ALS. It was carried out a search in the databases: Bireme, Scielo and Pubmed, in the period of 1987 to 2011, using the following keywords: Amyotrophic lateral sclerosis, motor neuron disease, etiology, causes and epidemiology and its similar in Portuguese and Spanish. It did not have consensus as regards the etiology of ALS. Researches demonstrates evidences as regards intoxication by heavy metals, environmental and occupational causes, genetic mutations (superoxide dismutase 1), certain viral infections and the accomplishment of vigorous physical activity for the development of the disease. There is still no consensus regarding the involved factors in the etiology of ALS. In this way, new research about these etiologies are necessary, for a better approach of the patients, promoting preventive programs for the disease and improving the quality of life of the patients

APLICABILIDADE DAS PRÁTICAS INTEGRATIVAS NO SISTEMA ÚNICO DE SAÚDE.

Objective: To discuss the applicability of integrative practices in the single health system through the existing literature. Methods: This is a qualitative integrative literature review. The search for works involved in the research was carried out in the following databases: SCIELO, LILACS, BDENF and MEDLINE, using the descriptors in health sciences: "Comprehensive health care", "Complementary therapies" and "Single health system". The inclusion criteria were: articles published between 2013 and 2023, with free access to full texts, articles in Portuguese, English and Spanish and related to the theme. Exclusion criteria were: duplicate articles, incomplete articles, abstracts, reviews, debates, articles published in event proceedings and unavailable in full. Results: The therapeutic resources that make up ICPs are diverse, and in public health services they are more frequent because they favor lower costs. Conclusion: It can be concluded that integrative practices integrated into PHC have a very satisfactory effect on users' quality of life, and should minimize medication that is often unnecessary.Objetivo: Discutir por meio da literatura existente acerca da aplicabilidade das práticas integrativas no sistema único de saúde. Métodos: Trata-se de uma revisão integrativa da literatura de caráter qualitativo. A busca dos trabalhos envolvidos na pesquisa foi realizada nas seguintes bases de dados: SCIELO, LILACS, BDENF e MEDLINE, a partir dos descritores em ciências da saúde: “Assistência integral à saúde”, “Terapias complementares” e “Sistema único de saúde”. Os critérios de inclusão foram: publicados no período entre 2013 e 2023, cujo acesso ao periódico era livre aos textos completos, artigos em idioma português, inglês e espanhol e relacionados a temática. Critérios de exclusão foram: artigos duplicados, incompletos, resumos, resenhas, debates, artigos publicados em anais de eventos e indisponíveis na íntegra. Resultados: Os recursos terapêuticos que compõe as PICs são diversas, sendo que nos serviços públicos de saúde eles são mais frequentes por favorecerem a diminuição de custos. Conclusão: Conclui-se que as práticas integrativas integradas na APS têm um efeito muito satisfatório no que diz respeito a qualidade de vida dos usuários, devendo minimizar ações medicamentosas que muitas das vezes não são necessárias