Avanços em Medicina最新文献

{"title":"UNBEARABLE TRAUMA AND IRREPARABLE DAMAGE: MATERNAL DEATH BY SUICIDE RAISES SERIOUS PERPLEXITIES","authors":"Kayo Resende Dias e Almeida, S. Oliveira, M. L. Rolim Neto","doi":"10.52329/avanmed.33","DOIUrl":"https://doi.org/10.52329/avanmed.33","url":null,"abstract":"INTRODUCTION: Maternal death by suicide raises serious perplexities. The ICD-10 classifies maternal suicide as an indirect form of maternal death. Due to this current misclassification, a classificatory consensus of maternal suicide as a direct form of maternal death is urgent. \u0000OBJECTIVE: Analyze the psychological  that permeate the phenomenon of maternal suicide, to define the profile of mothers in the postpartum period and pregnant women who commit suicide, with the purpose of elucidating ways of preventing maternal suicide. \u0000METHOD: A systematic review was made following the PRISMA protocol (Preferred Reporting Items for Systematic Reviews and Meta-Analysis). \u0000RESULTS: Twenty-one studies reported the urgent need to implement interventions in order to prevent or reduce mental health problems caused by mothers and pregnant women who commit suicide. Twenty studies demonstrate the need for interventions to organizational adjustments, especially related to the emotional conflicts involved suicide and maternity. \u0000CONCLUSION: Maternal suicide is mainly caused by severe psychiatric disorders, however, higher suicide rates are seen due to psychosocial factors, such as poor familial support and domestic violence, illegal substance abuse and alcoholism, history of sexual or physical violence, racial oppression, economic instability, unwanted pregnancy, difficulty in accessing intentional abortion, and trauma related to past maternity experiences.","PeriodicalId":447651,"journal":{"name":"Avanços em Medicina","volume":"127 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132072358","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Esclerodermia (morfeia) “em placa”","authors":"Maria Goretti Amorim","doi":"10.52329/avanmed.30","DOIUrl":"https://doi.org/10.52329/avanmed.30","url":null,"abstract":"Esclerodermia (morfeia) “em placa”","PeriodicalId":447651,"journal":{"name":"Avanços em Medicina","volume":"126 46","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120818366","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Is disruptive mood dysregulation disorder a precursor for borderline personality disorder?","authors":"H. A. Martins","doi":"10.52329/avanmed.28","DOIUrl":"https://doi.org/10.52329/avanmed.28","url":null,"abstract":"Disruptive mood dysregulation disorder in children and adolescents is characterized by chronic irritability, in which outbursts of anger are manifested either verbally or through aggressive behavior. Before the last update of the Diagnostic and Statistical Manual of Mental Disorder (DSM-5), many severely irritable children were diagnosed with bipolar disorder. A borderline personality disorder is characterized by emotional instability, episodes of anger, impulsivity, and irritability; therefore, it is often misidentified as bipolar disorder. The behavior of disruptive mood dysregulation disorder resembles many characteristics of borderline, which diagnosis usually occurs in young adulthood. Is disruptive mood dysregulation disorder a precursor for borderline disorder?","PeriodicalId":447651,"journal":{"name":"Avanços em Medicina","volume":"47 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116328956","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Long Covid e complicações que impactam na qualidade de vida dos sobreviventes","authors":"Erlene Roberta Ribeiro dos Santos, Felipe Maia Tardieux","doi":"10.52329/avanmed.26","DOIUrl":"https://doi.org/10.52329/avanmed.26","url":null,"abstract":"A pandemia de COVID-19 assolou a humanidade tomando proporções nunca antes vivenciadas desde 2020, atingindo os países de maneira rápida e letal, ceifando vidas em todas as faixas etárias, deixando órfãos, gerando impactos envolvendo diversos aspectos econômicos, sociais, emocionais, epidemiológicos e demais em larga escala, evidenciando a fragilidade dos sistemas de saúde em vários continentes e deixando  efeitos que persistem após a infecção para os sobreviventes. Compreendendo essa situação a ser enfrentada pelos sistemas mundiais de saúde escrevemos essas notas com o objetivo de averiguar na literatura as complicações, sintomas e sequelas persistentes mais frequentes, no período de recuperação da infecção pelo SARS-CoV-2, apresentados pelos sobreviventes da Covid-19. As evidências encontradas revelam o comprometimento de vários sistemas biológicos a partir das complicações e sequelas deixadas pela infecção. Variam desde leves a incapacitantes e impactam diretamente na qualidade de vida dos sobreviventes, assim como nos custso diretos e indiretos para os sistemas de saúde dos continentes afetados pela pandemia. É necessário o desenvolvimento de maiores estuds para dimensionar os efeitos da long Covid para a sociedade.","PeriodicalId":447651,"journal":{"name":"Avanços em Medicina","volume":"164 