scholarly journals Children with pulmonary atelectasis: clinical outcome and characterization of physical therapy - doi: 10.4025/actascihealthsci.v35i2.12302

2013 ◽  
Vol 35 (2) ◽  
pp. 169 ◽  
Author(s):  
Carolina Cotrim Dal Pozzo ◽  
Paulo Armindo Seibert ◽  
Dirce Shizuko Fujisawa

Pulmonary atelectasis is described as a state of a given region of lung parenchyma collapsed and non-aerated. This study aimed to describe the characteristics and clinical outcome of children with atelectasis, assisted by physical therapy service. This is a case report whose information was collected from records of children hospitalized at the University Hospital of Londrina/HU, in 2009. Seventeen patients with pulmonary atelectasis were treated, aged from 11 days to 9 years old. At initial assessment, 8 (47%) children had no signs of difficulty breathing. The most used techniques were the re-expansion techniques used in all patients (100%), the clearance techniques were performed in 16 (94%) children, and the deflated techniques were used for only one child. The mean number of physical therapy sessions performed for the resolution of atelectasis was 4, ranging from 2 to 9. All 17 cases of atelectasis treated by physical therapy had rapid resolution. Outcome of children treated was satisfactory at short term with low number of physical therapy attendances.  

Viruses ◽  
2019 ◽  
Vol 11 (4) ◽  
pp. 312 ◽  
Author(s):  
Clara Rolland ◽  
Julien Andreani ◽  
Amina Louazani ◽  
Sarah Aherfi ◽  
Rania Francis ◽  
...  

The history of giant viruses began in 2003 with the identification of Acanthamoeba polyphaga mimivirus. Since then, giant viruses of amoeba enlightened an unknown part of the viral world, and every discovery and characterization of a new giant virus modifies our perception of the virosphere. This notably includes their exceptional virion sizes from 200 nm to 2 µm and their genomic complexity with length, number of genes, and functions such as translational components never seen before. Even more surprising, Mimivirus possesses a unique mobilome composed of virophages, transpovirons, and a defense system against virophages named Mimivirus virophage resistance element (MIMIVIRE). From the discovery and isolation of new giant viruses to their possible roles in humans, this review shows the active contribution of the University Hospital Institute (IHU) Mediterranee Infection to the growing knowledge of the giant viruses’ field.


2019 ◽  
Vol 19 (1) ◽  
Author(s):  
F. Cyr Doscoph Afle ◽  
Alidéhou Jerrold Agbankpe ◽  
Roch Christian Johnson ◽  
Olivia Houngbégnon ◽  
Sègbè Christophe Houssou ◽  
...  

Author(s):  
Mikelini Ayumi Takino ◽  
Edna Yukimi Itakussu ◽  
Celita Salmaso Trelha ◽  
Paola Janeiro Valenciano ◽  
Dirce Shizuko Fujisawa

Introduction: Burns are traumatic injuries that occur due to external events, and particularities of pediatric patients make it more serious condition. Physical therapy is essential to the recovery of children victims of burns and it should be started early during hospitalization. Objective: Define initial and final physical therapy care in children victims of burns, during the period of hospitalization, in a Burn Treatment Centers (BTC). Methods: Retrospective and descriptive study by means of gathering information in medical records of children victims of burns, convenience sample, consisted of patients in the 0-6 age group, that were interned in BTC of University Hospital/ UEL, from January 2011 to February 2014. Results: Data from 102 medical records were collected, physical therapy was realized in 94 (92.1%) cases, being respiratory physical therapy, placements, motor physical therapy, orthosis indication and orientation. In the first, second, last but one and last sessions, the most used breathing techniques were clearence maneuvers; the general placements was the most used; during motor physical therapy, the gait /walking and orientation were used with more frequency in last assistance. Conclusion: The initial physical therapy emphasizes the clearence maneuvers for prevention and treatment of respiratory complications that threaten the survival of the patient. The activities focused on functionality were adressed throughout the hospital stay, especially in the final stage. The physical therapy sessions progressed from passive techniques to active, according to the evolution of patients


2011 ◽  
Vol 24 (2) ◽  
pp. 275-283
Author(s):  
Dirce Shizuko Fujisawa ◽  
Marcia Larissa Cavallari da Costa Gois ◽  
Josilainne Marcelino Dias ◽  
Egle de Oliveira Netto Moreira Alves ◽  
Marcelo de Souza Tavares ◽  
...  

