RESUMO
La presente publicación describe las orientaciones técnicas e instrumentos de recolección de datos para realizar la búsqueda activa integral de parálisis flácida aguda, sarampión y rubéola a nivel institucional (establecimientos de salud) y comunitario. La implementación conjunta de la búsqueda activa para estas tres enfermedades pretende lograr una sinergia de los recursos humanos y financieros, tomando en cuenta las consideraciones específicas de cada enfermedad. Asimismo, presenta, en los anexos, los diagnósticos diferenciales e instrumentos de recolección de datos para otras enfermedades prevenibles por vacunación como difteria, tétanos, tétanos neonatal y tos ferina, en caso de que el país tenga interés en incluir alguna de estas enfermedades durante la implementación de la búsqueda activa
Assuntos
Humanos , Paralisia , Monitoramento Epidemiológico , SarampoRESUMO
El Instituto Nacional de Salud (INS) en cumplimiento de las funciones otorgadas en el Decreto único reglamentario del sector salud 780 de 2016 y lo establecido en el Reglamento Sanitario Internacional (RSI), realiza entre otras, las acciones de Vigilancia en Salud Pública de las enfermedades inmunoprevenibles que se encuentran en erradicación, eliminación y control como lo es la poliomielitis, mediante la vigilancia de la Parálisis Flácida Aguda (PFA) en menores de 15 años.
The National Institute of Health (INS) in compliance of the functions granted in the sole Decree regulatory health sector 780 of 2016 and established in the International Health Regulations (RSI), performs, among others, Surveillance actions in Public Health of Immunopreventable Diseases that are in eradication, elimination and control such as poliomyelitis, by monitoring the Acute Flaccid Paralysis (AFP) in children under 15 years of age.
Assuntos
ParalisiaRESUMO
Crotalic envenomation is responsible for approximately 8%-13% of ophidism cases in Brazil, yet it is associated with the highest mortality among snakes. We describe the case of a patient bitten by a rattlesnake who developed ventilatory muscle paralysis within hours after envenomation. While diaphragmatic paralysis is a rare late neurotoxic event following crotalic envenomation, in this case, paralysis occurred early but was rapidly reversed after antivenom administration. This report discusses potential contributing factors based on a comprehensive literature review.
Assuntos
Paralisia Respiratória , Mordeduras de Serpentes , Animais , Humanos , Mordeduras de Serpentes/complicações , Paralisia Respiratória/complicações , Antivenenos/uso terapêutico , Paralisia/etiologia , CrotalusRESUMO
OBJECTIVE: To systematically review the literature in search of the most suitable and effective nutritional interventions and indications for the nutritional treatment of children and adolescents with cerebral palsy (CP). DATA SOURCE: This review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The articles were selected from seven databases (Cochrane, Literatura Latino-Americana e do Caribe em Ciências da Saúde - Lilacs, Embase, United States National Library of Medicine - PubMed, Scientific Electronic Library Online - SciELO, Scopus, and Web of Science). Studies from a pediatric group (0 to 18 years old) diagnosed with CP were included and the search strategy included the descriptors: "children" OR "childhood" AND "nutritional therapy" OR "nutritional intervention" OR "nutrition" OR "nutritional support" OR "diet" AND "cerebral palsy" OR "cerebral injury". Methodological quality was assessed using the checklist for cross-sectional analytical studies, the Newcastle-Ottawa scale or the Cochrane Collaboration tool for clinical trials. DATA SYNTHESIS: Fifteen studies (n=658) published from 1990 to 2020 met the inclusion criteria. All of them had a low risk of bias. The data showed that children and adolescents with CP have worse nutritional status than those normally developed. Those who received hypercaloric and hyperprotein nutritional supplementation benefited from its use. Studies indicate that enteral nutrition should be considered when nutritional needs are not met by the oral diet, especially in cases where oral motor functions are impaired. In addition, there was a direct relationship between the consistency of food, the level of motor function and nutritional status. CONCLUSIONS: Children and adolescents with CP have a greater risk of malnutrition. The use of nutritional supplementation may help with weight gain. In addition, enteral nutrition and modification of food texture have been used to improve the nutritional status of this group.
Assuntos
Nutrição Enteral , Apoio Nutricional , Estados Unidos , Criança , Humanos , Adolescente , Recém-Nascido , Lactente , Pré-Escolar , Estudos Transversais , Suplementos Nutricionais , ParalisiaRESUMO
OBJECTIVE: To identify in national and international literature the use of virtual reality to develop manual skills of children with cerebral palsy. METHODS: This is a systematic review carried out in the PubMed database, Portal de Periódicos da Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES), and the Online System for Search and Analysis of Medical Literature (Ovid Medline) using the keywords "cerebral palsy", "virtual reality", "occupational therapy", "child", "daily activities/activities of daily living", in English and in Portuguese. The selected articles had their methodological quality evaluated through the Physiotherapy Evidence Database (PEDro scale). RESULTS: 228 studies were selected, as they included children with cerebral palsy undergoing treatment with exposure to virtual reality to improve manual function in daily activities. Studies on other themes, incomplete, and duplicated reviews were excluded. Three evaluators conducted the study selection process and included 14 articles in the analysis. CONCLUSIONS: The findings suggest that virtual reality therapy has contributed to an improvement in the manual function of children with cerebral palsy, constituting a useful resource for a supporting intervention to enhance traditional therapies.
Assuntos
Paralisia Cerebral , Realidade Virtual , Humanos , Criança , Atividades Cotidianas , Modalidades de Fisioterapia , Paralisia Cerebral/terapia , ParalisiaRESUMO
Abstract The subscapularis plane block is an effective approach to anesthetize axillary and upper subscapular nerves. There have been no reports regarding brachial plexus paralysis as a potential complication to date. Described here is a case of median nerve palsy following ultrasound-guided subscapularis plane block for awake frozen shoulder manipulation that was performed on a 52-year-old female diagnosed with adhesive capsulitis. The patient could not flex digits two and three, and ipsilateral inner palm numbness occurred shortly after the block commenced, with complete resolution in the next two hours. The local anesthetics spillage towards brachial plexus with possible partial paralysis should always be expected after subscapularis plane block.
Assuntos
Humanos , Feminino , Pessoa de Meia-Idade , Bloqueio do Plexo Braquial/efeitos adversos , Bloqueio Nervoso/efeitos adversos , Paralisia , Manguito Rotador , Ultrassonografia de Intervenção , Anestésicos Locais/efeitos adversos , Nervo MedianoRESUMO
The subscapularis plane block is an effective approach to anesthetize axillary and upper subscapular nerves. There have been no reports regarding brachial plexus paralysis as a potential complication to date. Described here is a case of median nerve palsy following ultrasound-guided subscapularis plane block for awake frozen shoulder manipulation that was performed on a 52-year-old female diagnosed with adhesive capsulitis. The patient could not flex digits two and three, and ipsilateral inner palm numbness occurred shortly after the block commenced, with complete resolution in the next two hours. The local anesthetics spillage towards brachial plexus with possible partial paralysis should always be expected after subscapularis plane block.