Exame médico admissional e demissional

TCC (especialização). Universidade Federal de Santa Catarina. Associação Catarinense de Medicina. Curso de Especialização em Medicina do TrabalhoA presente monografia destina-se a conclusão do XIV CURSO DE ESPECIALIZAÇÃO EM MEDICINA DO TRABALHO, realizado pela UNIVERSIDADE FEDERAL DE SANTA CATARINA, em convênio com a ASSOCIAÇÃO CATARINENSE DE MEDICINA, e FUNDAÇÃO DE APOIO à PESQUISA E EXTENSÃO UNIVERSITÁRIA, na cidade de Rio do Sul, na dependências da Universidade para o desenvolvimento do Alto Vale do Itajaí, no período de outubro de l997 a outubro de 1998. Tendo como coordenador geral o Doutor Sebastião Ivone Vieira e como coordenador local o Doutor Ralfino Hafemann. Realizamos pesquisa bibliográficas em revistas, livros e jornais, dos seguintes temas: Exame médico admissional e demissional, de trabalhadores adultos normais e subnormais, mulheres e menores. Abordamos assuntos diversos como o exame clínico (anamnese e exame físico), exames complementares como laboratórios, esquemas imunológico, provas funcionais (audiométricos, oftalmológicos, neurológico, cardiocirculatório, neuropsíquico e robustez), parâmetros para controle biológicos da exposição a alguns agentes químicos, parâmetros para monitorização da exposição ocupacional a alguns riscos à saúde. Também foi abordado Ética em Medicina do Trabalho e a responsabilidade do empregador em realizar exames admissionais e demissionais

Impact of noncontrast PCI for ACS

Purpose : Contrast-induced acute kidney injury (CI-AKI) is one of the common serious complications of percutaneous coronary intervention (PCI) in patients with acute coronary syndrome (ACS). This study aimed to assess the significance of noncontrast strategy in the setting of ACS. Methods : CI-AKI was defined as an increase in serum creatinine of ≥ 0.5 mg / dL or ≥ 1.25 times from the baseline. One-year worsening renal function (WRF) was defined as an increase of ≥ 0.3 mg / dL in serum creatinine from the baseline after PCI. Results : Of 250 ACS patients, 81 were treated with noncontrast PCI. The average doses of contrast medium in the noncontrast and conventional groups were 17 (9–22) ml and 150 (120–200) ml, respectively. CI-AKI was observed in 4 patients (5%) in the noncontrast group and 29 patients (17%) in the conventional group. Noncontrast PCI was associated with a lower incidence of CI-AKI (adjusted odds ratio, 0.26 ; 95% confidence interval [CI], 0.08–0.82). The bootstrap method and inverse probability weighting led to similar results. CI-AKI was associated with a higher incidence of 1-year WRF (adjusted hazard ratio, 2.30 ; 95% CI, 1.12–4.69), while noncontrast PCI was not. Conclusions : Noncontrast PCI was associated with the lower incidence of CI-AKI in ACS patients

女子大生の鉄栄養調査から見た鉄摂取量と鉄栄養状態との関係について

The marked improvement of iron status was reported on the women of child-bearing age in the national survey of the U. S. 1985. Then the author interested in the present status of iron nutrition in the young adult women here. The survey was consisted of the measurements of nutrients by 7 day food records and hematological findings of Hb, MCV, MCH and SF (serum ferritin concentration). The frequencies of iron deficiency anemia, iron depletion without anemia and normal iron status in 166 examinee were 9.0%, 19.9% and 70.5% respectively. On the contrary, average iron intake was 9.2±3.8mg/day, which indicated that only 17.1% exceeded the recommended amount of iron in that age. Although their hematological findings were inferior to those of comparable age in the U. S., their iron status exceeded the values expected by iron intake. The author speculated the effect of ascorbate, a potent accelerator of iron absorption, which had been taken by them twice as much as the recommendation

1-hydroxyyohimbine and its derivatives: new potent α2-blockers for the treatment of erectile dysfunction

金沢大学大学院自然科学研究科生理活性物質科学金沢大学大学院自然科学研究科生理活性物質科学金沢大学薬学

Transmission of Bordetella holmesii during Pertussis Outbreak, Japan

We describe the epidemiology of a pertussis outbreak in Japan in 2010–2011 and Bordetella holmesii transmission. Six patients were infected; 4 patients were students and a teacher at the same junior high school. Epidemiologic links were found between 5 patients. B. holmesii may have been transmitted from person to person

血清トランスフェリン濃度測定の鉄栄養評価への応用

Serum transferrin measurement was performed by radial immunodiffusion for 274 female students in the department of food science in this university after getting the approval of the ethical committee and also the consent of the students. Serum transferrin concentration was measurable in 0.04μ 1 of serum and the average value in the students was 321.6±76.7mg/dl. Transferrin concentration had statistically negative correlation (p<0.01) for MCV (mean corpuscular volume of erythrocytes), transferrin saturation or serum ferritin concentration within the subjects. The 10～90 percentile range within 256 students, who were in normal Hb value, was 240～386mg/dl. The estimated percentage, who suffered from iron deficiency in the subjects, was 10.2% in MCV, 19.3% in transferrin saturation and 11.0% in serum ferritin concentration. Provided that 386mg/dl of transferrin concentration was cut-off value of iron nutrition, the percentage beyond that value was 12.8%. Serum transferrin measurement seemed to be a reliable method for evaluating iron status, which canbe practicedby less than 10μ 1 of sera