Accuracy of the mid-trimester ultrasound scan in the detection of fetal congenital anomalies in a reference center in Northeastern Brazil

Objective: to describe the epidemiological and clinical profile of people with intestinal stoma. Methods: documentary research, carried out in a reference center for people with disabilities in northeastern Brazil. Data collection was performed from December 2018 to February 2019, through a review of medical records. Results: there was a predominance of males (56.6%), average of 56.7 years, 41.4% married, 22.0% had incomplete elementary school, 27.9% had an income of 2 to 3 minimum wages, 47.1% were retired and 53.4% lived in the capital. Neoplasia was the main cause of stoma (62.2%) and colostomies corresponded to 84.4%, of which 38.3% were definitive. 60.3% had complications and 54.4% of them corresponded to periestomal dermatitis. Conclusion: people with intestinal colostomy were male, elderly, married, retired, with low schooling and definitive stoma due to neoplasia. Knowing the profile is essential to plan the reception, assist the treatment and rehabilitation of people with intestinal stoma.

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Study of nutritional parameters and physical activity in psoriasis patients attended at a reference center in Northeastern Brazil / Estudo de parâmetros nutricionais e atividade física em pacientes com psoríase atendidos em um centro de referência no Nordeste do Brasil

Brazilian Journal of Development ◽

10.34117/bjdv7n12-734 ◽

2021 ◽

Vol 7 (12) ◽

pp. 121044-121054

Author(s):

Roberta Eduarda Torres ◽

Cláudio Roberto Bezerra dos Santos

Keyword(s):

Physical Activity ◽

Skin Color ◽

University Hospital ◽

Northeastern Brazil ◽

Treatment Center ◽

Reference Center ◽

Adequate Diet ◽

The Metabolic Syndrome ◽

History Of

Psoriasis is defined as an immune-mediated disease, which has a chronic and relapsing nature, multifactorial etiology, strong participation of genetic, immunological and environmental factors. Studies show the association of psoriasis with risk factors for cardiovascular diseases. An adequate diet combined with the practice of physical activity is capable of positively influencing the prognosis of the disease. The present study aimed to assess the nutritional status and physical activity practice of patients diagnosed with psoriasis seen at the Reference, Support and Treatment Center for Psoriasis Patients of the University Hospital Lauro Wanderley (HULW), in João Pessoa, Paraiba state from October to December 2018. Patients were evaluated by means of a semi-structured questionnaire to collect information such as identification data, skin color, family history of the disease, previous pathological history, life habits and feeding. High BMI prevailed in 80% of the patients, being 35% overweight and 45% obese. The result showed that 45% of the patients had a diagnosis of type 2 DM and 60% of SAH. When asked about the diagnosis of dyslipidemia, 25% of the patients reported having high cholesterol and/or triglyceride and 10% of the patients did not know how to report. With regard to the practice of physical activity, 65% of patients reported performing physical activities, of which 84.6% performed it at a frequency of 1 to 3 times a week and 15.4%, from 4 to 7 times. This preliminary study allowed us to identify the nutritional profile and the practice of physical activity of individuals with psoriasis treated at a Reference Center. The results showed the coexistence of psoriasis and comorbidities related to the metabolic syndrome in the majority of patients evaluated, with a predominance of obesity, systemic arterial hypertension and type 2 diabetes mellitus.

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Hysterosalpingographic interrogation of infertility at Lagos State University Teaching Hospital, Lagos, Nigeria

10.53346/wjapmr.2021.1.1.0018 ◽

2021 ◽

Vol 1 (1) ◽

pp. 041-045

Author(s):

Adebayo Jamiu Isiaq ◽

Chukwuemeka Christopher Ohagwu ◽

Jovita Ada Daniel

Keyword(s):

Sample Size ◽

Congenital Anomalies ◽

Tertiary Hospital ◽

University Teaching ◽

Marital Instability ◽

Ultrasound Scan ◽

State University ◽

Demographic Information ◽

Secondary Infertility ◽

Lagos State

Background: Infertility leads to stigmatization, marital instability, and enormous psychological stress. In recent times in Nigeria, there appears to be an upsurge in the number of couples investigated for infertility using hysterosalpingography (HSG). Objective: To observe the trend of HSG findings at a foremost tertiary hospital in Africa. Methods: Using an inclusion criterion of patients who had an initial ultrasound scan prior to HSG as noted from radiologists’ reports, a sample size of 623 radiographs concluded between April 2014 to April 2019 was consecutively enlisted from a population of 2,624 cases. Patients’ demographic information were extracted from their request cards and radiologists’ reports. Results: Patients were aged 22 – 54 (mean: 36.30 ± 6.00) years. Hysterosalpingography findings indicated that secondary infertility was more prevalent and with fibroid (n = 198, 31.80 %) and congenital anomalies (n = 24, 3.80 %) were the most and least prevalent abnormality, respectively. Conclusions: Although the ages of patients presenting for HSG investigations at the centre had increased, secondary infertility remained the more prevalent type, but with minimal drop in percentage.

