RESUMONesta pesquisa fizemos uma avaliação da oportunidade nas diversas etapas que compõem o mecanismo de detecção do Programa de Triagem para o Hipotireoidismo Congênito, sua cobertura e a freqüên-cia de casos no serviço público de saúde em Sergipe. Levantamos a idade de todas as crianças (2994) submetidas à triagem para detecção neonatal do hipotireoidismo congênito e fenilcetonúria em suas diversas fases, no período de junho a dezembro de 1995. A idade da criança na coleta do exame, foi de 30±19 dias (média±DP). A idade, quando o resultado da triagem chegou ao centro de saúde, foi de 48±7 dias, quando entregue à família, de 66±18 dias e quando visto pelo pediatra da unidade, de 80±40 dias. Crianças com resultados alterados são referidas para serviços especializados sem nenhum pacto de prioridade. Com relação à cobertura, apenas 5% das crianças do interior do Estado e 42% da capital foram examinadas. A morosidade nas etapas do programa e a baixa cobertura de crianças submetidas ao teste de triagem comprovam a hipótese de que o referido programa de governo não está atingindo seus objetivos principais que são o tratamento oportuno e a cobertura a todas as crianças recém-nascidas, a fim de que sejam prevenidas suas seqüelas. ABSTRACTIn this research we evaluated the time spent in several follow-up steps of the screening mechanism of the "Early Detection of Congenital Hypothyroidism Program", its coverage and its occurrence in the civil health service in Sergipe. To accomplish this purpose, we raised data for all the infants (2994) that had been submitted to screening for neonatal hypothyroidism and phenylketonuria in the period from June to December of 1995. We verified that the age at the time of the examination was 30±19 days (mean±SD). When the result arrived at the Healthy Center was 48±7 days, the families were informed 66±18 days, the infants were reviewed by the Health Center pediatrician at the age of 80±40 days. Children with altered results were still referred to specialized centers without priority. Regarding the coverage, only 5% of the infants from the interior of the state and 42% from the capital, on average, were covered by the test. This extended process and the inefficient coverage of infants submitted to screening, confirm the hypothesis that this government program is not achieving its main objectives: the timely treatment and the coverage of all newborn infants, in order to prevent their impact.
RLS is safe and effective for the treatment of severe PPH in both sexes. There were no reports of retrograde ejaculation after resection of L3 and L4 ganglia. There was a mild to moderate increase in compensatory sweating in about half of the patients, but without any regret or dissatisfaction for having undergone the surgery because of a significant improvement in QoL.
Objective: To evaluate the pattern of alcohol consumption and the prevalence and factors associated with binge drinking among university students of health-related courses in Aracaju, Sergipe, Brazil. Methods: A cross-sectional study was performed of 865 female students from two universities in the Brazilian Northeast. The instruments used were the AUDIT and a questionnaire used to collect sociodemographic data. The chi-square test and logistic regression were used, with statistical significance set at p-value < 0.05. Results: Risky alcohol consumption was evidenced in 16.4%, while the prevalence of binge drinking was 48.0%. Binge drinking was strongly associated with drunk driving (OR = 12.24) and living in a conflicting family environment (OR = 6.33). Binge drinking was a constant in students who engaged in fights, those who had problems with the law and among smokers. Conclusion: The high prevalence of risky alcohol consumption, binge drinking and the association of these with risky behaviors in students serve to guide future public policies on prevention.Keywords: Alcohol Drinking; Women's Health; Students; Health Care. resumen Objetivo: Evaluar el patrón de consumo de alcohol, la prevalencia y los factores asociados al binge drinking entre estudiantes universitarias en el área de salud en Aracaju/SE. Métodos: Estudio transversal con 865 mujeres estudiantes de dos universidades del Nordeste brasileño. Los instrumentos fueron el AUDIT y las características sociodemograficas. Se utilizó la Chi-cuadrada y regresión logística, con nivel de significancia de 0,05. Resultados: El patrón de consumo de riesgo se muestra en el 16,4%, mientras que la prevalencia del binge drinking fue de 48,0% y fue también más fuertemente asociada con conducir en estado etílico (OR = 12,24) y vida familia conflictiva (OR = 6,33). La borrachera fue constante entre las estudiantes que participaron en peleas con agresión física o problemas con la ley y entre las fumadoras. Conclusión: La alta prevalencia de consumo de riesgo, binge drinking y su asociación con comportamientos de riesgos entre académicas sirven para orientar las futuras políticas públicas preventivas.
In the present work, we report the first bionanocomposite material formed by otoliths/ collagen/ bacterial cellulose (BC) networks (OCBC). This biomaterial is an osteoinductor or be, stimulates the bone regeneration, enabling bigger migration of the cells for formation of the bone tissue regeneration mainly because nanotolith are rich in minerals considered essential to the bone mineralization process on a protein matrix (otolin). The objective in this study was to analyze the regeneration capacity of bone defects treated with this bionanocomposite. Histological experiments shows bone tissue formation with high regularity, higher osteoblast activity and osteo-reabsorption activities areas. The results suggest the potential for this new biomaterial as a scaffold for bone tissue regeneration
Evidence that otoliths, mineral-rich limestone concrescences present in the inner ear of bone fishes, can accelerate bone formation in vivo has been previously reported. The goal of this work was the development, characterization, and evaluation of the cytocompatibility of otoliths-incorporated sodium alginate and gelatin scaffolds. Cynoscion acoupa-derived otoliths were characterized by X-ray fluorescence spectrometry (FRX), particle size, free lime, and weight loss by calcination. Furthermore, otoliths were incorporated into sodium alginate (ALG/OTL-s) or gelatin (GEL/OTL-s) scaffolds, previously developed by freeze-drying. Then, the scaffolds were characterized by thermogravimetric analysis (TGA/DTG), differential scanning calorimetry (DSC), infrared spectroscopy with Fourier transform (FTIR), swelling tests, and scanning electron microscopy (SEM). Cytotoxicity assays were run against J774.G8 macrophages and MC3T3-E1 osteoblasts. Data obtained from TGA/DTG, DSC, and FTIR analyses confirmed the interaction between otoliths and the polymeric scaffolds. SEM showed the homogeneous porous 3D structure rich in otolith micro-fragments in both scaffolds. Swelling of the GEL/OTL-s (63.54 ± 3.0%) was greater than of ALG/ OTL-s (13.36 ± 9.9%) (p < 0.001). The viability of J774.G8 macrophages treated with both scaffolds was statistically similar to the group treated with DMEM only (p > 0.05) and significantly higher than that treated with Triton-X (p < 0.01) at 72 h. Both scaffolds showed approximately 100% growth of MC3T3-E1 osteoblasts by 24 h, similarly to control (p > 0.05). However, by 48 h, only ALG/OTL-s showed growth similar to control (p > 0.05), whereas GEL/OTL showed a significantly lower growth index (p < 0.05). In conclusion, the physicochemical profiles suggest proper interaction between the otoliths and the two developed polymeric 3D scaffolds. Moreover, both materials showed cytocompatibility with J774.G8 macrophages but the growth of MC3T3-E1 osteoblasts was higher when exposed to ALG/OTL-s. These data suggest that sodium alginate/otoliths scaffolds are potential biomaterials to be used in bone regeneration applications.
Estudo preliminar da utilização de otólitos de Cynoscion acoupa sobre o processo de neoformação óssea em ratos Preliminary study of using otoliths of Cynoscion acoupa upon the process of bone regeneration in rats
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