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131443668","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trichotillomania and borderline personality disorder","authors":"H. A. Martins","doi":"10.52329/avanmed.29","DOIUrl":"https://doi.org/10.52329/avanmed.29","url":null,"abstract":"Trichotillomania and borderline personality disorder","PeriodicalId":447651,"journal":{"name":"Avanços em Medicina","volume":"80 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132424458","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A importância do periódico Avanços em Medicina na divulgação internacional do conhecimento científico","authors":"M. M. Valença, Juliana Ramos de Andrade, L. Cunha, Fernando Cruz","doi":"10.52329/avanmed.24","DOIUrl":"https://doi.org/10.52329/avanmed.24","url":null,"abstract":"Editorial","PeriodicalId":447651,"journal":{"name":"Avanços em Medicina","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114909990","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Covid-19, distúrbios psiquiátricos e disfunções bioquímicas no encéfalo","authors":"Mateus Neto Silva Souza, Moana Divina da Silva Santiago","doi":"10.52329/AVANMED.23","DOIUrl":"https://doi.org/10.52329/AVANMED.23","url":null,"abstract":"Comentário","PeriodicalId":447651,"journal":{"name":"Avanços em Medicina","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124902128","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A anosmia na Covid-19 é por lesão do bulbo olfatório","authors":"Juliana Ramos de Andrade","doi":"10.52329/avanmed.20","DOIUrl":"https://doi.org/10.52329/avanmed.20","url":null,"abstract":"Comentário","PeriodicalId":447651,"journal":{"name":"Avanços em Medicina","volume":"50 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115235269","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Doença de Crohn e tumor carcinoide gástrico","authors":"Erlene Roberta Ribeiro dos Santos","doi":"10.52329/avanmed.21","DOIUrl":"https://doi.org/10.52329/avanmed.21","url":null,"abstract":"Comentário","PeriodicalId":447651,"journal":{"name":"Avanços em Medicina","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117091668","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Unimed Recife's experience in treating 1,039 patients with Covid-19","authors":"M. Valença, M. Fonseca, Cátia Arcuri Branco, Alex Maurício Garcia Santos, A. Oliveira, Danilo Ferreira Nunes, Ana Carolina Chiappetta Correia de Araújo, F. Cruz","doi":"10.52329/AVANMED.4","DOIUrl":"https://doi.org/10.52329/AVANMED.4","url":null,"abstract":"ObjectiveTo describe the features related to patients with Covid-19 admitted to Unimed Recife hospitals, Recife, Brazil, evaluating demographic data, lethality, use of a mechanical ventilator, presence of associated diseases, the need to use the ICU, among other aspects related to the prognosis of these patients.MethodData were collected from the DRG Brazil health management platform, including the period from March 16, 2020, when the first patient with Covid-19 was admitted to the Hospital da Unimed III, until January 31, 2021. All patients admitted to one of the three hospitals of Unimed Recife - Hospital Unimed Recife I, Hospital Unimed Recife III, and Hospital Geral Unimed Recife – were included in the study. In the same period, we evaluated the number of patients with Covid-19 or suspected Covid-19 who were seen in the emergency room at Hospital Unimed Recife III.ResultsOne hundred twenty-six thousand five hundred fifty-three patients were seen in the Emergency Unit of Hospital Unimed Recife III in the period between March 26, 2020, and January 31, 2021; of those 126,553 patients seen in the emergency 39,340 (31.09%) patients were diagnosed with having Covid-19 or suspected of Covid-19. In the 10-month period, 1,039 patients with Covid-19 were hospitalized, 61% with hypertension, 31.1% with SARS, 30.0% with diabetes, and 9.9% were obese. The average hospital stay was 11.2 days. 342/1,039 (32.9%) patients were admitted to the ICU, and 57.9% of them had mechanical ventilation. The overall lethality was 13.76% (143 deaths/1,039 inpatients). An increase in lethality by Covid-19 was associated with increased age. Lethality in the first period of the Covid-19 pandemic was significantly higher when compared to the last 5 months of the pandemic(17.6% versus 9.7%). Obesity significantly increased lethality in patients with Covid-19 [120 deaths/1,016 non-obese patients (11.8%) versus 23 deaths/103 obese patients (22.3%), OR 2.15 (1.30 - 3.50), p = 0.005)].ConclusionWe conclude that Covid-19 is a disease with a poor prognosis, especially in the elderly and obese patients. In the second 5-month period of the Covid-19 pandemic, we noticed a significant reduction in lethality by Covid-19 in hospitalized patients. Covid-19 is a new disease and the mechanism by which the viruses multiply or how the pathophysiological process occurs in the infected organism are still barely understood.","PeriodicalId":447651,"journal":{"name":"Avanços em Medicina","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121799408","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}