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Introduction: Analysis of a series of works of world literature, discussing the accuracy of palpation and cervical lymph node imaging, highlighted the need to assess the method used in our teaching hospital. Objective: To evaluate the diagnostic accuracy of preoperative evaluation through palpation and CT cervical lymph nodes of patients with head and neck squamous cell carcinoma. Methods: We analyzed 398 patients with head and neck tumors. They compared the clinical stage assessed by palpation and CT scan of the neck with the data found by the anatomical and pathological analysis in the product of neck dissections conducted in order to determine the concordance rate between the two evaluations. Results: Of 398 patients included in the study, there was concordance rate of 83.6% between clinical staging considered negative and observed after emptying confirmed by pathological examination. It was noted that the accuracy of diagnosis of lymph node metastases in the preoperative period was 78.4% while the accuracy of agreement between the two staging was 69.1%. Conclusion: The use of imaging methods, particularly computed tomography associated with palpation, shows a significant increase in the diagnostic capacity of lymph node metastases. [ABSTRACT FROM AUTHOR]

The purpose of this study was to explore the use of the social network Facebook by users after the death of a loved one and analyse the sharing of contents of the deceased user profile. This is a qualitative study and content analysis was used for data treatment. 195 comments posted were analyzed in the deceased user profile during the first month after death. It was possible to identify thematic categories that include comments to the deceased, feelings, emotions, mourning coping strategies indicators, religious beliefs and tributes. Virtual social networks allow the manifestation of feelings usually retract and the interaction of social issues, that are hardly treated openly, favouring the elaboration of mourning by patients, families and professionals facing the death/dying and mourning process [ABSTRACT FROM AUTHOR]

This paper addresses Qualiverde's, program from the municipal government of Rio de Janeiro to encourage green buildings. Although the qualification is being applied due enforced by the law, its fiscal and building benefits await city council approval. Moreover, Qualiverde is not fully applied. In addition, the information about the certification is very scarce, with few publications and studies available. They have few information, beyond the existing in the text of Qualiverde's legislation. Researching the theme was the main purpose of this article. Information was obtained through interviews with subject specialists and bibliographic reviews. Information on the process of developing the seal, its main objectives and datas on its current situation, such as numbers of projects already qualified and in the process of qualification, are presented. The legality of the draft laws currently being discussed in the town hall is discussed. [ABSTRACT FROM AUTHOR]

Complications arising from use of the Amplatzer© device to correct endovascular conditions such as atrial septal defect have been described with increasingly frequency. We report on a case in which this device was used to correct an atrial septal defect, but 6 months later migrated to the abdominal aorta bifurcation. Removal of the foreign body was accomplished by conventional surgery after an endovascular attempt had failed. [ABSTRACT FROM AUTHOR]

Introduction: Laryngeal cancer is one of the most important of the cases of head and neck cancer, accounting for about 25% of all cases of head and neck cancer in the United States .In our population total laryngectomy is presented as important form of treatment of laryngeal cancer, bringing with it one of the most morbid and problematic complications, pharyngocutaneous fistula, whose incidence varies in the literature, may range from 3% to 65%) depending on the analyzed source. Objectives: To analyze the population treated in our service by laryngeal tumors, to determine our rates pharyngocutaneous fistula, its risk factors and ways to prevenção. Método: 104 patients, 83 men and 21 women were analyzed, aged between 43 and 83 years (mean 61.7 years) treated between July 2009 and June 2014. All patients underwent total laryngectomy or full pharyngolaryngectomy as a treatment of squamous cell carcinomas of larynx (T2: 8 cases, T3: 21 cases, T4: 73 cases). In order to investigate possible risk factors evaluated the following criteria: Age, hematocrit (from 35.0 to 47.0%), serum albumin (3.4 to 4.8 g / dL), hormone Tireo - Stimulating / TSH serum (0.27 to 4.20 μIU / mL), preoperative BMI (18.5 to 25 kg / m²), Tumor stage (TNM), Patchwork Use the Neo-pharynx, the Neo-closing type pharynx (absorbable suture Manual polyglactine or Mechanical with Linear Cutting Stapler). Results: Analysis of our data showed a 38.5% fistula rate in our population, consistent with the literature mundial. Dentre all factors analyzed, only three statistically relevant: serum albumin, tumor stage and use of linear stapler. The serum albumin concentration in these patients, with values less than or equal to 2.7 g / dl had rates of 77.8% fistula (p = 0.001), placing the albumin of less than 2.7 g / dL as a risk factor for pharyngocutaneous fistula formation with about five times more likely to fistula formation (OR = 5.519). The stadium you are in the initial tumor patient also showed a significant influence on fistula rates, with the most advanced stages (stage 4) presented fistula rate of 43.8%, against 20.8% of the earliest stages (stages 2 and 3) with p = 0.035. The use of stapler presented fistula rates (without stapler use: 48.7% versus with stapler use: 10.7%, p = 0.000), which allow us to put it as a protective factor against the formation of fistulas (OR = 0.181). Conclusion: The results of this study allow us to conclude that for the formation of pharyngocutaneous fistula, serum albumin below 2.7 g / dL and the advanced stage (stage IV) are important risk factors, and the use of mechanical suture by linear stapler a strong protective factor. [ABSTRACT FROM AUTHOR]

Introduction: The surgical approach of substernal goiter (BM) can be challenging, and may cause significant complication rate. Objective: Comparing data from the thyroidectomies for substernal goiter of DCCP-HCFMUSP with a non-substernal goiter equivalent group. The emphasis will be on pre and post-operative complications. Methods: A retrospective case control study of thyroidectomy occurred between 2010 and 2014. The surgeries information was collected from a spreadsheet. The patients were divided into two groups: Group 1 (case), counting with fifty-two operations for BM; and Group 2 (control), composed of sixtyone thyroidectomies for non-substernal goiter surgeries. Data of both groups were compared by means of a statistical study. Clinical criteria were used to define substernal goiter. Results: Patients with substernal goiter had higher rates of signs of laryngopharyngeal reflux on preoperative laryngoscopy (41.5% vs. 20.5%, p = 0.036 - chi-square test), and more voluminous goiters on preoperative ultrasonography. It was noted that operations for substernal goiter was an average of 23 minutes longer (p = 0.049 - Student t test) and had a tendency to longer hospital staying (two days vs. 2.4 days, p = 0.079 - Student t test) compared to thyroidectomy for non-substernal goiter. Other complications presented no differences between groups. Conclusion: In DCCPHCFMUSP, thyroidectomies for substernal and non-substernal goiters complication rates are similar. The occurrence of reflux laryngitis diagnosed in preoperative laryngoscopy is higher in patients with substernal goiter, and statistical data reinforce the relationship between substernal goiter and reflux. [ABSTRACT FROM AUTHOR]

Introduction: White light laryngoscopy is the most employed method for the evaluation of laryngeal lesions, however, in the last years, several optic methods have been developed in order to improve the diagnostic accuracy of malignant lesions of the larynx, specially in early stage. Aim: To describe a new optic method of light distortion based on surface balance, to differentiate benign from malignant larynx lesions. Methods and Results: The proposed optic method uses red-orange surface balance, named Red Balance Image (RBI), in which the most expressive color presents between green and blue, being available in the majority of the commercial laryngoscopes. Discussion: The laryngoscopy with surface balance is an accessible auxiliary diagnostic method that can be used by the head and neck surgeon wont to laryngoscopy examination. [ABSTRACT FROM AUTHOR]