Intra-arterial calcium gluconate might be considered for finger burns caused by concentrated HF. Complete recovery of wounded fingers can be achieved with this technique even if started 24 hours after the exposure. However, controlled clinical trials are needed to confirm the effectiveness and safety of this intervention.
Onychomycosis is the most prevalent onychopathy and it requires a correct early diagnosis. Currently, the diagnostic gold standard is the association of direct mycological test with culture; however, it shows variable sensitivity. The histopathological examination of the distal nail plate, called clipping, has shown to be an adjuvant in diagnosing onychomycosis. This is an easy-to-perform, relatively cheap examination that is little dependent of the examiner, rapidly provides results, has high sensitivity, and for patients it is painless and harmless.
ARTIGO/ARTICLENa atualidade, um dos maiores desafios que a enfermidade de Chagas oferece consiste na assistência adequada aos portadores crônicos dessa infecção, uma vez que a transmissão do Trypanosoma cruzi está caindo significativamente, em todo o Continente Sul-Americano, após medidas efetivas de controle adotadas, particularmente, a partir de 1991 24 . Também, se obteve melhora dos recursos terapêuticos nas últimas décadas, o que proporcionou aumento da sobrevida dos portadores da enfermidade, levando, freqüentemente, à superposição dos danos decorrentes da infecção pelo Trypanosoma cruzi com os agravos ABSTRACTThis study evaluated the characteristics of 125 Chagas disease patients aged > 25 years or over who were attended at the Clinical Hospital of the State University of Campinas, State of São Paulo. Arterial pressure, age, gender, skin color, heart disease, body mass index, lipid profile, blood glucose level, alcohol and tobacco dependence, dyslipidemia, diabetes, anxiety disorders and obesity were investigated. It was found that the hypertensive Chagas disease patients were older than the nonhypertensive ones (p = 0.028). Among the hypertensive patients, there were more women (p = 0.015); higher blood glucose, LDL cholesterol and total cholesterol levels (p = 0.005, p = 0.024 and p = 0.017); more diabetics (p = 0.006); and more cardiac damage (p = 0.04) and left ventricular hypertrophy (p = 0.003). Only the age of patients with cardiac damage was shown to be higher (p = 0.003). The hypertensive Chagas disease patients presented clinical and laboratory characteristics that were similar to those of the general hypertensive population. This association may compound the harmful effects on the cardiovascular system. Key-words:Chagas disease. Systemic arterial hypertension. Risk factors. Heart disease. Risk factors. Heart disease.associados às doenças crônico-degenerativas, mais comuns entre os idosos. Entre essas se destaca a hipertensão arterial 5 11 . A hipertensão arterial sistêmica (HAS) consiste na elevação da pressão sangüínea arterial de forma sustentada. Já se registrou variação de sua taxa de prevalência na população brasileira urbana adulta entre 22% a 44%, dependendo da região considerada, tendo sido estimada em 22% no município de São Paulo, em 1990 e, mais recentemente (2002), em 31,6% no Rio Grande do Sul 14 29 . Em cerca de 95% dos pacientes, a causa da HAS é desconhecida, sendo assim denominada de hipertensão arterial idiopática.
BackgroundAsthma, laryngitis and chronic cough are atypical symptoms of the gastroesophageal reflux disease.AimTo analyze the efficacy of laparoscopic surgery in the remission of extra-esophageal symptoms in patients with gastroesophageal reflux, related to asthma.MethodsWere reviewed the medical records of 400 patients with gastroesophageal reflux disease submitted to laparoscopic Nissen fundoplication from 1994 to 2006, and identified 30 patients with extra-esophageal symptoms related to asthma. The variables considered were: gender, age, gastroesophageal symptoms (heartburn, acid reflux and dysphagia), time of reflux disease, treatment with proton pump inhibitor, use of specific medications, treatment and evolution, number of attacks and degree of esophagitis. Data were subjected to statistical analysis, comparing the pre- and post-surgical findings.ResultsThe comparative analysis before surgery (T1) and six months after surgery (T2) showed a significant reduction on heartburn and reflux symptoms. Apart from that, there was a significant difference between the patients with daily crises of asthma (T1 versus T2, 45.83% to 16.67%, p=0.0002) and continuous crises (T1, 41.67% versus T2, 8.33%, p=0.0002).ConclusionLaparoscopic Nissen fundoplication was effective in improving symptoms that are typical of reflux disease and clinical manifestations of asthma.
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