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Factors associated with activity limitation in new leprosy cases in a hyperendemic municipality in the Northeast, Brazil: a cross-sectional study

10.5327/1516-3180.292 ◽

2021 ◽

Author(s):

Gibson Barros de Almeida Santana ◽

Thiago Cavalcanti Leal ◽

Leonardo Feitosa da Silva ◽

Lucas Gomes Santos ◽

Anderson da Costa Armstrong ◽

...

Keyword(s):

Physical Disability ◽

Functional Limitations ◽

Functional Limitation ◽

Cross Sectional Study ◽

Activity Limitation ◽

Northeastern Brazil ◽

Sectional Study ◽

Cross Sectional ◽

Reference Center ◽

Factors Associated

Background: Leprosy is a neglected, chronic and infectious tropical disease, caused by Mycobacterium leprae. It presents with skin and peripheral nerves alterations, responsible for irreversible physical disabilities. Brazil is one of the main countries endemic for the disease, persisting as a public health problem; its position is the first in the world in terms of prevalence coefficient. Objectives: To analyze the magnitude and factors associated with activity limitation in new leprosy cases diagnosed in the reference center in northeastern Brazil. Methods: This is a cross-sectional study, carried out in a reference center located in the municipality of Juazeiro - Bahia, between January and June 2018, involving 50 people diagnosed with leprosy. Clinical and sociodemographic variables were collected in addition to the application of the SALSA scale (Screening of Activity Limitation and Safety Awareness) for the analysis of functional limitation. The data were structured using Microsoft Excel software and, for analysis, IBM SPSS Statistics for Windows was used. Logistic regression was used with the calculation of the Odds Ratio to identify the factors associated with functional limitation. A 95% confidence interval and a 5% significance level were adopted. Results: The presence of functional limitations was registered in 32% (n = 16) of the cases analyzed, especially female (56.3%), elderly (37.5%), low education (87.6%), dimorphic form (62.5%), multibacillary classification (75.0%) and degree 2 of physical disability (50.0%). Functional limitation was associated with: age group ≥ 45 years (OR 3.80; p = 0.047), multibacillary age (OR 4.28; p = 0.021) and OMP score ≥ 6 (OR 4.69; p = 0.041). 75% of individuals with limitations were aged ≥ 45 years and were multibacillary. Conclusions: The factors associated with functional limitation were age equal to or greater than 45 years, multibacillary classification and OMP score greater than or equal to six. Early diagnosis and timely treatment in the routine of health services can contribute to the prevention of physical disability and functional limitations.

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Immunophenotypic characterization of acute leukemia at a public oncology reference center in Maranhão, northeastern Brazil

Sao Paulo Medical Journal ◽

10.1590/s1516-31802011000600005 ◽

2011 ◽

Vol 129 (6) ◽

pp. 392-401 ◽

Cited By ~ 3

Author(s):

Elda Pereira Noronha ◽

Heliana Trindade Marinho ◽

Erika Bárbara Abreu Fonseca Thomaz ◽

Cintia Assunção Silva ◽

Geni Lourdes Ramos Veras ◽

...

Keyword(s):

Prognostic Factors ◽

Acute Leukemia ◽

Lymphoblastic Leukemia ◽

Hematological Parameters ◽

Northeastern Brazil ◽

Induction Phase ◽

Reference Center ◽

Cytochemical Analysis ◽

Cell Counts

CONTEXT AND OBJECTIVES: The incidence of acute leukemia (AL) subtypes varies according to geographical distribution. The aim here was to determine the incidence of morphological and immunophenotypic AL subtypes in the state of Maranhão, Brazil, and to correlate the expression of aberrant phenotypes in children with acute lymphoblastic leukemia (ALL) with prognostic factors. DESIGN AND SETTING: Single prospective cohort study at a public oncology reference center in Maranhão. METHODS: Seventy AL cases were diagnosed between September 2008 and January 2010. For the diagnosis, complete blood cell counts, myelograms (at diagnosis and at the end of the induction phase), cytochemical analysis and immunophenotyping were performed. RESULTS: Among adult patients (n = 22), the incidence of AL types was: ALL (22.7%) and acute myeloid leukemia (AML) (77.3%). The subtype AML M0 occurred most frequently (29.4%). In children (n = 48), the types were: AML (18.7%), most frequently subtype AML M4 (33.4%); biphenotypic acute leukemia (BAL) (4.2%); and ALL (77.1%), including the subtypes B-ALL (72.9%) and T-ALL (27.1%). Among the children with ALL, there were no statistically significant differences between patients with and without aberrant phenotypes, in relation to hematological parameters and treatment response. CONCLUSION: This work demonstrates that the frequencies of AML M0 cases among adults and T-ALL cases among children in Maranhão were high. This suggests that there may be differences in AML subtype incidence, as seen with ALL subtypes, in different regions of Brazil. No association was found between the expression of aberrant phenotypes and prognostic factors, in children with ALL.

