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Copyright of Revista Foco (Interdisciplinary Studies Journal) is the property of Revista Foco and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Foco (Interdisciplinary Studies Journal) is the property of Revista Foco and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Foco (Interdisciplinary Studies Journal) is the property of Revista Foco and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of GeSec: Revista de Gestao e Secretariado is the property of Sindicato das Secretarias e Secretarios do Estado de Sao Paulo (SINSESP) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Foco (Interdisciplinary Studies Journal) is the property of Revista Foco and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Arquivos de Ciências da Saúde da UNIPAR is the property of Associacao Paranaense de Ensino e Cultura and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Foco (Interdisciplinary Studies Journal) is the property of Revista Foco and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Foco (Interdisciplinary Studies Journal) is the property of Revista Foco and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Scabies is a common infection that affects people all over the world and has various presentations and impacts depending on the clinical situation. It is caused by the mite Sarcoptes scabiei var. hominis, an obligate ectoparasite that resides in the epidermis of the human skin. In this article, we present a review of the differential diagnoses and complications of scabies and scabies variants. We also present a summary of the etiology and the current diagnostic methods of scabies. [ABSTRACT FROM AUTHOR]

Background: Home hospitalization (HH) is an alternative to conventional hospitalization, but literature data about bacterial skin infections treated in this setting is sparse. Objectives: The objective is to characterize the demographic and clinical features of the population admitted with acute bacterial dermo-hypodermitis (ABDH) in a HH unit; to evaluate if this model can be a safe alternative to hospital care; and to assess patients' global satisfaction regarding their HH experience. Methods: Retrospective analysis of clinical data related to episodes of ABDH admitted to the HH unit of our institution in 7 years (2015-2022). A phone questionnaire was then applied for the evaluation of patients' global satisfaction about HH. Results: We included 88 patients with a mean age of 66.6 years. Seventy-one (81%) were admitted directly from the emergency department and 16 (18%) from hospital wards. Forty-five (51%) had at least three associated comorbidities. Local complications occurred in 21 patients (24%) and systemic complications in 7 (8%). Eight patients (9%) were transferred back to hospital care during their HH and only 1 patient (1%) was readmitted after 3 months of discharge. The mean duration of HH was 13.8 days, and the mean duration of antibiotic treatment was 14.6 days. Regarding patients' satisfaction, 41 participants (84%) rated home care with the maximum grade of satisfaction. For the participants with previous hospital stays (n = 39), 27 (69%) preferred HH to in-hospital care. Conclusion: This study suggests that, even though the population with ABDH admitted to HH is aged and has a high prevalence of comorbidities, HH is a safe and effective alternative to hospital care in the case of stable disease. It seems also to be associated with high rates of patient' satisfaction. [ABSTRACT FROM AUTHOR]

Copyright of Arquivos de Ciências da Saúde da UNIPAR is the property of Associacao Paranaense de Ensino e Cultura and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Foco (Interdisciplinary Studies Journal) is the property of Revista Foco and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Lex Medicinae: Revista Portuguesa de Direito da Saúde is the property of Centro de Direito Biomedico and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Health & Society is the property of Instituto de Ensino e Pesquisa Periodicojs and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background: Tranexamic acid (TXA) is a synthetic analogue of lysine, which inhibits fibrinolysis by reducing the conversion of plasminogen into plasmin, thereby promoting the preservation of the clot formed in the operated area and reducing the risk of bleeding. It is eventually used as a complement in oral surgery. Purpose: To analyze the evidence on the effectiveness in hemostasis, appropriate dose, safety margin, benefits, and postoperative evolution of TXA used in oral surgery. Methods: The systematic review was structured from a search tree (PubMed, Google Scholar, ProQuest, and Scopus), with the keywords and Boolean connector: Tranexamic Acid AND Oral Surgery. The search was limited to the English, Portuguese, and Spanish languages; open-access articles; systematic reviews, meta-analyses, randomized clinical trials, and case reports. We established a secondary selection based on the title and abstract of the articles according to the purpose of the study. Findings: The literature reports an efficacy of 80 % of TXA in reducing bleeding risk during and after surgical procedures, which optimizes the procedures. Conclusions: Topical or intravenous TXA in doses not exceeding 20 mg has proven to be effective to reduce the risk of bleeding in oral surgery. [ABSTRACT FROM AUTHOR]

