Purpose: To investigate the influence of music therapy on the reduction of fatigue in women with breast or gynecological malignant neoplasia during radiotherapy, since it is one of the most frequent side effects of this type of treatment, and may interfere with self-esteem, social activities, and quality of life. Experimental Design: Randomized controlled trial (control group [CG] and music therapy group [MTG]) to assess fatigue, quality of life, and symptoms of depression in women undergoing radiotherapy using the Functional Assessment of Cancer Therapy: Fatigue (FACT-F) version 4, Functional Assessment of Cancer Therapy–General (FACT-G) version 4, and Beck Depression Inventory in 3 separate times, namely, during the first week of radiotherapy, on the week of the intermediary phase, and during the last week of radiotherapy. Individual 30- to 40-minute sessions of music therapy with the presence of a trained music therapist were offered to participants. Results: In this study, 164 women were randomized and 116 (63 CG and 53 MTG) were included in the analyses, with mean age of 52.90 years (CG) and 51.85 years (MTG). Participants in the MTG had an average of 10 music therapy sessions, totaling 509 sessions throughout the study. FACT-F results were significant regarding Trial Outcome Index (P = .011), FACT-G (P = .005), and FACT-F (P = .001) for the MTG compared with the CG. Conclusions: Individual music therapy sessions may be effective to reduce fatigue related to cancer and symptoms of depression, as well as to improve quality of life for women with breast or gynecological cancer undergoing radiotherapy. Further well-designed research studies are needed to adequately determine the effects of music therapy on fatigue.
Objetivo: Relatar uma situação rara na especialidade cirúrgica vascular, aparentemente ainda sem documentação de experiência semelhante e que consiste no tratamento cirúrgico de varizes de membros inferiores em paciente hemofílico e com sintomatologia venosa. Relato de caso: Procedimento cirúrgico realizado no Hospital Evangélico de Vila Velha, no setor de Cirurgia Vascular no ano de 2018, em paciente hemofílico e portador de veias varicosas primárias sintomáticas em membros inferiores. Realizado intervenção cirúrgica convencional com safenectomia bilateral e ressecção de varizes tronculares com infusão endovenosa de fator VIII no pré-operatório e nos 10 dias subsequentes. Necessitou de acompanhamento multidisciplinar incluindo hematologista e apresentou evolução satisfatória, sem intercorrências hemorrágicas. O paciente retornou no 14º de pós-operatório sem complicações. Concluímos que é perfeitamente possível a realização de cirurgia venosa de varizes com técnica convencional em paciente portador de doença hemofílica, bastando para isso a recomendada infusão de fator VIII.Descritores: Hemofilia A, Varizes, Procedimentos cirúrgicos vascularesAbstractObjective: To report a rare situation in the vascular surgical specialty, apparently still without documentation of similar experience, which consists in the surgical treatment of lower limb varicose veins in a hemophiliac patient with venous symptomatology. Case report: Surgical procedure performed at the Evangelical Hospital of Vila Velha, in the Vascular Surgery sector in 2018, in a hemophilic patient with symptomatic primary varicose veins in the lower limbs. Conventional surgical intervention was performed with bilateral saphenous vein resection and trunk varicose vein resection with intravenous factor VIII infusion preoperatively and in the 10 subsequent days. It was required multidisciplinary follow-up including hematologist and presented satisfactory evolution, without hemorrhagic complications. The patient returned in the 14th postoperative period without complications. It was concluded that to perform varicose vein surgery with conventional technique in a patient with hemophilic disease is perfectly possible with the recommended factor VIII infusion.Keywords: Hemophilia A, Varicose veins, Vascular surgery procedures
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