Complications associated with submental liposuction:a scoping review

Liposuction is one of the most commonly performed cosmetic procedures worldwide. Complications associated with submental liposuction are rare. However, when they occur they are significant and can cause disFiguring consequences. The objective of this study was evaluated complications from submentual liposuction in literature and description of clinical experience of complication after submentual liposuction. At first, a scoping review was carried out online search with no time restrictions for complications after submental liposuction was performed in the databases Medline / PubMed, Embase, and Web of Science. The variables analyzed were: age, sex, type of esthetic procedure, anesthesia, complications, time after Procedure, treatment, follow-up care, and sequelae. Then, a case of a patient with submental hematoma after an aesthetic procedure for submental liposuction was described. Firstly, 539 articles were selected, after application of the inclusion criteria, 4 studies were included. Most cases were female (8:1), with a mean age of 55.77 years. Postoperative complications were found, such as submental depression, submental edema, hypertrophic scar formation, scar contracture, cervical necrotizing fasciitis, Cervico-facial dystonia and transient facial nerve paralysis. The follow-up period for cases ranged from 3 to 12 months. The clinical case presented there was no sequelae. Submental liposuction requires the surgeon's attention. Anatomical knowledge, correct clinical and surgical management, diagnosis, and immediate approach to adverse situations are points that must be respected in this type of esthetic procedure to avoid more serious complications

Análise do perfil funcional de membros inferiores em praticantes de treinamento de força

BACKGROUND: Resistance training has many adepts, each with distinct biopsychosocial characteristics. A functional analysis of this audience is necessary, as it contributes to the tracking of one of the determinants that make up a complex chain of solution development. OBJECTIVE: To carry out a cluster of functional tests, in a practical resistance training purpose, identifies the presence of biological risk factors. METHODS: Five tests were performed, delivered to 30 participants from eight gyms. Tests were recorded: Single Leg Squat (AU), Gluteus Medius Function (FGM), Hip Passive Stiffness (RPQ), Dorsiflexion Range of Motion (ADMD), Hip Extender Muscle Function (FEQ). Descriptive analysis was performed, depending on the distribution of data, which was evaluated by the Shapiro Wilk Test (α=0.05). RESULTS: In the RPQ test, there was a mean of 25.68±0.32°. The ADMD test showed values of 41.18±0.42°. The FEQ test presented an average of 2.5±0.5 repetitions. In the FGM test, on average, three repetitions were performed. During the Single Leg Squat test, 58.3% of the participants presented misalignment of the dominant lower limb and 50.0% of the non-dominant limb. CONCLUSION: The study demonstrates a high occurrence of functional alterations in the lower limbs of resistance training. As much as these data, in isolation, are not capable of explaining the occurrence of injuries, they collaborate for the tracking of an important component of the complex chain of injury development.INTRODUÇÃO: O treinamento de força conta com muitos adeptos, cada qual possui características biopsicossociais distintas. A análise funcional deste público faz-se necessária, pois contribui para o rastreamento de um dos importantes determinantes que compõe a complexa cadeia de desenvolvimento de lesões. OBJETIVO: Realizar um cluster de testes funcionais, em praticantes de treinamento de força, a fim de identificar a ocorrência de alterações funcionais de membros inferiores que podem aumentar o risco de lesões musculoesqueléticas. MÉTODOS: Foram realizados cinco testes funcionais em 30 praticantes de treinamento de força, de oito academias. Os testes aplicados foram: Agachamento Unipodal (AU), Função de Glúteo Médio (FGM), Rigidez Passiva de Quadril (RPQ), Amplitude de Movimento de Dorsiflexão (ADMD), Função Muscular dos Extensores de Quadril (FEQ). Foi realizada análise descritiva, a depender da distribuição dos dados, determinada pelo Teste de Shapiro Wilk (α=0,05). RESULTADOS: No teste RPQ, verificou-se média de 25,68±0,32°. O teste de ADMD apresentou valores de 41,18±0,42°. O teste FEQ, apresentou média de 2,5±0,5 repetições. Já no teste FGM, foram realizadas, em média, três repetições. Durante o teste Agachamento Unipodal, 58,3% dos participantes apresentaram desalinhamento de membro inferior dominante e 50,0% do membro não dominante. CONCLUSÃO: O estudo demonstra alta ocorrência de alterações funcionais nos participantes da pesquisa de treinamento de força. Por mais que estes dados, de forma isolada, não sejam capazes de explicar a ocorrência de lesões, podem colaborar para o rastreamento de um importante componente da cadeia complexa de desenvolvimento de lesões