Transradial access is associated with fewer access site-related complications, earlier patient mobilization, and greater postprocedural comfort. Pseudoaneurysms are an extremely rare complication after transradial procedures and the radial artery itself is the most atypical arterial site of occurrence. We report a case in which a non-surgical, non-invasive, simple, and effective solution (prolonged pneumatic compression) was used to manage a radial artery pseudoaneurysm, a very rare and challenging complication of transradial procedures. [ABSTRACT FROM AUTHOR]

The COVID-19 pandemic has highlighted weaknesses in health systems around the world. At the beginning of the pandemic, several authors observed non-respiratory complications in patients of different ages and races, which drew attention to the nature of the novel coronavirus infection, which was hardly restricted to the respiratory tract. Evidence has shown that the pathophysiology of the virus is closely related to coagulation disorders, which favors the emergence of thrombotic events. The aim of this article is to highlight the epidemiological experience of a tertiary public hospital during the first year of the pandemic and the vascular complications observed. The study found that complications were more frequent in older patients, but there was no significant difference between race or gender. We conclude that understanding the behavior of COVID-19, not just the respiratory behavior, is fundamental, as vascular complications are real and need to be understood through new and extensive studies. [ABSTRACT FROM AUTHOR]

Copyright of Arquivos de Ciências da Saúde da UNIPAR is the property of Associacao Paranaense de Ensino e Cultura and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective: parasites are organisms that live inside or on another species for their own benefit, managing to affect plants, animals, and humans. Children are more vulnerable to infection, but the incidence has decreased thanks to the improvement in Costa Rican sanitation. The aim was to evaluate the general knowledge that the Costa Rican population has regarding childhood parasitosis. Methodology: an observational, descriptive, cross-sectional study was carried out on a sample of 196 subjects. A survey was conducted among Costa Ricans over 18 years of age who had a device with internet access. The participants were asked about their knowledge on the clinical picture of childhood parasitosis in Costa Rica. Results: most of the participants were college students (68.3%). 89.9% of them believe that pet parasites can infect humans. The best-known parasites were lice, marked by 173 (88.3%) people. The stomach is the part of the body considered most affected, with 148 (75.5%) responses. The main known preventive measure is washing hands with soap and water, answered by 133 participants (67.9%). Conclusion: Many participants believe that humans can be infected by the same parasites as animals. Lice were the best known and ticks the least. Most of the people consider vomiting and/or diarrhea as one of the main symptoms and believe that the stomach is the most affected part during the infection. In addition, they consider that the main preventive measure to avoid contagion is hand washing. [ABSTRACT FROM AUTHOR]

To assess the prevalence and timing of complications related to the maintenance of central venous catheters in a pediatric patients. Cohort, observational, prospective study, carried out at the Hospital de Clínicas Complex of the Federal University of Paraná. The study population consisted of children and adolescents who had a central venous catheter inserted, totaling a sample of 79 participants. Data collection was carried out from June 2018 to October 2019, daily, through an instrument with data from the participants and the catheters. The analysis was performed using descriptive statistics. Non-elective removals accounted for 41.77%, with infection (13.92%) and obstruction (11.39%) being predominant. The time between insertion of the devices and the occurrence of the complication occurred mostly between the 8th and 14th day (35.44%). The study rates correspond to those found in the literature and allow more assertive action for pediatric patients. [ABSTRACT FROM AUTHOR]