INTRODUCTION: All children presenting myelomeningocele are capable of walking. Certain interventions can influence the walking prognosis of these children: physical therapy, medication, and nutritional orientation. OBJECTIVES: The aim of this study was to verify the association between ability to walk in children with myelomeningocele and clinical, socioeconomic and therapeutic factors. METHOD: This cross-sectional study was conducted at the University Hospital. The participants were children aged two years-old or more, diagnosed with myelomeningocele. Data collection was conducted by physical therapy assessment and medical records. The dependent variable was walking and the independent variables were clinical, socioeconomic and therapeutic factors. RESULTS: Forty-one children were evaluated, with a median age of 5 years-old (2-9). The clinical factors that revealed an association with walking were neurological area (p < 0,0001) and fractures (p = 0,022). Socioeconomic factors showed not to be significant in relation to ability to walk. Surgery (p = 0,017) and the use of assistive devices (p = 0,023) were also associated with the ability to walk. Conclusion: The determinant clinical factor for walking prognosis was the neurological area. The use of assistive devices and surgical intervention were shown to be necessary for promoting walking activity.


2009 ◽  
Vol 4 (1) ◽  
pp. 61
Author(s):  
Simone Da Silveira Magalhães ◽  
Islane Costa Ramos ◽  
Thelma Leite De Araújo

ABSTRACTObjective: to investigate the profile of liver donors in the State of Ceara, establishing a relationship with the criteria of the receptors waiting list. Methods: a retrospective documental research was done in a University Hospital in Fortaleza city. Data on all liver donors listed in the liver transplant report archive in the surgical center of the hospital, from 2007 to 2008, were collected, through a structured form. The data is presented in tables and analyzed according to the literature. This study has been approved by the Research Ethics Committee of the Federal Hospital of the University in Fortaleza (003.02.09). Results: we concluded that there is a very good benefit rate (88%), considering the livers that could be donated. The main cause of death among the donors was cranio-encephalic trauma, in the age group between 21 and 30 years. The majority of cases weighed between 61 and 80 kg. The blood type O was the most commonly found. The priority and classification of clinical seriousness criteria of the probable receptor were considered. Conclusions: the donors’ profile is in accordance with the criteria of the receptors’ waiting list. It should be noted that most of the donors are young males that suffered transit accidents. Descriptors: liver transplantation; tissue donors; health profile. RESUMOObjetivo: investigar o perfil dos doadores de fígado no estado do Ceará, correlacionando-o com os critérios da lista de espera dos receptores. Métodos: pesquisa documental e retrospectiva realizada em um Hospital Universitário em Fortaleza. Os dados foram coletados com base no detalhamento de todos os doadores listados no Relatório do transplante hepático existente no Centro Cirúrgico da Instituição em 2007 e 2008. Para a coleta foi utilizado um formulário estruturado. Os dados foram apresentados em tabelas e analisados com base na literatura.  O projeto de pesquisa foi aprovado pelo Comitê de Ética em Pesquisa do Hospital Universitário (003.02.09), Resultados: Verificou-se que há uma alta taxa de aproveitamento dos fígados disponibilizados para transplantes no Ceará (88%). A principal causa de morte em doadores foi o traumatismo crânio-encefálico, entre adultos, na faixa etária entre 21 a 30 anos, com peso mais frequente entre 61 a 80 kg. Os doadores do tipo sanguíneo O foram os mais presentes. Considerou-se também as priorizações e os critérios de classificação de gravidade clínica do provável receptor. Conclusão: O perfil do doador atende aos critérios da lista de espera dos receptores, mas deve-se atentar para o fato de serem na sua maioria homens, jovens e vítimas de acidentes de trânsito. Descritores: transplante de fígado; doadores de tecidos; perfil de saúde. RESUMENObjetivo: investigar el perfil de los donadores de hígado en el estado de Ceará, correlacionando estos perfiles con los criterios  de la lista de espera de los receptores. Métodos: se realizo una busque da retrospectiva de documentos en un Hospital Universitario en Fortaleza. Los datos fueron coletados basados en lo detallismo de todos donadores registrados en la lista de transplante hepático existente en el Centro Quirúrgico de la institución entre 2007 y 2008. Para el registro fue utilizado un formulario estructurado. Los datos fueron presentados en tablas y analizados con base en la literatura. El estudio fue aprobado por el Comité de Ética del Hosptial de la Universidad Federal en Fortaleza (003.02.09). Resultados: se verificó que hubo una alta tasa de aprovechamiento de los hígados en disponibilidad para transplantes en Ceará (88%). La principal causa de muerte entre los donadores fue traumatismo cráneo encefálico, entre adultos, en el grupo etario entre 21 a 30 años, con un peso promedio de 61 a 80 Kg. Los donadores de tipo sanguíneo O fueron los más frecuentes. Se consideró también las priorizaciones de los criterios de clasificación de gravedad clínica del probable receptor. Conclusión: el perfil del donador cumple los criterios de la lista de espera de los receptores, pero debe tener en cuenta el fato de seren la mayoría hombres, jovens y víctimas de los accidentes de tránsito. Descriptores: transplante de hígado; donadores de tejidos; perfil de salud. 


