Giant lactating adenoma

Lactating adenoma is a rare benign breast lesion that most often presents as a small (up to 3 cm), solid, well-circumscribed, solitary, painless, mobile, lobulated mass. The highest incidence occurs in primiparous women (20 to 40 years old) during the third trimester of pregnancy. However, in the rare case presented herein, in addition to its giant size (more than 10 centimeters on palpation), this lactating adenoma is distinctive due to the presence of multiple nodules, poorly defined ultrasonographic margins, worrisome radiologic features, growth since early pregnancy, presence of infarction and association with chronic mastitis. From the clinical-radiologic perspective, the differential diagnoses included abscess associated with puerperal mastitis, phyllodes tumor, and galactocele. Biopsy was performed, and pathologic examination revealed the classic characteristics of lactating adenoma with multiple infarcted areas, leading to an unexpected confirmed case of giant lactating adenoma

Care to children with cleft lip-palate: an integrative review

Objective: To analyze the scientific production that addresses the care to children with cleft lip-palate. Method: Bibliographical research of integrative literature review type. The searches were conducted in BDEnf, LILACS and SCIELO databases. Results: The study included 11 articles that met the inclusion criteria, published between 2000 and 2011. As for the knowledge area of the principal author of each study, there were contained three articles of dentistry, medicine, three, three of nursing and two of nutrition. The studies addressed nutritional care, dental care, and multidisciplinary team approach for mothers, and protocols for postoperative care. Conclusion: The nursing staff, especially nurses, have an important role in assisting the child with cleft lip-palate. It emphasizes the integration of the multidisciplinary team to provide holistic care and improvements in quality of life of children with cleft lip-palate

Pulmonary artery aneurysm rupture

Pulmonary artery aneurysm is a disorder of varying etiology and should be diagnosed early for appropriate interventions. A 45-year-old man was hospitalized for chest pain, dyspnea, cough, chills, diarrhea, and vomiting, which had started 3 weeks before admission. Physical examination indicated a reduced vesicular murmur in the right hemithorax. A chest x-ray performed indicated a pneumothorax and pulmonary abscess in the right hemithorax. Thoracostomy released abundant purulent and fetid fluid. Direct examination of the pleural fluid using saline revealed structures similar to Trichomonas. Non-contrast chest computed tomography revealed right pneumothorax along with an irregular cavitation located at the pleuropulmonary interface of the posterior margin of the right lower lobe. A pleurostomy was performed. On the second postoperative day, the patient suffered a sudden major hemorrhage through the surgical wound and died on the way to the operating room. The autopsy revealed an abscess and ruptured aneurysm of the lower lobar artery in the lower right lung. Microscopic examination revealed extensive liquefactive necrosis associated with purulent inflammation and the presence of filamentous fungi and spores. This case can be characterized as a severe disorder that requires early diagnosis to achieve a good therapeutic response and to avoid fatal outcomes

Estudo sobre a utilização da lama vermelha para a remoção de corantes em efluentes têxteis

Red mud is the principal residue of the alumina (Al2O3) industry. Generated during the Bayer process, it is characterized by strong alkalinity and ion exchange. Iron oxides are the principal component (30 to 60%). Annually millions of tons of red mud are generated in the world. Red mud disposal is responsible for a large part of the cost of alumina production. On the other hand, textile industry wastewaters containing dyes have a great impact on the environment and on human health. In this paper the possibility of applying red mud for the removal of dyes was investigated by two processes: adsorption and degradation by the Fenton reagent

Adaptação transcultural para o português brasileiro do instrumento CORE-OM : uma escala para avaliar a eficácia e a efetividade da psicoterapia

Introdução: O Clinical Outcome in Routine Evaluation – Outcome Measurement (CORE-OM) foi desenvolvido nos anos 1990 com o objetivo de avaliar a eficácia e efetividade do tratamento em saúde mental. Objetivo: Fazer a adaptação transcultural do instrumento CORE-OM para o português do Brasil. Método: O modelo de tradução e adaptação foi baseado no protocolo internacional da equipe CORE System Trust, que compreende as sete etapas a seguir: tradução, avaliação da equivalência semântica, elaboração da versão síntese, aplicação na população, compilação dos dados e retrotradução. Resultados: A partir da análise semântica, foram necessárias modificações em sete dos 34 itens originais. Foram feitas mudanças para evitar a repetição de termos assim como o uso de termos de difícil compreensão. A análise de consistência interna demonstrou evidência de estabilidade dos escores no CORE-OM adaptado. Conclusão: O instrumento foi adaptado para o português do Brasil, e as propriedades semânticas e conceituais dos itens resultantes foram equivalentes às do instrumento original.Introduction: The Clinical Outcome in Routine Evaluation – Outcome Measurement (CORE-OM) was developed in the 1990s, with the aim of assessing the efficacy and effectiveness of mental health treatments. Objective: To adapt the CORE-OM for use in the Brazilian population. Method: The instrument was translated and adapted based on the international protocol developed by the CORE System Trust which contains seven steps: translation, semantic equivalence analysis, synthesis of the translated versions, pre-testing in the target population, data analysis and back translation. Results: After semantic analysis, modifications were necessary in seven of the 34 original items. Changes were made to avoid repetition of words and the use of terms difficult to understand. Internal consistency analysis showed evidence of score stability in the CORE-OM adapted to Brazilian Portuguese. Conclusion: The instrument was successfully adapted to Brazilian Portuguese, and its semantic and conceptual properties were equivalent to those of the original instrument

