Osteosarcoma (OS) is a malignant neoplasia that affects the bone tissue with no known cause. It most commonly affects the appendicular skeleton, mainly the femur and tibia bones, in children and adolescents. The surgery treatment consists of a resection of the tumor or amputation of the affected limb, associated with chemotherapy. The earlier it is diagnosed and treated, and the smaller it is, the better the prognosis will be. Objective: The main objective of this study was to present the clinical characteristics and epidemiology of adolescent patients from the Ceará Cancer Hospital (HCC) in the city of Fortaleza. Clinical and epidemiologic data about these patients, who ranged from the age of 10 to 19 years old, was investigated in order to fulfill our objectives with this study. Method: A retrospective cohort study was developed gathering information from patients' charts from the above-mentioned hospital from the period of January 2006 to December 2007. The data was collected through a semi-structured form that consisted of questions that appraised both the clinical and epidemiological characteristics of the patients, as well as the demographic data. After selecting 29 cases, only 26 were used for the analysis due to either incomplete information, abandonment of treatment, or hospital transference. Results: Our results show that Osteosarcoma was found to be more frequent in male patients (57.7%), in patients between 10 and 15 years old (73.1%), in afro-descendant patients (50%), and in patients that came from more rural areas (73.1%). This study also shows that 30.8% of the patients presented a family history of cancer. The symptom that these patients seemed to have in common was pain (24 patients), followed by an increase of local volume (20 patients), and previous trauma (8 patients). The femur bone was affected in 65.4% of the cases, with occurrence of metastasis (76.9%), almost always during the diagnosis and with the majority (15 patients) to the lungs. The treatment consisted of chemotherapy (96.2%) associated with the surgical resection (69.2%) and amputation (73.1%) or limb replacement. Other treatments such as Physical Therapy were prescribed in 42.3% of the cases, mostly during post-surgery (23.1%), and generally just to treat the complications. Conclusion: This study suggests that the common profile of a patient with Osteosarcoma is male, afro-descendant, coming from the more rural areas and presenting a family history of cancer. In conclusion, this study suggests the importance of knowledge about both clinical and epidemiological characteristics of Osteosarcoma patients, so that there is more regard from health professionals concerning multidisciplinary teamwork at the time of the diagnosis.
Introdução: A fisioterapia mostra-se benéfica na reabilitação de pacientes oncológicos. Todavia, por se tratar de uma atividade monótona para muitos pacientes, vem perdendo seu espaço para novas técnicas como a gameterapia, que utiliza jogos eletrônicos de realidade virtual como instrumento reabilitador e preventivo. Objetivo: Investigar os efeitos da gameterapia em pacientes oncológicos. Método: Revisão sistemática da literatura seguindo o guia PRISMA. A busca dos artigos foi realizada nas bases PubMed, LILACS, MEDLINE e PEDro, utilizando os descritores neoplasm, cancer, virtual reality, rehabilitation e physiotherapy. Foram considerados elegíveis ensaios clínicos controlados e estudos prospectivos publicados nas línguas portuguesa, inglesa ou espanhola nos últimos 12 anos (julho de 2010 a julho de 2022). Resultados: Foram identificados 94 estudos, sendo nove considerados elegíveis para compor a amostra final. Dos ensaios clínicos selecionados, cinco utilizaram Nintendo Wii, dois utilizaram Xbox e um usou óculos de realidade virtual. Os estudos mostram que a gameterapia promoveu redução dos sintomas de ansiedade, fadiga e depressão, melhorou a coordenação motora fina e geral, e diminuiu o medo de se movimentar. Entretanto, não foi tão eficaz quanto a terapia tradicional para diminuir a dor crônica. Conclusão: A gameterapia exerce efeitos positivos sobre variáveis pertinentes à saúde em pacientes oncológicos, destacando-se a diminuição da fadiga relacionada ao câncer. Além disso, favorece a redução do tempo de internação de pacientes hospitalizados e aumenta a adesão dos pacientes ao tratamento.
04 Ensino de codificação digital baseada em blocos de robôs para alunos do ensino médio com transtorno do espectro do autismo e comportamento desafiador. Knight, V. F. et al. 2019 PUBMED 05 Social inclusion and self-determination: the challenges in the quality of life of youth with autism and intellectual disability.
Osteosarcoma (OS) is a malignant neoplasia that affects the bone tissue with no known cause. It most commonly affects the appendicular skeleton, mainly the femur and tibia bones, in children and adolescents. The surgery treatment consists of a resection of the tumor or amputation of the affected limb, associated with chemotherapy. The earlier it is diagnosed and treated, and the smaller it is, the better the prognosis will be. Objective: The main objective of this study was to present the clinical characteristics and epidemiology of adolescent patients from the Ceará Cancer Hospital (HCC) in the city of Fortaleza. Clinical and epidemiologic data about these patients, who ranged from the age of 10 to 19 years old, was investigated in order to fulfill our objectives with this study. Method: A retrospective cohort study was developed gathering information from patients’ charts from the above-mentioned hospital from the period of January 2006 to December 2007. The data was collected through a semi-structured form that consisted of questions that appraised both the clinical and epidemiological characteristics of the patients, as well as the demographic data. After selecting 29 cases, only 26 were used for the analysis due to either incomplete information, abandonment of treatment, or hospital transference. Results: Our results show that Osteosarcoma was found to be more frequent in male patients (57.7%), in patients between 10 and 15 years old (73.1%), in afro-descendant patients (50%), and in patients that came from more rural areas (73.1%). This study also shows that 30.8% of the patients presented a family history of cancer. The symptom that these patients seemed to have in common was pain (24 patients), followed by an increase of local volume (20 patients), and previous trauma (8 patients). The femur bone was affected in 65.4% of the cases, with occurrence of metastasis (76.9%), almost always during the diagnosis and with the majority (15 patients) to the lungs. The treatment consisted of chemotherapy (96.2%) associated with the surgical resection (69.2%) and amputation (73.1%) or limb replacement. Other treatments such as Physical Therapy were prescribed in 42.3% of the cases, mostly during post-surgery (23.1%), and generally just to treat the complications. Conclusion: This study suggests that the common profile of a patient with Osteosarcoma is male, afro-descendant, coming from the more rural areas and presenting a family history of cancer. In conclusion, this study suggests the importance of knowledge about both clinical and epidemiological characteristics of Osteosarcoma patients, so that there is more regard from health professionals concerning multidisciplinary teamwork at the time of the diagnosis.
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