Partial hemipelvectomy refers to the surgical removal of a pelvic segment, which is performed for pelvic bone neoplasms, severe fractures, or poor bone union. This study presents the cases of seven dogs, six of which have neoplasms involving the hip joint and one with severe pelvic canal narrowing due to a poorly consolidated trauma. Partial caudal hemipelvectomy was performed for all the dogs to improve the quality of life and delay euthanasia. Of the seven cases, six required the use of a polypropylene mesh for the pelvic wall closure, with 85.71% of them acquiring manageable complications in the postoperative period. Despite these complications, an overall improvement in the quality of life was reported to be significant in the operated animals due to the removal of the cause of pain or discomfort. Thus, it was concluded that partial hemipelvectomyis beneficial for dogs with pelvic conditions. Furthermore, the main complication due to the lack of a pelvic wall for primary occlusion was circumvented by using a polypropylene mesh, showing that possible complications in this procedure can be appropriately managed. [ABSTRACT FROM AUTHOR]

Copyright of Saúde Coletiva is the property of MPM Comunicacao and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Saúde Coletiva is the property of MPM Comunicacao and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Señor editor. Desde que empezó la pandemia causada por el coronavirus COVID-19, hemos estado en un constante aprendizaje. Los países se han visto obligados a responder con sus mejores estrategias, para intentar que los sistemas de salud no colapsen y resguardar la vida de las poblaciones. Con este propósito, se han establecido medidas de contención y servicios de hospitalización organizados, además del papel fundamental de las unidades de cuidados intensivos para tratar las infecciones de gravedad, con lo cual se han evitado miles de muertes. A fecha de 11 de junio de 2021, en Colombia se habían reportado 3,724,705 casos, de los cuales 3,457,117 corresponden a los recuperados, lo cual es asimilable a quienes no perdieron la vida. Sin embargo, desconocemos cuántos de ellos tendrán consecuencias físicas y emocionales derivadas de la infección por COVID-19 (1). Mr. editor, Since the COVID-19 coronavirus pandemic began, we have been in constant learning. Countries have been forced to respond with their best strategies, to try to prevent health systems from collapsing and to protect the lives of populations. To this end, containment measures and organized hospitalization services have been established, in addition to the fundamental role of intensive care units in treating serious infections, thus preventing thousands of deaths. As of June 11, 2021, 3,724,705 cases had been reported in Colombia, of which 3,457,117 correspond to those recovered, which is comparable to those who did not lose their lives. However, we do not know how many of them will have physical and emotional consequences derived from COVID-19 infection (1).

Bichectomy is a surgical procedure in which the part corresponding to the fat pad of Bichat is removed, with aesthetic and functional purposes. Such procedure is increasingly popular in dentistry. Objective: To present a narrative review of the literature on complications associated with bichectomy surgery. Materials and Methods: A search for publications was performed without restriction regarding the year of publication, including scientific articles, clinical case reports, literature reviews, descriptive and observational studies and excluding letters to the editor, editorials, theses and manographies from the health descriptors (DeCS) “anatomy” (anatomy), “bichectomy” (bichectomy), “dentistry” (dentistry). Using Lilacs, SciELO and Pubmed databases. Conclusion: Bichectomy is an aesthetic-functional procedure that presents risks of potentially serious complications, especially damage to the Stenon's duct or the buccal branch of the facial nerve, which cause, respectively, sialocele, salivary fistulas and temporary or permanent buccal paralysis, in addition to bruises, facial asymmetry and postoperative infections. [ABSTRACT FROM AUTHOR]

Introduction - If performed correctly since the beginning of pregnancy, prenatal care is essential for the early identification of possible pathologies, congenital anomalies, and complications during pregnancy. Purpose - Identify the perception of pregnant women about prenatal care, correlating with complications during pregnancy. Methods - The research was carried out with 30 pregnant women in the last trimester of pregnancy in a basic health unit, located in a city in the interior of Rio Grande do Sul. Then the data were analyzed using descriptive statistics, with relative and absolute frequency. For this, the SPSS software version 21 was used. Results - The findings present in this study highlight the adherence of pregnant women to prenatal care, from the beginning of gestation. Conclusions - The quality of care provided by the health team was crucial for the adherence of pregnant women to the prenatal program in primary care, contributing positively to the early detection of possible complications during the pregnancy-peruria period. [ABSTRACT FROM AUTHOR]

