Objective: The aim of the present study was to determine the prevalence and factors associated with the medication consumption among users registered in the Family Health Strategy (FHS) of Rondonópolis, Mato Grosso State, Brazil. Method: The population was constituted of all adult residents in the area covered by the FHS. The Poisson regression model with robust variance was used to the statistical analysis. Results: There were included 553 participants, of which 72% were women. The mean age was 48 years. The prevalence of medication consumption was about 74.9% (n = 414). The most consumed class medication was drugs that act on the cardiovascular system (42.2%). The factors associated with medication consumption were female gender (PR = 1.21; CI95%: 1.07 - 1.38), diagnosed morbidity (PR = 1.83; CI95%: 1.61 - 2.08) and be bedridden in the last month (PR = 1.14; 95% CI95%: 1.02 - 1.26). Moreover, 72.7% of the interviewees obtained the medicines in public pharmacies. Conclusion and implications for practice: Women, people diagnosed with morbidities and those participants who were bedridden during the last month showed the highest levels of drug consumption. Nursing professionals in promoting the rational use of medications can contribute to integral care to FHS users.
Malignant rhabdoid tumour is a very rare neoplasm with a high lethality rate. Its neoplastic cells present rhabdomyoblastic features, although those cells must be differentiated from epithelioid sarcoma, melanoma, and rhabdomyosarcoma. Therefore, this is a case report of a 21-year-old man who presented a Malignantrhabdoid tumour in the head of the pancreas. Patient was submitted to partial pancreatomy and gastrectomy in block, splenectomy, and retroperitoneal lymphadenectomy. Anatomopathological analysis revealed invasive malignant neoplasm of the pancreas, which was classified as malignant epithelioid neoplasm according to the Department of Pathology, Emory University (Atlanta, United States of América). Systemic chemotherapy protocol consisted in ifosfamide, mesna and doxorrubicin, although after the first cycle of chemotherapy, patient died due to disease complications. According to literature only seven pancreatic neoplasms were described with rhabdoid features. Extra renal Malignant rhabdoid tumours diagnosis is challenging because of immunohistochemistry characteristics. Thus, this case report may contribute to medical literature, as recording and describing anatomo pathological and immunochemistry features of one more case of this rare neoplasm, which in this case was described in an uncommon age range and organ.
Introdução: O câncer é sabidamente um importante problema de saúde pública, e o conhecimento epidemiológico desta doença, desde seus aspectos etiológicos até os fatores prognósticos envolvidos em cada tipo específico de neoplasia é de fundamental importância. Objetivo: analisar o perfil clínico e epidemiológico dos pacientes atendidos em um serviço de referência no sul do estado de Mato Grosso. Material e Métodos: Avaliou-se 1297 prontuários. Para descrição das variáveis utilizou-se distribuição de frequência e regressão logística simples e múltipla com variância robusta. Os resultados foram apresentados na forma de odds ratio bruta e ajustada. Todas as variáveis que apresentaram p < 0,20 no modelo simples foram incluídas no modelo de regressão múltiplo ajustado por faixa etária, estratificado por sexo. Utilizou-se o teste de Hosmer-Lemeshow para avaliação da qualidade de ajuste do modelo múltiplo. Em todas as análises utilizou-se o nível de significância para o Teste de Wald de 5%. Resultados: A partir dos dados disponíveis, verificou-se que a maioria dos pacientes eram do sexo masculino, idosos, pretos/pardos e casados ou tinham união estável. A maioria dos prontuários não possuía informações sobre estilo de vida, estado nutricional, história familiar e comorbidades. Dentre os pacientes cujos prontuários traziam dados do estado nutricional, a maioria estava com baixo peso ou com excesso de peso. Com relação à caracterização do tumor, os mais frequentes foram próstata, mama, ginecológicos e colorretal. Conclusão: Com base nos resultados obtidos, constatou-se que o perfil clínico epidemiológico é condizente com aquele relatado na literatura que contempla outras regiões do país. O conhecimento dessas características é necessário para implementar as estratégias de detecção precoce das neoplasias, os processos diagnósticos e ações de promoção de saúde.
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