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Prevalence of Congenital Anomalies in Oligohydramnios: A Hospital Based Study in Western Nepal

Nepalese Journal of Radiology ◽

10.3126/njr.v9i1.24807 ◽

2019 ◽

Vol 9 (1) ◽

pp. 7-11

Author(s):

Subash K.C ◽

Ramesh Poudel ◽

Sagar Khadka ◽

Ashish Shrestha

Keyword(s):

Central Nervous System ◽

Nervous System ◽

Amniotic Fluid ◽

Pregnant Women ◽

Congenital Anomalies ◽

Congenital Malformations ◽

Ultrasound Scan ◽

Amniotic Fluid Index ◽

Singleton Pregnancy ◽

Renal Anomalies

Introduction: Amniotic fluid serves as a cushion for growing fetus. Oligohydramnios is decreased amount of amniotic fluid and is associated with increased incidence of congenital anomalies. The aim of this study was to detect the prevalence of congenital anomalies in oligohydramnios Methods: Singleton pregnancy irrespective of gestational age with amniotic fluid deepest vertical pocket (DVP) of less than two centimeters was included in the study. Grading of oligohydramnios was done as mild and severe. Detailed anomaly scan was done to look for any congenital malformations. Congenital anomalies were confirmed with post natal findings. Results: There were 60 pregnant women with amniotic fluid index less than two centimeters with respect to deepest vertical pocket. Congenital anomalies were detected in 18.33% pregnant women with oligohydramnios. In patients with severe oligohydramnios 33.33% had congenital anomalies. Renal anomalies were the most common anomalies in our study followed by musculoskeletal anomalies. Central nervous system, gastrointestinal and cardiac and anomalies were also common in association with oligohydramnios. Conclusion: Our study showed that various congenital anomalies are associated with oligohydramnios and incidence of anomalies increases with increased severity of oligohydramnios. Hence, detailed ultrasound scan should be done to look for congenital malformations whenever oligohydramnios is encountered.

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PEDIATRIC HEAD TRAUMA: A DESCRIPTION OF CAUSES, NEUROLOGICAL MORBIDITY AND INPATIENT MORTALITY IN A REFERENCE CENTER IN NORTHEASTERN, BRAZIL

Revista de Saúde Coletiva da UEFS ◽

10.13102/rscdauefs.v8i1.3435 ◽

2018 ◽

Vol 8 (1) ◽

pp. 82

Author(s):

Quézia Mendonça Da Silva ◽

Igor Lima Maldonado

Keyword(s):

Head Trauma ◽

Northeastern Brazil ◽

Inpatient Mortality ◽

Reference Center ◽

Pediatric Head Trauma ◽

Neurological Morbidity

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Prenatal diagnosis of triploidy in second trimester of pregnancy: a series of 4 cases over an eleven-year period / Diagnosticul prenatal al triploidiei în trimestrul al II-lea de sarcină: o serie de patru cazuri depistate în unsprezece ani

Revista Romana de Medicina de Laborator ◽

10.1515/rrlm-2015-0014 ◽

2015 ◽

Vol 23 (2) ◽

Author(s):

Demetra Socolov ◽

Elena Mihălceanu ◽

Diana Popovici ◽

Eusebiu Vlad Gorduza ◽

Raluca Balan ◽

...

Keyword(s):

Prenatal Diagnosis ◽

Congenital Anomalies ◽

Intrauterine Growth Retardation ◽

Chromosomal Anomalies ◽

Ultrasound Scan ◽

Second Trimester ◽

Intrauterine Growth ◽

Dysmorphic Features ◽

Diagnostic Difficulties ◽

One Year

AbstractTriploidy is a numerical chromosomal anomaly characterized by the presence of three sets of haploid chromosomes. The incidence is hard to evaluate, because usually it causes 1st trimester miscarriage. At 20 weeks of amenorrhea the incidence of triploidy is estimated at 1/250,000 cases. We present 4 cases of triploidy diagnosed during the decade 2003-2013 in the Prenatal Diagnosis Department of Maternity “Cuza-Vodă” Iasi, Romania, all registered in one year. The analysis of pathological cases identified in the last 11 years by prenatal diagnosis has shown that triploidies represented only 5.7% of numeric chromosomal anomalies, but in 2013 the four cases of triploidy represented 36% of numeric chromosomal anomalies. The karyotypes were recommended after discovering different congenital anomalies by ultrasound scan. In all cases, an intrauterine growth retardation (IUGR) was present but with no placental changes. Also, we discovered anomalies of limbs, congenital anomalies of heart and some dysmorphic features. This series demonstrates that triploidy may be discovered in the 2nd trimester of pregnancy and has a heterogeneous aspect at ultrasound scan, which can generate diagnostic difficulties. Therefore, the detection by ultrasound scan, at 18-22 weeks of pregnancy, of complex foetal morphological abnormalities should be an important reason for amniocentesis to search chromosomal anomalies

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