Objective: To evaluate neuropathic pain (NP), its intensity, and complications in people with type 2 diabetes mellitus (T2DM) in a city of eastern São Paulo. Method: Cross-sectional study conducted with 96 individuals with T2DM served by primary health units in São João da Boa Vista-SP. The following instruments were used to screen NP: Michigan Neuropathy Screening Instrument, Leeds Assessment of Neuropathic Symptoms and Signs, Douleur Neuropathique 4, and Brief Pain Inventory. The data were analyzed using descriptive and inferential statistics, with a 5 % significance level. Results: Of the 96 people with T2DM for longer than five years, 22.9 % had pain. NP was related to high levels of fasting blood glucose (mean = 214 ± 65.58 mg/dl; p = 0.0002), glycated hemoglobin (mean = 8.8 ± 0.11 %; p < 0.001), absence of a balanced diet (p = 0.0066), obesity (p = 0.023), and high blood pressure (p < 0.001). Conclusion: Higher values of glycated hemoglobin rates increased three times the chance of NP. The screening and management of painful diabetic neuropathy is a challenge but adopting a screening protocol supports the secondary prevention of this manifestation. [ABSTRACT FROM AUTHOR]

Background: The aim of carotid interventions is to prevent cerebrovascular events. Endovascular treatment (carotid- artery-stenting/CAS) has become established as an alternative to open surgery in some cases. Historically, female sex has been considered as a perioperative risk factor, however, there are few studies regarding this hypothesis when it comes to CAS. Objectives: To analyze the CAS results in our center adjusted by sex. Methods: A retrospective cohort study was designed, including patients with carotid atheromatosis operated at a single center from January 2016 to June 2019. Our objective was to compare cardiovascular risk, including myocardial infarction, stroke, and mortality, by sex. Follow-up rates of stent patency, restenosis, stroke, myocardial infarction, and death were reported. Results: 71 interventions were performed in 50 men (70.42%) and 21 women (29.57%). Mean age was 70.50 ± 10.72 years for men and 73.62 ± 11.78 years for women. Cardiovascular risk factors did not differ significantly between sexes. Mean follow-up was 11.28 ± 11.28 months. There were no significant differences in neurological events during follow-up. No adverse cardiological events were detected at any time. Regarding the mortality rate, during medium-term follow up there were 2 neurological related deaths with no significant differences between sexes (p=0.8432). Neither sex had higher rated of restenosis during long term follow-up (5.63% vs. 1.41%, p = 0.9693) or reoperation (1.41% vs. 1.41%, p = 0.4971). All procedures remained patent (<50% restenosis). Conclusions: Despite the limitations of our study, CAS is a therapeutic option that is as effective and safe in women as in men. No sex differences were observed. [ABSTRACT FROM AUTHOR]

Background: Chronic venous insufficiency is a highly prevalent disease. Advanced cases have high morbidity. Objectives: To evaluate the risks and benefits of foam sclerotherapy in patients who underwent bilateral treatment of the great saphenous veins in a single procedure, in selected cases of advanced venous insufficiency. Methods: We retrospectively reviewed 55 patients (110 limbs) with bilateral incompetence of the great saphenous veins who had undergone foam sclerotherapy treatment bilaterally, using a maximum dose of 20 ml of foam per patient and inelastic compression. Results: In 81 (73.6%) of the 110 saphenous veins analyzed, occlusion was obtained in the first session. After a second session this figure rose to 106 (96.3%) and all 110 (100%) veins were occluded after three sessions. Bilateral occlusion of the great saphenous veins was achieved in 27 patients (50%) in one session, in 34 (62%) patients in two sessions, and in 55 (100%) patients in three sessions. At 42 days after sclerotherapy, there was complete ulcer healing in seven (63%) of the 11 patients with ulcers and partial healing in 3 (27%) of these patients. One patient (1.8%) had self-limited lipothymia and visual scotomas, 3 patients (5.45%) had skin spots, and 19 patients (34.5%) developed retained intravascular coagulum. Conclusions: Bilateral foam sclerotherapy in a synchronous procedure is an option to be considered for treatment of varicose veins of the lower limbs. [ABSTRACT FROM AUTHOR]

