Objective To describe the profile of lawsuits related to drug requests filled at the Federal Justice of the State of Paraná.Methods A cross-sectional study, and the data were obtained through consulting the lawsuits at the online system of the Federal Justice of Paraná.Results Out of 347 lawsuits included in the study, 55% of plaintiffs were women, with a median age of 56 years. Oncology was the field with more requests (23.6%), and the highest mean costs. A wide variety of diseases and broad variety of requested drugs were found in the lawsuits. Approximately two-thirds of them were requested by the brand name, and the most often requested drugs were palivizumab and tiotropium bromide. Only 14.5% of the requested medicines were registered in the National Medication Register. The Public Defender’s Office filled actions in 89.6% of cases and all lawsuits had an interim relief. The mean time for approval was 35 days and 70% of requests were granted.Conclusion Oncology was the field with the highest demand for medicines at the Federal Justice of Paraná in 2014. A great variety of medications was requested. The Public Defender´s Office represented most lawsuits. All demands had an interim relief, and the majority of requests were granted, within an average of 35 days.

Knowledge of the profile and professional integration of new graduates enables adjustments in medical education. This study evaluated 107 graduates from a private institution in the Brazilian South region, using a self-administered electronic questionnaire. There were similar participation of young physicians of both genders and higher male concentration in general surgery. Graduates are inserted in the public and private labor market. Most do extra shifts in emergency services and trauma surgery, where there is greater need for clinical and surgical skills. These findings suggest that adequate surgical training during graduation is critical to employability. RESUMO O conhecimento do perfil e inserção profissional dos recém-formados possibilita ajustes na educação médica. Este estudo avaliou 107 egressos de instituição privada no sul do país, utilizando questionário eletrônico autoaplicável. Houve participação similar de jovens de ambos os sexos e maior concentração masculina na área de cirurgia geral. Os egressos estão inseridos no mercado de trabalho público e privado. A maioria faz plantões extras em serviços de emergência e cirurgia do trauma, onde há maior necessidade de habilidades clinicas e cirúrgica. Esses achados apontam que a formação cirúrgica adequada durante a graduação é fundamental para a empregabilidade.

blunt liver damage, especially those that cause uncontrollable bleeding. Despite the damage control approaches in order to achieve hemodynamic stability, many patients develop hypovolemic shock, acute liver failure, multiple organ failure and death. In this context, liver transplantation appears as the lifesaving last resort, and has been reported in the literature for over 25 years, but there aren't, however, a consensus about the exact indication and success of this therapy. We identified 46 case reported about patients undergoing liver transplant after liver trauma, the main trauma mechanism was the closed/blunt abdominal trauma with 83%, and severe trauma (> grade IV), 81%. The transplant can be done, in this context, by the 1-stage procedure (patient has a damaged organ removed and immediately receive the graft). When the two-stage approach is performed, na end-to-side temporary portacaval shunt is provided, until na organ be comes available to be transplanted. If we look at two different periods, from 1980 to 2000 and from 2000 to 2014, the survival rate increased significantly from 48% to 76%. Despite have indications quite restricted in the setting of hepatic injury, liver transplantation is a therapeutic modality viable and feasible today, and can be used in cases when surgical treatment as well as other therapeutic modalities, short and long term, do not provide the patient survival chances.

A Nitrofurantoina quando utilizado continuamente como profilático para infecções do trato urinário recorrentes expõe o paciente a efeitos adversos, entre eles encontra-se a toxicidade pulmonar. O uso de medicamentos para o tratamento de patologias corriqueiras da prática clínica deve ser sempre tendo em mente os efeitos adversos da medicação. Relata-se o caso de um paciente com doença intersticial fibrogênica associada ao uso de nitrofurantoína.