Human scabies affects all social classes and different races around the world. It is highly contagious, but the exact figures on its prevalence are unknown. A 19-year-old male patient was admitted to the emergency room reporting fever (38°C) and multiple lesions throughout the body, except face, soles, and palms. Lesions were non-pruritic, which hampered the initial diagnostic suspicion. Skin biopsy was performed, and the final diagnosis was crusted scabies (Norwegian). It was concluded that human scabies is a significant epidemic disease, due to its different clinical manifestations, and because it is extremely contagious.

Objective  To demonstrate the standardization of deep endometriosis surgery with intestinal involvement. Methods  Prospective study evaluating 74 women undergoing standardized surgery for deep intestinal endometriosis. Divided into two groups, according to the findings of three-dimensional anorectal ultrasound, Group I with lesions affecting perirectal fat and Group II with lesions affecting at least the muscular layer of the rectum. Results  There was no statistically significant difference between the groups in relation to the size of the focus and the distance of the lesion to the puborectalis muscle ( p > 0.05). The type of surgery performed was laparoscopy without lesions in one patient (1.35%), disk resection in 13 patients (17.56%), shaving in 45 patients (60.81%), and rectosigmoidectomy in 15 patients (20.27%). The complications were bleeding from the drain with conservative treatment in three patients (4.05%), fistula in two patients submitted to the shaving method (2.70%), and three patients (4.05%) with lower anterior recession syndrome (LARS), with improvement from conservative treatment. Lesions in other organs were also observed during videolaparoscopy. Conclusion  Surgical standardization is important to guide the general/colorectal surgeon in the effective approach of intestinal endometriosis.

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O presente estudo buscou conhecer a contextualização do Serviço Aeromédico e das políticas nacionais de saúde e parcerias para com o mesmo, a exigência da sociedade que norteia os estudos e a estreita relação dos mesmos para o atendimento de um sistema de prestação de serviço em saúde. O serviço Aeromédico também apresenta como fatores que caracterizam sua prevalência e incidência, determinantes sociais como o aumento da expectativa de vida, e os agravos, que de alguma forma tornam-se portadoras de emergências. Nesse contexto, os dados dos pacientes atendidos durante o período de 2014 até 2018 fornecidos pelo Serviço de resgate Aeromédico do Programa Paraná Urgência, operacionalizado pelo CONSAMU – Oeste/PR, foram estudados e comparados com dados do Território do Norte da Austrália. Foram avaliados e comparados: gênero, idade, quantidade de atendimentos, patologias associadas e nível de consciência durante os atendimentos.

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