Copyright of Jornal Brasileiro de Patologia e Medicina Laboratorial is the property of Sociedade Brasileira de Patologia Clinica and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of CES Odontología is the property of Universidad CES and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Cisto hidático é uma zoonose causada por Echinococcus granulosus. O objetivo do estudo é apresentar as características clínicas dos pacientes submetidos a tratamento de cisto hidático, determinar as técnicas intervencionistas e os tipos de anestesia utilizados, e revisar as complicações ocorridas, em detalhe. Este estudo incluiu 393 pacientes que foram acompanhados e/ou tratados com o diagnóstico de cisto hidático, entre janeiro de 2013 e novembro de 2018. Os dados dos pacientes foram avaliados retrospectivamente. A idade média dos pacientes foi 31,0 ± 17,2 anos. Do total de pacientes, 111 (28,4%) tinham mais de um cisto, e 36 (9,2%) apresentavam comprometimento em vários órgãos. Seis pacientes recusaram a intervenção ou foram transferidos para outro hospital. Dentre os 387 pacientes remanescentes, 335 (85,2%) receberam anestesia geral e intubação, 9 (2,3%) anestesia geral e máscara laríngea, 39 (9,9%) sedação e analgesia, e 4 (1%) anestesia regional. Houve um óbito no período perioperatório. Reação alérgica foi a complicação perioperatória mais comum (1,5%), e no pós‐operatório observou‐se mais atelectasia (3,3%) e fístula biliar (3%). O tempo médio de internação na Unidade de Terapia Intensiva foi 1,9 ± 1,1 dias para aqueles que necessitaram desses cuidados. Recidiva durante o seguimento de 40 ± 17 meses ocorreu em 8,4% dos pacientes. Os anestesiologistas têm um papel importante no tratamento dos pacientes com cisto hidático. Os pacientes devem ser avaliados exaustivamente em relação a comprometimento de vários órgãos e presença de mais de um cisto no mesmo órgão. O tipo de procedimento terapêutico e a localização dos cistos determinam a conduta anestésica. Hydatid cyst is a zoonotic disease caused by Echinococcus granulosus. The aim of our study is to present the clinical features of the patients who were treated for hydatid cyst, determine the interventional techniques and anesthesia methods used and review the occurred complications in detail. This study included 393 patients who were followed up and/or treated with the diagnosis of hydatid cyst between January 2013 and November 2018. The patients' data was evaluated retrospectively. The mean age of the patients was 31.0 ± 17.2 years. Of the patients, 111 (28.4%) had more than one cyst and 36 (9.2%) patients had multi‐organ involvement. Six of the patients refused the intervention or was transferred to another hospital. Among the remaining 387 patients, 335 (85.2%) received general anesthesia and intubation, 9 patients (2.3%) received general anesthesia and laryngeal mask airway, 39 patients (9.9%) received sedoanalgesia and 4 patients (1%) received regional anesthesia. Perioperative mortality was developed in one patient. The most common periopertaive complication was allergic reaction (1.5%), whereas the most common post‐operative complications were atelectasis (3.3%) and biliary fistula (3%). The mean Intensive Care Unit stay (ICU) was 1.9 ± 1.1 days in patients requiring ICU. Recurrence during the 40 ± 17 months follow‐up occurred in 8.4% patients. Anesthesiologists have an important role in the management of hydatid cyst patients. Patients should be evaluated exhaustively in terms of multi‐organ involvement and the presence of more than one cyst in the same organ. The type of treatment procedure and the localization of the cysts determine the anesthetic management. [ABSTRACT FROM AUTHOR]

Copyright of Jornal de Pediatria is the property of Sociedade Brasileira de Pediatria and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Arquivos de Neuro-Psiquiatria is the property of Thieme Medical Publishing Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