“Tentativas de suicídio por uso abusivo de medicamentos no Brasil: uma revisão da literatura”

Este artigo constitui de uma revisão da literatura sobre as tentativas de suicídio por uso de medicamentos no Brasil. O objetivo principal foi realizar uma busca bibliográfica e apresentar os estudos e dados encontrados a respeito da utilização intencional de medicamentos entre a população brasileira na tentativa de suicídio, destacando os medicamentos da classe benzodiazepínicos. A pesquisa foi feita através de coleta de dados de boletins epidemiológicos e artigos relacionados ao tema. Foram selecionados artigos através das plataformas SciELO e pubMED com os descritores "suicídio", "intoxicação medicamentos", "suicídio medicamentos", "intoxicação suicídio", "benzodiazepínicos” e “benzodiazepines” publicados nos últimos 20 anos. Conclui-se que houve aumento no número de registros de tentativas e óbitos por suicídio no Brasil nos últimos anos, bem como aumento de suicídio por abuso de fármacos. O uso de medicamentos psicotrópicos teve um crescimento entre a população, assim como casos de intoxicação intencional por essa classe de medicamentos. A população feminina se manteve como mais propensa a utilizar meios medicamentosos na tentativa de autoextermínio, dos quais, a classe dos benzodiazepínicos figuram como um dos medicamentos psicotrópicos mais utilizados para esse fim. A falta de padronização e subnotificação sobre tentativas de suicídio por medicamentos dificultaram o processo de discriminar os medicamentos nos dados utilizados

Os principais tipos e manifestações da Cirrose Hepática: uma atualização clínica

Introdução: A cirrose hepática é um processo patológica crônico, considerado a hepatopatia mais comum, definido como a conversão difusa morfoestrutural por nódulos de arquitetura anômalo envoltos por fibrose. Objetivou-se descrever os tipos mais relevantes de cirrose e suas devidas manifestações. Metodologia: Trata-se de uma revisão bibliográfica, fundamentada nas plataformas do SciELO, PubMed, Scopus, utilizando os termos “hepatical cirrhosis”, “liver disease” e “hepatocellular insufficiency” a qual através da revisão narrativa, abordou amplamente a respeito da contextualização da cirrose e as principais etiologias. Resultados e Discussão: Foi analisado que tal condição afeta qualquer faixa etária, sexo, etnia e independe da classe socioeconômica, mas as diversas etiologias impõem um perfil epidemiológico específico conforme a aparição. As principais origens abordam o tipo alcoólico, hepatite, aplicação crônica de alguns fármacos e esteatose gordurosa ou não. Ademais, estima-se que estas afetam a anatomofuncionalidade do órgão responsável por grande parte da homeostase, culminando em diversas manifestações clínicas.  Conclusão: A cirrose é uma consequência grave de fatores de base em estágio avançado, a qual devido ao seu curso geralmente silencioso culmina no desenvolvimento e progressão clínica. Neste contexto, a atenção aos fatores predisponentes como alimentação rica em lipídios, estilismo, negligência a exames de rotina, sedentarismo e obesidade contribuem constituem medidas eficazes de prevenção primária.&nbsp

Penilaian Kinerja Keuangan Koperasi di Kabupaten Pelalawan

This paper describe development and financial performance of cooperative in District Pelalawan among 2007 - 2008. Studies on primary and secondary cooperative in 12 sub-districts. Method in this stady use performance measuring of productivity, efficiency, growth, liquidity, and solvability of cooperative. Productivity of cooperative in Pelalawan was highly but efficiency still low. Profit and income were highly, even liquidity of cooperative very high, and solvability was good