An experience on environmental education applied to public health system workers

Apesar do crescente interesse sobre a educação ambiental e saúde na sociedade, a formação acadêmica ainda tem se mantido distante quanto à capacitação de profissionais de saúde com conhecimento e envolvimento sobre as questões ambientais. A Universalidade, como um princípio do Sistema Único de Saúde de assegurar a saúde como um direito de todos e como um direito humano à manutenção da vida individual e social, torna imprescindível a formação dos profissionais de saúde neste âmbito. Trata-se de um relato de experiência de uma atividade desenvolvida por alunas do Mestrado Profissional em Ensino na Saúde da Faculdade de Medicina da Universidade Federal do Rio Grande do Sul que visou construir e aplicar estratégias pedagógicas de sensibilização aos trabalhadores de saúde para a educação ambiental, embasadas nos fundamentos do Sentipensar e no conceito de universalidade de modo a formar agentes multiplicadores para a educação ambiental. A experiência desenvolvida proporcionou interação com a temática contextualizada aos ambientes de trabalho.Despite the growing interest in environmental education and health in society, academic courses of the health area still neglect the training of health professionals with knowledge about environmental issues. Universality, as a principle of the Public Health System to ensure health as a common right and as a human right to the maintenance of individual and social life, can only be attained through the training of health professionals with this conviction. This is an experience report of an activity developed by students of the Master Degree Program in Health Teaching of the Medicine School ate the Federal University of Rio Grande do Sul. The article reports the aim to build and apply teaching strategies to raise awareness on health workers for environmental education. This study is based in the fundamentals of Sentipensar and the universality concept in order to form multipliers for environmental education. The experience developed some interactions with its theme in the work environments

INCIDÊNCIA DE INFECÇÃO EM PUERPERAS DE UMA MATERNIDADE DE REFERÊNCIA DO SERTÃO CENTRAL DO CEARÁ

O puerpério é uma fase caracterizada como o período que sucede ao parto e é marcada pelas várias modificações no corpo e na vida da mulher

Além do vírus: os efeitos do isolamento social na saúde mental

This article is a reflection study on the effect of social isolation on the mental health of Brazilians, with the main objective of reflecting on the psychosocial damages of isolation in the light of Emerson Merhy's theory of "live work in action". Three categories of analysis were established, history, the COVID-19 pandemic and live work in action, which demonstrate other pandemics throughout history and their proven effects, characterization of the social framework experienced by the Brazilian population during the pandemic and its effects on the mental health of individuals and description of “live work in action” and its relationship with the direction of health and the context of the pandemic. It was concluded that the need to institute severe measures of prevention and social isolation, in order to protect the physical health of individuals, generated psychosocial damage in Brazilian society, mainly anxiety and depression, since it caused drastic changes in lifestyle. , financial losses, feeling of fear and uncertainty.O presente artigo trata de um estudo de reflexão sobre o efeito do isolamento social na saúde mental dos brasileiros, tendo como objetivo principal refletir sobre os danos psicossociais do isolamento à luz da teoria do “trabalho vivo em ato” de Emerson Merhy. Estabeleceu-se três categorias de análises, histórico, a pandemia de COVID-19 e trabalho vivo em ato, tais quais demonstram outras pandemias ao longo da história e seus efeitos comprovados, caracterização do quadro social vivido pela população brasileira durante a pandemia e seus efeitos na saúde mental dos indivíduos e descrição do “trabalho vivo em ato” e sua relação com os rumos da saúde e com o contexto da pandemia. Concluiu-se que a necessidade de instituir medidas severas de prevenção e isolamento social, com o intuito de proteger a saúde física dos indivíduos, gerou na sociedade brasileira danos psicossociais, principalmente de ansiedade e depressão, posto que ocasionou em mudanças drásticas no estilo de vida, perdas financeiras, sentimento de medo e incerteza

Além do vírus: os efeitos do isolamento social na saúde mental

This article is a reflection study on the effect of social isolation on the mental health of Brazilians, with the main objective of reflecting on the psychosocial damages of isolation in the light of Emerson Merhy's theory of "live work in action". Three categories of analysis were established, history, the COVID-19 pandemic and live work in action, which demonstrate other pandemics throughout history and their proven effects, characterization of the social framework experienced by the Brazilian population during the pandemic and its effects on the mental health of individuals and description of “live work in action” and its relationship with the direction of health and the context of the pandemic. It was concluded that the need to institute severe measures of prevention and social isolation, in order to protect the physical health of individuals, generated psychosocial damage in Brazilian society, mainly anxiety and depression, since it caused drastic changes in lifestyle. , financial losses, feeling of fear and uncertainty.O presente artigo trata de um estudo de reflexão sobre o efeito do isolamento social na saúde mental dos brasileiros, tendo como objetivo principal refletir sobre os danos psicossociais do isolamento à luz da teoria do “trabalho vivo em ato” de Emerson Merhy. Estabeleceu-se três categorias de análises, histórico, a pandemia de COVID-19 e trabalho vivo em ato, tais quais demonstram outras pandemias ao longo da história e seus efeitos comprovados, caracterização do quadro social vivido pela população brasileira durante a pandemia e seus efeitos na saúde mental dos indivíduos e descrição do “trabalho vivo em ato” e sua relação com os rumos da saúde e com o contexto da pandemia. Concluiu-se que a necessidade de instituir medidas severas de prevenção e isolamento social, com o intuito de proteger a saúde física dos indivíduos, gerou na sociedade brasileira danos psicossociais, principalmente de ansiedade e depressão, posto que ocasionou em mudanças drásticas no estilo de vida, perdas financeiras, sentimento de medo e incerteza