2018 ◽  
Vol 5 (2) ◽  
pp. 75-79
Author(s):  
Dianiris Rodríguez ◽  
Teresita Rey ◽  
Mariela Ramírez ◽  
Daniela Cabrera

Abstract: Objective: To describe the clinical and sociodemographic characteristics of patients with temporomandibular joint (TMJ) dysfunction at the University Hospital of Maracaibo. Methods: A retrospective study was conducted by assessing the clinical history of patients with TMJ dysfunction who underwent orthopedic treatment in the Oral Surgery Unit of the Dentistry Service of the University Hospital of Maracaibo. Information was collected on socio-demographic characteristics (age, gender, origin, and occupation) and clinical findings related to the presence, location, area, beginning, frequency, cause, and duration of pain, and signs present during mandibular dynamics; additionally, a structural and functional diagnosis was made. The data were processed and analyzed using SPSS v.9. Results: 221 patients were included, with only 10% of the disorders observed in males. Regarding occupation, 39.1% worked at home and 28.3% were students. 97.2% of patients presented pain, and of these, pain was localized in 75%. During mandibular movement with maximum opening, 47.4% showed some difficulty, which was more significant in males. TMJ noises were noted in 74.9%, more often in females. In addition, the previous partial displacement of a disk with recapture presented an incidence of 66.4%. Conclusion: The prevalence of TMJ dysfunction was higher in female patients and in adulthood. Noises were present with a high frequency, as was limited mandibular movement.


1998 ◽  
Vol 36 (7) ◽  
pp. 1853-1858 ◽  
Author(s):  
Nadia Liassine ◽  
Reno Frei ◽  
Isabelle Jan ◽  
Raymond Auckenthaler

Between August 1994 and September 1996, 28 glycopeptide-resistant enterococci (GRE) were isolated from 8 infected patients and 11 intestinal carriers hospitalized at the University Hospital of Geneva. Identification to the species was made by both phenotypic (API 20 STREP and Rapid ID 32 STREP systems, and Vitek Gram Positive Identification Card) and genotypic methods using a multiplex PCR assay developed also for the determination of the genotype of glycopeptide resistance (vanA, vanB, vanC1, andvanC2-C3 genes). Fifteen isolates were identified asEnterococcus faecium, 8 as E. gallinarum, 4 asE. faecalis, and 1 as E. hirae. All of the phenotypic identification methods failed to differentiate some isolates of E. gallinarum from E. faecium, or vice versa. Both vanA (n = 18) andvanB (n = 4) glycopeptide resistance genotypes were found. For the first time, the vanBdeterminant was found in two isolates of E. gallinarum. Two patients were colonized by two different species containing thevanA gene and one by two different species containing thevanB gene. All vanA isolates were highly resistant to both vancomycin and teicoplanin except for three isolates which were susceptible to teicoplanin. Molecular typing by pulsed-field gel electrophoresis showed identical or similar patterns among E. faecium isolates with thevanA gene in five patients for whom the epidemiological link could not be always elucidated. This study emphasizes the necessity of utilizing both phenotypic and genotypic methods to characterize GRE.


PLoS ONE ◽  
2020 ◽  
Vol 15 (11) ◽  
pp. e0242534
Author(s):  
Elisa Benetti ◽  
Annarita Giliberti ◽  
Arianna Emiliozzi ◽  
Floriana Valentino ◽  
Laura Bergantini ◽  
...  

Clinical and molecular characterization by Whole Exome Sequencing (WES) is reported in 35 COVID-19 patients attending the University Hospital in Siena, Italy, from April 7 to May 7, 2020. Eighty percent of patients required respiratory assistance, half of them being on mechanical ventilation. Fiftyone percent had hepatic involvement and hyposmia was ascertained in 3 patients. Searching for common genes by collapsing methods against 150 WES of controls of the Italian population failed to give straightforward statistically significant results with the exception of two genes. This result is not unexpected since we are facing the most challenging common disorder triggered by environmental factors with a strong underlying heritability (50%). The lesson learned from Autism-Spectrum-Disorders prompted us to re-analyse the cohort treating each patient as an independent case, following a Mendelian-like model. We identified for each patient an average of 2.5 pathogenic mutations involved in virus infection susceptibility and pinpointing to one or more rare disorder(s). To our knowledge, this is the first report on WES and COVID-19. Our results suggest a combined model for COVID-19 susceptibility with a number of common susceptibility genes which represent the favorite background in which additional host private mutations may determine disease progression.


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