A perda de consciência durante a raquianestesia é uma complicação rara, mas assustadora. Essa complicação geralmente está relacionada à grave hipotensão e bradicardia, mas, neste caso, a perda de consciência ocorreu em uma paciente parturiente hemodinamicamente estável. Apresentamos o caso de uma paciente de 31 anos, submetida a uma cesariana de emergência. A paciente perdeu a consciência e apresentou apneia que teve início 10 minutos após a raquianestesia bem‐sucedida e repetiu o episódio três vezes por 25 minutos, a despeito de sua hemodinâmica estável. O caso foi considerado como um bloqueio subdural e a paciente recebeu suporte respiratório. Espera‐se que o bloqueio subdural inicie lentamente (aproximadamente 15–20 minutos), mas, neste caso, cerca de 10 minutos após a anestesia, a paciente repentinamente perdeu a consciência. Após a recuperação da consciência e o retorno da respiração espontânea, a paciente que estava orientada e cooperativa apresentou nível de bloqueio sensorial em T4. Havia bloqueio motor em ambas as extremidades inferiores. O bloqueio sensório‐motor terminou quatro horas após a injeção intratecal e a paciente recebeu alta hospitalar dois dias depois, sem complicações. Considerando o exposto, os pacientes que recebem raquianestesia devem ser atentamente observados para quaisquer complicações indesejáveis. Loss of consciousness during spinal anesthesia is a rare but scary complication. This complication is generally related to severe hypotension and bradycardia, but in this case, the loss of consciousness occurred in a hemodynamically stable parturient patient. We present a 31 years‐old patient who underwent an emergency cesarean section. She lost consciousness and had apnea that started 10 minutes after successful spinal anesthesia and repeated three times for a total of 25 minutes, despite the stable hemodynamics of the patient. The case was considered a subdural block, and the patient was provided with respiratory support. The subdural block is expected to start slowly (approximately 15–20 minutes), but in this case, after about 10 minutes of receiving anesthesia, the patient suddenly had a loss of consciousness. After the recovery of consciousness and return of spontaneous respiration, the level of a sensory block of the patient, who was cooperative and oriented, was T4. There were motor blocks in both lower extremities. Four hours after intrathecal injection, both the sensory and motor blocks ended, and she was discharged two days later with no complications. Hence, patients who receive spinal anesthesia should be closely observed for any such undesirable complications. [ABSTRACT FROM AUTHOR]

The risk of deep venous thrombosis in women at reproductive age ranges from 5-10 episodes per 10,000 women-years. The risk of deep venous thrombosis increases from 8 to 10 episodes among users of combined oral contraceptives. Thrombotic risk varies according to the estrogen dose and type of progestogen present in the composition of the contraceptive. Combined birth control pills containing progestogen and levonorgestrel present a risk of 9 to 10 events of deep vein thrombosis per 10,000 women-years. The risk of deep venous thrombosis is greater in patients taking cyproterone, drospirenone, gestodene and desogestrel, and with a lower risk of levonorgestrel, norethisterone and norgestimate. The use of sex hormones as combined oral contraceptives greatly increases the risk of venous thromboembolism, especially in patients with increased intrinsic risk for thromboembolic complications. In addition, increased relative risk associated with sex hormones depends on the type and dosage of hormones, the route of application, being oral, vaginal and transdermal, and the specific combination of estrogenic and gestagenic components. [ABSTRACT FROM AUTHOR]

The relevance of the study is due to the fact that hypospadias is a congenital defect of the urogenital system in boys. The incidence rate of hypospadias differs in different countries. The main etiological factor of this defect development is a hormonal imbalance of different origin in mothers. Hypospadias can be corrected only surgically. Currently, there are a number of surgical approaches used, but still, the number of complications in the postoperative period remains high. The purpose of the article was to evaluate the outcomes of surgical correction of hypospadias in children observed after different approaches to urethroplasty involving transplanting. The authors performed a search for articles in electronic databases Pub Med, Elsevier, Scopus, Web of Science for the period from 2007 to 2018. The authors reviewed 265 articles dedicated to the correction of hypospadias by the following methods: TIP (tabularized incised plate), Mathieu, GTIP (graft tabularized incised plate) and two-stage Bracka urethroplasty. The most widespread complications mentioned in different studies were fistulas, stenosis of the urethral neo-meatus, and secondary deformation of the penis. Current approaches to surgical correction of hypospadias in children do not provide complete recovery from post-operative complications. Due to this fact, the issues of treatment of hypospadias remain relevant, requiring the development of new approaches to urethroplasty. [ABSTRACT FROM AUTHOR]

