Case Report A four-year-old girl presented with fever and a painful limp in the left hip. Pain characteristics and anemia detected in the blood analyses were the first warning signs that the hip process was not standard. Although the primary suspicion was of septic arthritis, a CT scan of the abdomen revealed an adrenal neuroblastoma. Conclusion The presenting signs of neuroblastoma are commonly atypical. About 25% of presentations are orthopedic and mimic a variety of severe orthopedic conditions. The most important clinical dilemma is distinguishing benign and self-limiting disorders from septic or malignant processes.
Controlling the vector population in the environment may contribute to reducing the clinical dengue cases. This study aimed to evaluate the use of ovitraps to monitor the entomological indices of A. aegypti and verify if the traps contribute to reducing dengue cases in Ibirité, MG. The traps were made using a medium plant pot, a wooden pallet, a clip and Saccharomyces cerevisiae. It was installed one trap every 15 days and, over three years (2019, 2020, 2021), resulted in 32 traps, distributed in the houses of 12 districts of Ibirité. After seven days of permanence, they were collected for eggs counting. A total of 60.433 eggs of A. aegypti were included in the Municipality, with the highest number observed in the Durval de Barros neighborhood. In 2019, 13.455 eggs were captured from January and May and between September and December. The IPO in the neighborhoods ranged from 9% to 54%, with the IDO ranging from 2 to 45 eggs. In 2020, 17.301 eggs were recorded, mainly from January to March and between October and December. The IPO in the neighborhoods ranged from 36% to 90% with the IDO ranging from 19 to 107 eggs. In the year 2021, there were 29,677 eggs between January and November that year, with the highest capture between January and March. The IPO was or higher for the three years of validity (70 to 10%), allowing us to infer that the traps help in the fight against dengue.
O presente artigo tem por objetivo analisar o pré-natal que é oferecido pelo sistema prisional as mulheres brasileiras privadas de liberdade, elas estão em uma situação vulnerável e não são realizadas as consultas e acompanhamentos necessários na gravidez, na ausência de assistência muitas delas descobrem que portam alguma infecção sexualmente transmissível apenas no momento do parto, por falta de realização de testes rápidos que deveriam ser feitos nas consultas de pré-natal. A estrutura não é adequada para a puérpera e o neonato onde há falta de alojamento conjunto, já que grande parte da população carcerária é masculina e a estrutura da penitenciaria acaba sendo voltada para esse público, não há uma equipe multidisciplinar disponível para que as gestantes sejam assistidas de forma holística. É necessário que haja promoção de políticas públicas do sistema penitenciário referente ao atendimento na saúde da mulher e do bebê, e que sejam colocadas em pratica em todas as penitenciarias brasileiras, assim visando promover ação integral valorizando a mulher nessa fase de sua vida.
Enterprises are nowadays faced with increasing levels of flexibility and customer-orientation. As enterprises react to this challenge, they intensify their engagement in collaborative networks. Recent studies have shown that these networks must share goals, have some level of mutual trust, and agree with some practices and values. Value systems are considered as the ordering and prioritization of the ethical and ideological values held by collaborative networks. Conciliating different values and priorities may depend on a mediation process. From an information systems point of view, the mediation process is highly complex because of the informal and tacit nature of values systems. In this paper we propose using storytelling, an old technique used to reconstruct past events, to support conflict resolution. The paper presents an analysis of conflict resolution in collaborative network enterprises supported by the storytelling technique.
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