<p class="MsoNormal" style="margin-bottom: 0.0001pt;"><strong><span style="font-size: 8.0pt; font-family: ";Calibri-Bold";,";sans-serif";; mso-bidi-font-family: Calibri-Bold;">Introdução</span></strong><span style="font-size: 8.0pt; mso-ascii-font-family: Calibri; mso-hansi-font-family: Calibri; mso-bidi-font-family: Calibri;">: A manutenção da saúde bucal de pacientes hospitalizados é de extrema importância para a condição sistêmica dos</span></p> <p class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;"><span style="font-size: 8.0pt; mso-ascii-font-family: Calibri; mso-hansi-font-family: Calibri; mso-bidi-font-family: Calibri;">mesmos devido à relação entre doenças bucais e infecções sistêmicas. </span><strong><span style="font-size: 8.0pt; font-family: ";Calibri-Bold";,";sans-serif";; mso-bidi-font-family: Calibri-Bold;">Objetivo</span></strong><span style="font-size: 8.0pt; mso-ascii-font-family: Calibri; mso-hansi-font-family: Calibri; mso-bidi-font-family: Calibri;">: avaliar os métodos empregados na atenção à saúde bucal em crianças hospitalizadas. </span><strong><span style="font-size: 8.0pt; font-family: ";Calibri-Bold";,";sans-serif";; mso-bidi-font-family: Calibri-Bold;">Metodologia</span></strong><span style="font-size: 8.0pt; mso-ascii-font-family: Calibri; mso-hansi-font-family: Calibri; mso-bidi-font-family: Calibri;">: Trata-se de um estudo de corte transversal descritivo que foi conduzido junto aos acompanhantes de 118 crianças internadas em um hospital público de Salvador-BA, através da resolução de um questionário sobre saúde bucal. O período de coleta de dados durou três meses. </span><strong><span style="font-size: 8.0pt; font-family: ";Calibri-Bold";,";sans-serif";; mso-bidi-font-family: Calibri-Bold;">Resultados</span></strong><span style="font-size: 8.0pt; mso-ascii-font-family: Calibri; mso-hansi-font-family: Calibri; mso-bidi-font-family: Calibri;">: A maioria das crianças (78,8%) realizava higiene bucal durante a internação sendo a forma mais freqüente (68,6%) o uso de escova e dentifrício. Entre os responsáveis pesquisados, 78,8% afirmaram não ter recebido orientação pela equipe do hospital sobre higiene bucal durante o internamento. Verificou-se que não existe um protocolo de cuidados com a higiene bucal das crianças hospitalizadas e que a higienização realizada pelos pacientes não ocorre de forma sistemática e orientada durante internação. </span><strong><span style="font-size: 8.0pt; font-family: ";Calibri-Bold";,";sans-serif";; mso-bidi-font-family: Calibri-Bold;">Conclusão</span></strong><span style="font-size: 8.0pt; mso-ascii-font-family: Calibri; mso-hansi-font-family: Calibri; mso-bidi-font-family: Calibri;">: Torna-se necessária a elaboração de um protocolo de higiene bucal voltado para este grupo populacional bem como a participação mais efetiva do cirurgião dentista na equipe multidisciplinar dos hospitais, objetivando fornecer atenção integral e especializada a criança.</span></p><!--[endif] -->
Background In-hospital hyperglycemia (HH) is frequent and related to higher morbidity and mortality. Despite the benefits of HH treatment, glycemic control is often poor and neglected. The use of health applications to support diagnosis and therapy is now incorporated into medical practice. Medical applications for inpatient glycemic management have potential to standardize this handling by the nonspecialist physician. However, related studies are scarce. We aim to evaluate the efficacy in inpatient glycemic control parameters of medical software applications in non-critical care settings. Methods This systematic review on in-hospital insulin applications was performed according to PRISMA guidelines. Data were extracted in triplicate and methodological quality was verified. Specific outcomes of interest were glycemic control efficacy, hypoglycemia risk, length of in-hospital stay, integration with the electronic medical record and healthcare staff acceptance. Results Among the 573 articles initially identified and subsequent revision of the references of each one, seven studies involving six applications were eligible for the review. A better glycemic control was reported with the use of most in-hospital insulin applications in the studies evaluated, but there was no mention of the time to reach the glycemic goal. The risk of hypoglycemia was low. Different reasons influenced the varied acceptance of the use of applications among health professionals. Conclusion The six applications of inpatient insulin therapy in a non-critical care environment proved to be useful and safe compared to the usual management. Medical apps are tools that can help improve the quality of patient care.
A 23-year-old woman was diagnosed with Graves’ disease 5 months ago with decompensated thyroid function, for which she is taking thiamazole and propranolol. She developed progressive respiratory dyspnoea [New York Heart Association (NYHA) class III] and frequent palpitations. On emergency admission, the patient was tachypnoeic, hypotensive (77/54 mm Hg) and tachycardic (120 beats per minute), with an oxygen saturation of 94%. She also presented with cold, swollen and shaky extremities, with extended capillary filling time, and a significant reduction in heart sounds. Echocardiogram showed massive pericardial effusion compatible with cardiac tamponade. Pericardiocentesis was performed, with a drainage of 1420 mL serosanguinolent fluid, with prompt haemodynamic recovery. Analysis of the pericardial fluid showed exudates. A diagnosis of pericardial effusion secondary to Graves’ disease was determined and corticotherapy, lithium carbonate, cholestyramine and phenobarbital were prescribed. An oral iodine-131 was performed and the patient showed reasonable control of the clinical manifestations of hyperthyroidism. After 3 months, the patient showed no symptoms of hyperthyroidism and a new echocardiogram revealed a significant reduction in pericardial effusion.
This article describes an activity of teaching and extension developed by members of the Fellows Program Education Tutorial dentistry course of Bahiana School of Medicine and Public Health, entitled “ PET on the rails”. Aims to report two successful experiences in promoting oral health in several cities in the state of Bahia. Activities were recreational and educational communities in the municipalities of São Domingos and Ribeira do Pombal, like brushing supervised oral, educational lectures, games and jokes of the educational distribution of toothbrushes and toothpastes . There was full participation of students from the PET group, under the supervision of a teacher. Issues related to the promotion of oral health and systemic been showed with individuals of different age groups. An this, the relevance of this project is attributed to the social impacts on the development of knowledge and attitudes about the proper maintenance of oral health for the communities involved, as well as the understanding of the causes and consequences of poor oral hygiene.
O presente artigo descreve uma atividade de ensino e extensão desenvolvida por bolsistas integrantes do Programa de Educação Tutorial do curso de odontologia da Escola Bahiana de Medicina e Saúde Pública intitulada “PET sobre os trilhos”. Objetiva relatar duas experiências bem sucedidas no âmbito da promoção de saúde bucal em cidades do interior do estado da Bahia. Foram realizadas atividades lúdico-educativas em comunidades dos municípios de São Domingos e Ribeira do Pombal, a exemplo de escovação bucal supervisionada, palestras educativas, jogos e brincadeiras de caráter educativo e distribuição de escovas e cremes dentais. Houve plena participação de bolsistas do grupo PET, com supervisão da tutora. Temáticas relacionadas à promoção de saúde bucal e sistêmica foram abordadas com indivíduos de diferentes faixas etárias. Desta maneira, a relevância deste projeto é atribuída aos impactos sociais no desenvolvimento de conhecimentos e atitudes sobre a adequada manutenção da saúde bucal por parte das comunidades envolvidas, bem como a compreensão acerca das causas e consequências de uma má higiene oral.
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