O Logbook é uma ferramenta digital, lançada pela Sociedade Brasileira de Anestesiologia em 2014 e empregada desde então. Essa ferramenta permite, aos médicos em especialização em anestesiologia, o registro e o armazenamento das atividades executadas durante o período de treinamento. Isto possibilitou a análise descritiva de um extenso banco de dados dos procedimentos anestésicos, bem como das complicações ocorridas, relatadas por esses médicos. O presente estudo compreende a revisão desses dados num período de dois anos (2014‐2015). Logbook is a digital tool launched by the Brazilian Society of Anesthesiology in 2014 and has since been used. This tool allows physicians specializing in anesthesiology to record and store activities performed during the training period. This enabled a descriptive analysis of an extensive database of anesthetic procedures, as well as complications that occurred and were reported by these doctors. The present study includes the review of these data over a period of 2 years (2014‐2015). [ABSTRACT FROM AUTHOR]

Background: The person with an intestinal stoma can develop complications that cause biopsychosocial impact. To know associated factors helps identify risks and develop an individualized care plan. Objectives: To highlight the perception of people with stomas treated at the Health Care Service for People with Stoma (Serviço de Atenção à S Mûde da Pessoa Ostomizada - SASPO) in Ceará, Brazil, about factors associated with complications in intestinal stomas. Methodology: Descriptive, qualitative study performed with 65 participants with an intestinal stoma. Data gathered through structured interview, between April and June 2018, in the SASPO in Ceará, Brazil, and analyzed by the content analysis approach. Results: Causalities attributed to ostomy and peristomal skin complications: skin changes related to collecting device; insufficient knowledge about self-care strategies and factors associated with complications; alterations associated with the effluent in contact with the skin; self-image disorder related to later complications and feelings related to the collecting device purchase process. Conclusion: It is mandatory to develop prevention strategies to prepare professionals and patients regarding possible factors associated with complications. [ABSTRACT FROM AUTHOR]

Background: The effectiveness of non-invasive ventilation (NIV) may be impacted by potential complications that require preventive nursing attention. Objective: To identify the complications of critically ill patients undergoing NIV therapy admitted to the Emergency Department of ULS-Bragança. Methodology: Exploratory-descriptive, observational, quantitative study conducted through the application of two data collection instruments, between November 2017 and March 2018: A Questionnaire and an Observation Grid of a sample of 35 patients, mostly female (57.14%) over the age of 85 (37.14%). Results: The most frequent clinical diagnosis was respiratory failure (45.71%). The most frequent complications were the sensation of claustrophobia, ulcerations of the face, pain, and accumulation of secretions. Less frequent complications were nasal congestion, conjunctivitis, gastric distension, aerophagia, and vomiting. Conclusion: The dissemination of the results is advocated, in order to open the discussion within and between teams, to reinforce the relevance of nursing training regarding the care of patients with NIV. [ABSTRACT FROM AUTHOR]

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Even with the evolution of dentistry, surgical procedures of exodontia, bleeding episodes, alveolitis, pain, edema, trismus, injury to the inferior alveolar nerve, infections and mandibular and maxillary fractures and displacement of teeth to noble areas are very present events. The objective of this study was to analyze the accidents and complications with higher incidence during the exodontia procedures performed by academics. For the research, a semi-structured questionnaire was applied, which described the occurrence of accidents and complications in the exodontia procedures. Participants were informed and agreed to the Free and Informed Consent Form. The total study recorded 119 accidents, and 31 complications. The sex most affected was female, with 68% (n = 54) of the occurrences. The surgical technique with the highest intercurrent index was II with 58.8% (n = 70 for accidents and 15 for complications). The most prevalent accident was that of tearing or mucosal pulling in 56% (n = 67). The most common complication was pain that was present in 68% of the cases (n = 21). It is concluded that good planning and cautious execution are determinant factors for a good conduction of exodontias in order to avoid accidents and complications. [ABSTRACT FROM AUTHOR]