The study aimed to evaluate the degree of dependency of elderly inpatients, according to the classification system of patients, and to identify factors related to patient dependency to nursing care. Cross-sectional study with a sample of 161 elderly patients evaluated at the beginning, middle and end of hospitalization, according to the patient classification scale. It was identified a prevalence in the intermediate rating (52.2%); statistically significant association between the ages of 80 to 100 years with the middle and semi-intensive classes; 40% of the elderly classified to the semi-intensive care had death as the outcome. The aging process must determine specific nursing care for this population group, ensuring the quality of care.
5 Kono M, Nomura T, Ohguchi Y et al. Comprehensive screening for a complete set of Japanese-population-specific filaggrin gene mutations. Allergy 2014; 69: 537-540. 6 Gruber R, Janecke AR, Grabher D, Sandilands A, Fauth C, Schmuth M. Evidence for genetic modifiers other than filaggrin mutations in X-linked ichthyosis. J Dermatol Sci 2010; 58: 72-82. 7 Uehara M, Hayashi S. Hyperlinear palms: association with ichthyosis and atopic dermatitis. Arch Dermatol 1981; 117: 490-491. 8 Cuevas-Covarrubias SA, Vald es-Flores M, Orozco Orozco E, D ıaz-Zagoya JC, Kofman-Alfaro SH. Are atopy and palm-sole hyperlinearity clinical tools in the differential diagnosis between ichthyosis vulgaris and X-linked ichthyosis?.
We report an unprecedented case of ectopic thymoma in a young adult. A
33-year-old male presented with a 10-day history of non-productive cough and
fever. Investigation revealed mediastinal widening without pulmonary
involvement. Computed tomography showed a large mass-14.8 × 10.8 ×
8.4 cm-in the mid-posterior mediastinum, and a biopsy obtained by video-assisted
thoracoscopy indicated that the mass was a tumor. Immunohistochemistry showed
combined thymoma type AB1. Because of the considerable proportions of the tumor
and its close proximity to major structures, the patient was treated with
chemotherapy.
Wade's histoid leprosy (HL) is a rare variant of multibacillary leprosy, with characteristic clinical, immunologic, histopathologic, and bacteriologic features. It is associated with resistance to sulfa drugs or polychemotherapy and is rarely observed in patients who have not undergone prior treatment. Clinically, HL resembles keloid or dermatofibroma. Furthermore, HL is rare in children and is difficult to diagnose even by experts. This report describes a case of HL in a 14-year-old Brazilian boy, who presented with multiple nodular and tumor-like lesions, simulating keloids. He had not undergone prior treatment with anti-leprosy drugs, which accentuates the relevance of this case report.
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