Juxtaposing BTE and ATE – on the role of the European insurance industry in funding civil litigation

One of the ways in which legal services are financed, and indeed shaped, is through private insurance arrangement. Two contrasting types of legal expenses insurance contracts (LEI) seem to dominate in Europe: before the event (BTE) and after the event (ATE) legal expenses insurance. Notwithstanding institutional differences between different legal systems, BTE and ATE insurance arrangements may be instrumental if government policy is geared towards strengthening a market-oriented system of financing access to justice for individuals and business. At the same time, emphasizing the role of a private industry as a keeper of the gates to justice raises issues of accountability and transparency, not readily reconcilable with demands of competition. Moreover, multiple actors (clients, lawyers, courts, insurers) are involved, causing behavioural dynamics which are not easily predicted or influenced. Against this background, this paper looks into BTE and ATE arrangements by analysing the particularities of BTE and ATE arrangements currently available in some European jurisdictions and by painting a picture of their respective markets and legal contexts. This allows for some reflection on the performance of BTE and ATE providers as both financiers and keepers. Two issues emerge from the analysis that are worthy of some further reflection. Firstly, there is the problematic long-term sustainability of some ATE products. Secondly, the challenges faced by policymakers that would like to nudge consumers into voluntarily taking out BTE LEI

Search for stop and higgsino production using diphoton Higgs boson decays

Results are presented of a search for a "natural" supersymmetry scenario with gauge mediated symmetry breaking. It is assumed that only the supersymmetric partners of the top-quark (stop) and the Higgs boson (higgsino) are accessible. Events are examined in which there are two photons forming a Higgs boson candidate, and at least two b-quark jets. In 19.7 inverse femtobarns of proton-proton collision data at sqrt(s) = 8 TeV, recorded in the CMS experiment, no evidence of a signal is found and lower limits at the 95% confidence level are set, excluding the stop mass below 360 to 410 GeV, depending on the higgsino mass

Severe early onset preeclampsia: short and long term clinical, psychosocial and biochemical aspects

Preeclampsia is a pregnancy specific disorder commonly defined as de novo hypertension and proteinuria after 20 weeks gestational age. It occurs in approximately 3-5% of pregnancies and it is still a major cause of both foetal and maternal morbidity and mortality worldwide1. As extensive research has not yet elucidated the aetiology of preeclampsia, there are no rational preventive or therapeutic interventions available. The only rational treatment is delivery, which benefits the mother but is not in the interest of the foetus, if remote from term. Early onset preeclampsia (<32 weeks’ gestational age) occurs in less than 1% of pregnancies. It is, however often associated with maternal morbidity as the risk of progression to severe maternal disease is inversely related with gestational age at onset2. Resulting prematurity is therefore the main cause of neonatal mortality and morbidity in patients with severe preeclampsia3. Although the discussion is ongoing, perinatal survival is suggested to be increased in patients with preterm preeclampsia by expectant, non-interventional management. This temporising treatment option to lengthen pregnancy includes the use of antihypertensive medication to control hypertension, magnesium sulphate to prevent eclampsia and corticosteroids to enhance foetal lung maturity4. With optimal maternal haemodynamic status and reassuring foetal condition this results on average in an extension of 2 weeks. Prolongation of these pregnancies is a great challenge for clinicians to balance between potential maternal risks on one the eve hand and possible foetal benefits on the other. Clinical controversies regarding prolongation of preterm preeclamptic pregnancies still exist – also taking into account that preeclampsia is the leading cause of maternal mortality in the Netherlands5 - a debate which is even more pronounced in very preterm pregnancies with questionable foetal viability6-9. Do maternal risks of prolongation of these very early pregnancies outweigh the chances of neonatal survival? Counselling of women with very early onset preeclampsia not only comprises of knowledge of the outcome of those particular pregnancies, but also knowledge of outcomes of future pregnancies of these women is of major clinical importance. This thesis opens with a review of the literature on identifiable risk factors of preeclampsia

Measurement of associated W plus charm production in pp collisions at √s=7 TeV

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