THE BENEFITS OF FOLLOW-UP BY THE MULTIDISCIPLINARY TEAM IN HEALTH FOR PEOPLE WITH SYSTEMIC LUPUS ERYTHEMATOSUS

Objective: Discuss the benefits of monitoring by a multidisciplinary health team for the treatment of patients with systemic lupus erythematosus. Methods: The research proposal is based on a review of bibliographic references, with a source of synthesizing results obtained through secondary research on the theme, in a methodical and orderly manner, seeking to contribute to the knowledge on the proposed subject. Results: Through a thorough analysis of theoretical references, 30 scientific articles were selected that alluded to the systemic lupus erythematosus pathology. Systemic lupus is characterized by articular, cutaneous, renal, vascular, serous, nervous manifestations, decreased mobility, muscle strength, physical conditioning and quality of sleep, increased joint stiffness, pain and fatigue and can cause, even depression, obesity and / or malnutrition, impacting quality of life. Conclusion: The research presented relevant results on the monitoring by the multidisciplinary health team for the treatment of patients diagnosed with systemic lupus erythematosus, presenting data that justify the construction of a structured support network, which will contribute to the therapy of this patient, providing well-being and improvements in quality of life. Taking into account the situation that the pathology presents, these data are at least disturbing. These bases made it possible to expand the discernment on the subject, opening a succession of discussions to find proposals and resolutions that can corroborate with the treatment of people diagnosed with chronic diseases such as SLE.

EVALUATION OF THE VITAMIN D PROFILE IN PATIENTS SERVED BY A MACEIÓ-AL LABORATORY

Vitamin D is a hormone of great importance for vital body activities, as well as for the modulation of the immune system. Being acquired by food, but mainly by exposure to sunlight. Although reduced levels of vitamin D can cause problems related to bone mining, the excess of this is responsible for processes of intoxication. The present work aims to describe the levels of vitamin D of patients treated by a reference laboratory in the health district of Maceió-Al, describing the main affected population and producing a comparison of the levels in relation to social isolation. For this purpose, laboratory records were used considering the period from November 2019 to November 2020 and producing comparisons to sexes, age and analysis period of patients. In total, 1,025 vitamin D tests were performed, of which 27.4% of the patients were male and the other 82.6% were female. During the defined periods, greater numbers of exams were performed in the period of social relaxation. During the analyzed period, higher levels of deficiency were observed in adolescent and, mainly, elderly patients, compared to sexes, women had a higher level of deficiency and the highest levels of vitamin D deficiency during the period of social isolation.

The vasculature of the stomach and intestinal tract during compression stenosis of the celiac axis

At the current moment, there is no single approach regarding diagnostics and after-treatment of compression stenosis of the celiac axis. This work aims to study the state of the vasculature of the stomach and intestinal tract during compression stenosis of the celiac axis. Compression stenosis of the celiac axis is a disease caused by extravasal pressure of the celiac axis of the abdominal aorta applied by the arcuate ligament of the diaphragm, diaphragmatic peduncle, or neurophibromatic tissue of celiac plexus. It presents in chronic abdominal pain, dyspeptic events, and neurovegetative disorders. This work aims to study the state of the vasculature of the stomach and intestinal tract during compression stenosis of the celiac axis. Materials and methods. Intraorgan vasculature has been studied – 18 specimens of stomachs and intestinal tracts, gathered during autopsies of dead bodies with compression stenosis of the celiac axis. Autopsie material has been studied sensu L. Reiner. Research has been conducted with angiology, roentgenologic and histologic methods. To achieve the set goal a universal method has been developed, based on classical impregnation methods: intravascular – Ranvier-Goyer, and immersional – Belschowsky-Gros. Results. The conducted research has allowed locating significant changes of histostructure of microcirculation vessels’ vascular wall: wall shredding, edema of basal membrane, swelling of perivascular connective tissue. Overall the stomach and intestinal tract looked paralytically dilated. The most prominent morphologic changes of microvasculature have been revealed in the pyloric part of the stomach and first intestinal segment of dodecadactylon. In addition to diffuse atrophic changes of the stomach lining and intestinal lining, observed during stenosis of the celiac axis, these changes take the form of helcoid process in separate parts of it. As a result, the conducted research has allowed exposing prominent changes of histostructure of vascular walls of stomach and intestines during compression stenosis of the celiac axis.

“FRONTAL BRANCH OF FACIAL NERVE AND THE TEMPORAL REGION”

Several layers of various soft tissues with interchanging characteristics exist below and above the zygomatic arch, this makes the temporal region anatomy somewhat uneasy to comprehend and recall. The frontal (or Temporal) branch of facial nerve is however the ultimate reason why it becomes important to study this area. Apart from Plastic, aesthetic and Reconstructive surgery, few other surgical specialties often need to work on this region, some of the common procedures include Coronal approaches; Zygoma fracture reduction; Temporoparietal flap elevation; Face and brow lift. There was a need for thorough review of this area from a surgeon’s perspective and to come up with as clear possible messages to be made in regard this topic. After an extensive literature search, we came up with few conclusions and three key illustrations that we strongly believe are crucial to be remembered. The rationale of following certain path of dissection in the temporal region, depending on the planned operation is explained. Eponyms used in literature for various structures have been discussed and clarified. The relationship of the frontal nerve to its surrounding fasciae within the zygomatic zone and Temporoparietal fascia is further explored. This updated review and guidelines are specifically been developed and recommended as an educational tool for in training surgical residents of concerned specialties, as well as for practicing surgeons in those areas to update their anatomy knowledge of this critical region.