No abstract
Background Technology provides access to knowledge in a pressure-free environment where learning and leisure can work together in order to achieve health promotion through a game. This is the goal of Vigilantes, an application targeted on seven-year-old children and above and elementary teachers as well. Methods The application prototype was built using MIT App Inventor framework and this article is based on information compiled from books, websites, monographs, and periodicals available in the Scielo and PubMed database. In Vigilantes, the user has several missions and challenges with virtual rewards, in addition to extra bonuses meant to encourage the child to learn more about diseases and their preventions. Discussion Games aiming at improving knowledge are a great source of information for children. Parents and teachers should have access to the content available to monitor and encourage the use of the app. Educational games can foster psychomotor, cognitive, behavioral, and social development thus contributing to the learning process. So as to motivate the user correctly, these games must be devised according to the target audience, using appropriate communication. Conclusion The Vigilantes game has been developed with a view to stimulating and disseminating healthy habits in a playful way. It makes room for useful discussion and change of habits that are harmful to health.
Introduction: Optic neuritis (ON) is characterized by a condition of the optic nerve´s demyelinating inflammation, unilateral or bilateral involvement, which can lead to painful visual loss, color blindness, and other neurological and systemic impairments. Because it has several etiologies, ON is underdiagnosed and the studies seek an integrative review to identify the causes and differential diagnoses for the proper management. Methods: An analysis of scientific publications in the Pubmed and ScienceDirect databases was realized using the descriptors Optic Neuritis and diagnosis. Results: The diagnosis of ON is made by clinical findings associating neuroimage tests. About 60% of diagnosed patients have an alternative diagnosis; as optic neuropathies of anterior ischemic causes, Leber’s hereditary neuropathy and compressive neuropathies; infiltrative; toxic-metabolic or vitamin B12 deficiency. ON has different etiologies, such as infectious, paraneoplastic, autoimmune and demyelinating, so a directed anamnesis and ophthalmological examination is essential for professional´s orientation. The investigation of infectious, parainfectious and inflammatory causes must include the research of diseases such as syphilis, ricketsiosis, toxoplasmosis, mycobacteriosis, HIV and herpes zoster, and the recent vaccination. It is necessary to investigate autoimmune diseases, due to the increased risk of the coexistence of autoantibodies that attack structures of the optic nerve. Within the spectrum of demyelinating lesions, Multiple Sclerosis is the most common etiology, although Neuromyelitis Optica, Schilder Disease and Encephalitis Periaxilis Concentric should be remembered. Conclusion: When considering the various causes, it is necessary for professionals to make the diagnosis with effective clinical evaluation, with complementary tests, essential for the proper patient´s management.
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