objectives: To evaluate the impact of previous guidance on the hysteroscopy exam using multimedia resources (film) compared to verbal orientations only, on the pain intensity perceived by the patient during hysteroscopy without anesthesia. Methods: Randomized clinical trial, which included 187 women, who were referred for hysteroscopy. The patients in the experimental group (89) watched an explanatory video just before the exam. The control group (98), however, received only routine verbal guidance about the exam. The degree of pain perceived by all patients was measured 1 and 5 minutes after the procedure using Visual Analog Scale. results: In the experimental group, 1 minute after the examination, 29.2% of the patients reported mild pain, 24.7% moderate pain and 46.1% severe pain. In the control group, 28.6% of the patients reported mild pain, 29.6% moderate pain and 41.8% severe pain. In the analysis 5 minutes after the examination of the experimental group 60.7% of the patients reported mild pain, 28.1% moderate pain and 11.2% severe pain and the control group 62.3% of the patients reported mild pain, 26.5% moderate pain and 11.2% severe pain. Conclusions: The study was not able to demonstrate the relationship of pain perceived by patients with prior multimedia orientation, thus that, more studies are needed.
O vírus varicela-zóster (VZV), ou herpesvírus tipo 3, causa duas síndromes virais distintas: varicela (catapora) e herpes-zóster. O principal fator desencadeante do herpes zóster é a idade avançada, seguida por imunossupressão, trauma e irradiação. O herpes-zóster oftálmico (HZO) se inicia com o pródromo de febre, cefaleia e fadiga, e, posteriormente, evolui com manifestações cutâneas localizadas no dermátomo inervado pelo ramo acometido. O exantema inicia-se como erupção maculopapular, evoluindo para vesículas de conteúdo claro que tornam-se pústulas flavas e, posteriormente, crostas. Alguns sinais são característicos do acometimento do ramo trigêmio, como o sinal de Hutchinson (vesículas e pústulas na ponta do nariz). O tratamento da fase aguda do HZO é sistêmico, com o uso de antivirais orais no paciente imunocompetente e tópicos quando há ceratite. Relato de caso: Paciente de 82 anos, proveniente de Onça de Pitangui, MG. Apresentou-se em abril/2018 à UBS queixando-se de hiperemia, dor conjuntival e secreção ocular flava, além de lesão pruriginosa em região frontal. É firmado o diagnóstico de conjuntivite bacteriana e iniciado tratamento com Cilodex®. Após 3 dias, paciente evolui com aparecimento de pústulas em região frontal e dorso nasal. Encaminhado ao hospital em Belo Horizonte, foi efetuado diagnóstico de ceratite
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