Treacher Collins Syndrome (TCS) is an autosomal dominant disorder that leads to congenital craniofacial malformation, and may then be assisted by the Padovan Method® for neurological rehabilitation. That being said, the aim of this article is to report the functional improvements obtained by a patient with TCS who underwent the Padovan Method®. The child was born on november 26th of 2014, cesarean delivery, 37 weeks, Apgar 9/10, weighted 3625g, PC = 35cm, C = 49CM, presenting mild respiratory discomfort, absence of suction and the presence of syndromic facies, which is characteristic of TCS with retrognathism, oblique palpebral cleft downward divergent strabismus on left, pointed ears with cleft lobes, narrow auditory canal, malar hypoplasia and narrow palate. Padovan therapy was initiated at the 6th day of life, from orofacial, vestibular, ocular and motor exercises that seek to recapitulate the neuroevolutionary phases of human development with the purpose of propitiating a motor and neurological maturation of the central nervous system (CNS) and the correction of its possible failures. The child presented suction on the second day of therapy and on the fifth day was discharged from the hospital with good suction to the breast. The patient was followed up on an outpatient office and was given physiotherapy and speech therapy. The patient no longer received the Padovan Method® because at that time it was not available outside the hospital. Upon returning to childcare at age of 3, a good motor coordination performance was noticed, also speaking few loose words, but with good interaction and understanding. Therefore, due to the lack of standard behavior in neonatal neurological rehabilitation, considering the concepts of neuroplasticity andknowing the importance of early intervention, the Padovan Method® is shown as an alternative in the CNS reorganization in patients with TCS.
Objective: Clarify bioethical dilemmas and introduces the concepts of the various perspectives during the death process: patient with end-stage disease, dysthanasia, passive euthanasia, active euthanasia, assisted suicide, orthotoasia and kalotanasia. Methods: This is a systematic review whose data were extracted from the MEDLINE and BVS databases. In the first mentioned, the descriptors "thanatology" and "ethics" were used using the logical AND operator, which resulted in 45 articles, after refinement the sample registered 04 articles. In the second base, the search was performed with the same descriptors (n = 34), but only 12 were selected. Results: Stands out the concept of death, good death and terminality of life. In addition to exploring the ethical dilemmas, challenges and opportunities presented at death regarding dysthanasia, passive and active euthanasia, assisted suicide, orthopasia and organ transplantation. Final considerations: The conception of death is transformed over time, technological advances have allowed attempts to extend life and the introduction of ethical and bioethical impasses about the end of life.
Desde os primórdios, a humanidade busca alternativas para tentar amenizar e/ou curar suas enfermidades, sejam elas biológicas ou não. As diversas formas de cuidado com a saúde estão relacionadas aos contextos socioeconômicos e culturais, sendo neste cenário em que, de modo paralelo ao modelo biomédico, a medicina popular se faz presente no cotidiano das comunidades. O ofício das benzedeiras, na maioria são mulheres, cumpre o papel de entrelaçar essas duas questões, utilizando um modelo de terapia não oficializada bastante presente, principalmente, em regiões onde a religião é muito presente, como o Cariri Cearense. Apesar de não ter comprovação técnico-científica, a qual é requerida no modelo de saúde hegemônico, essa prática funciona como uma alternativa para curar as mazelas que afligem a população. O ofício das benzedeiras é passado de geração a geração, no entanto, hoje, pode-se considerar que o papel das pessoas que curam pela fé está desaparecendo porque as filhas e/ou netas dessas mulheres estão renunciando a continuar com o legado. O presente trabalho visa analisar as atividades dessas mulheres e compreender todo o contexto e representatividade destas através da observação das suas práticas. É um estudo descritivo analítico centrado na realização de entrevistas gravadas em domicílio em cinco cidades do Cariri cearense com finalidade de resgatar e registrar relatos das práticas do benzimento. Ademais, são descritos os rituais de cura e as barreiras impostas para sua realização e perpetuação e, além disso, o estímulo das benzedeiras na busca pela procura médica.
Objetivo: Verificar a influência da capacidade funcional e da presença de doenças crônicas não transmissíveis (DCNT) na autopercepção da saúde de idosas de uma instituição de longa permanência para idosos (ILPI) na cidade do Recife/PE, Brasil. Métodos: Trata-se de um estudo descritivo, transversal e de caráter quantitativo, composto por 22 idosas. A pesquisa foi dividida em três etapas: I- Entrevista semiestruturada com a utilização das sessões I, II, V e VI do questionário Brazil Old Age Shedule (BOAS); II- Avaliação da capacidade funcional pela Medida de Independência Funcional (MIF); III- Análise dos prontuários médicos para verificação das DCNT. A estatística foi realizada por meio do software IBM SPSS versão 20.0 adotando-se significância estatística de p<0,05. Estudo aprovado sob CAAE 67687317.1.0000.5640. Resultados: O teste de Spearman mostrou correlação de r= -0,733; p=0,0001 entre os escores da MIF e a autopercepção de saúde categorizado em “Boa” e “Ruim”, ou seja, a saúde avaliada como ruim está associada com menores pontuações na MIF (Teste de Mann-Whitney p=0,001). Nas DCNT e autopercepção de saúde, o teste de Spearman mostrou correlação de r=0,670; p=0,001, o que significa que a autopercepção ruim de saúde avaliada pelas idosas está associada com uma maior incidência de DCNT (Teste de Mann-Whitney p=0,001). Conclusão: As idosas que possuem doenças crônicas e perda funcional tendem a autoperceber a saúde negativamente.
Objective: To report two cases of children rehabilitated with the Padovan® Method before the tendon stretching surgery. Case reports: Observational, descriptive, quantitative and retrospective study of two cases of children who had cerebral palsy, spasticity, shortening of the tendons and lack of gait, due to hypoxia in the neonatal period, seen in a private clinic by the Padovan® method of neurofunctional reorganization, through review of medical records. For motor evaluation, the Gross Motor Function Classification System (GMFCS) was used. The reports were approved by the Research Ethics Committee. Patients received conventional motor physiotherapy from the first months of life to 7 years old (case 1) and 5 years old (case 2), when they started rehabilitation with the Padovan® Method, 3 times a week and, after improving their tone and muscle strength, patients were referred for orthopedic surgery and moved from level IV (mobility with limitations) to level II (walking with limitations) on the GMFCS scale. Final considerations: Even after the sequela installed, patients managed to acquire gait, contributing to the results of orthopedic surgery due to the reprogramming of movements proposed by the Padovan® Method, which can contribute to reducing failures in this type of surgery.
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