RESUMO
BACKGROUND: : In 2012, the breast cancer estimate worldwide stood at 1.67 million new cases, these accounting for 25% of all types of cancer diagnosed in women. For 2014, 57,120 new cases are expected, with a risk estimated at 56.1 cases for every 100,000 women. The objective of this study was to analyze the satisfaction regarding the use of external breast prostheses by women undergoing mastectomy. MATERIALS AND METHODS: This cross-sectional study was conducted with 76 women who used an external breast prosthesis (EBP), registered in the services of the Cuiaba Center for Comprehensive Rehabilitation, Mato Grosso, Brazil, from 2009 to 2012. Data were collected from the records of women who had requested the opening of a process of external breast prosthesis concession. RESULTS: Satisfaction with the EBP was identified in 56.6% of the women. Those satisfied with the EBP reported that its weight was not annoying (p<0.01). Although the women felt body sensations of stitches, pains, pulling, dormancy and phantom limb, they are satisfied with the EBP. The variable related to the displacement of the breast prosthesis during activity of everyday life has demonstrated that even though the women have reported the possibility of displacements, they are satisfied with the EBP. The satisfaction with the use of external breast prosthesis did not affect the sexuality of the women with mastectomy. CONCLUSIONS: Learning the specificities of the EBP, taking into consideration the satisfaction of its use, allows the rehabilitation team, by listening to their clientele more attentively, following up this woman throughout her life journey, supporting and guiding the best way of use, with an eye to her personal, emotional and social life, as well as to her self-esteem.
Assuntos
Mastectomia/psicologia , Satisfação do Paciente/estatística & dados numéricos , Satisfação Pessoal , Próteses e Implantes/psicologia , Adulto , Idoso , Imagem Corporal/psicologia , Brasil , Neoplasias da Mama/psicologia , Neoplasias da Mama/cirurgia , Estudos Transversais , Feminino , Humanos , Pessoa de Meia-Idade , Membro Fantasma , Qualidade de Vida , Comportamento SexualRESUMO
La Prostodoncia e Implantología se interrelacionan para restablecer la ausencia de piezas dentarias. La insatisfacción hacia las prótesis dentales convencionales y la desinformación de la odontología actual repercute en el bienestar personal. El objetivo de este trabajo fue describir las características psico-físicas, socio-económicas y de conocimiento, de la población que requerían una rehabilitación bucal con implantes dentales, en tres consultorios privados de Córdoba, Argentina. Se realizó una investigación observacional, descriptiva y transversal en 100 personas de ambos sexos, mayores de 20 años, en el año 2011. Fueron incluidos al azar mediante muestreo aleatorio simple sistematizado. Se aplicó una Historia Clínica con dos secciones: Exámen clínico odontológico y Encuesta. En la cavidad bucal se observó: presencia de prótesis dental (55%), fijas (36%), removibles (20%) y prótesis implanto-soportada (10%). Sólo el 19% tenían sus prótesis dentales en buen estado. El 97% de los pacientes deseaban una prótesis sobre implantes; se sentían emocional y físicamente frustrados por la ausencia de sus dientes (53%); deseaban estética (20%); masticar bien (29%); el 50% deseaba estética y masticar bien. La población estudiada desconocían el tratamiento (61%) y aún no se colocaron implantes por razones económicas (41%). Se verificó una tendencia, a mayor nivel de estudios mayor cantidad de dientes en buen estado. El porcentaje de pacientes sin obra social aumenta con la edad...
The Prosthodontic and Implantology interrelate to reset the absence of teeth. The dissatisfaction with conventional dentures and misinformation of current dentistry affects the personal welfare. The aim of this study was to describe the psycho-physical, socio-economic and knowledge of the population requiring oral rehabilitation with dental implants in three private clinics in Córdoba, Argentina. Was performed an observational, descriptive and transversal in 100 people of both sexes, aged 20 years, in 2011. Were included randomly using systematic random sampling. A medical history was applied with two sections: dental clinical examination and survey. In the oral cavity was observed: presence of dental prostheses (55%), fixed (36%), removable (20%) and implant-supported prostheses (10%). Only 19% had their dentures in good condition. 97% of patients wanted an implant prosthesis, emotionally and physically felt frustrated by the absence of teeth (53%) wanted aesthetics (20%), chew (29%), 50% wanted aesthetics and chewing okay. The study population unaware of the treatment (61%) and have not been implanted for economic reasons (41%). Was verified a trend, more educated as many teeth in good condition. The percentage of patients without social work increases with age...
Assuntos
Humanos , Masculino , Adolescente , Feminino , Implantes Dentários , Nível de Saúde , Próteses e Implantes/economia , Próteses e Implantes/psicologia , Condições Sociais , Fatores Socioeconômicos , ArgentinaRESUMO
Comunicamos la experiencia de nuestro equipo interdisciplinario en la asistencia de 85 pacientes con implantesprotésicos testiculares (IPT) y sus familias, desde diciembre de 1985 a diciembre de 2005. Se realiza un análisisprincipalmente dinámico-cualitativo de los procesos. Nuestro propósito es demostrar la importancia de la tarea de prevención de los diferentes impactos de la enfermedad. La edad media de nuestra población fue de 6,3 años, con una mediana de 5,8 años, el rango etario va de 1,7 años a los 14 años, realizándose un seguimiento desde los 0 años a 20 años con un promedio de 7,6 años y una mediana de 7 años. Se describen estrategias del equipo que desarrollan una asistencia temprana e integral (multidisciplinaria) en eltratamiento con IPT. Éstas posibilitan mitigar en el desarrollo del paciente la presencia de dificultades, principalmente a nivel del esquema corporal, la autoestima, el desarrollo de la sexualidad y la inserción social. Deesta manera se promueve una mejor calidad de vida para el niño y su grupo familiar. La evaluación de la experiencia realizada ha sido satisfactoria y se observó en los pacientes, en general, un alto nivel de satisfacción en relación al tratamiento, por lo que recomendamos el empleo de los IPT.
An interdisciplinary team-work experience in the assistance of 85 patients with silicone testicular prosthesis (STP) as well as the families guidance from December 1985 until December 2005 is presented. Our purpose is to demonstrate the importance of prevention in the different aspects of this pathology. The age average was 6,3 years old, with a media of 5,8. The ages ranged between 1,7 to 14 years old. Frequent checkups were carried out since newborns until the age of 20, with an average age of 7,6 years and a media of 7. The teams strategies used for an early assistance are described. They help prevent the difficulties these patients suffer specially related to their physical appearance, self-respect, sexual behaviour and social acceptance. As aresult a good life quality of the whole family group was successfully promoted.The working experience was satisfactory and most of the patients showed a high approval degree in regards to the treatment. Therefore we strongly recommend the use of the STP.
Assuntos
Humanos , Masculino , Criança , Adolescente , Próteses e Implantes/psicologia , TestículoRESUMO
Comunicamos la experiencia de nuestro equipo interdisciplinario en la asistencia de 85 pacientes con implantes protésicos testiculares (IPT) y sus familias, desde diciembre de 1985 a diciembre de 2005. Se realiza un análisis principalmente dinámico-cualitativo de los procesos. Nuestro propósito es demostrar la importancia de la tarea de prevención de los diferentes impactos de la enfermedad. La edad media de nuestra población fue de 6,3 años, con una mediana de 5,8 años, el rango etario va de 1,7 años a los 14 años, realizándose un seguimiento desde los 0 años a 20 años con un promedio de 7,6 años y una mediana de 7 años. Se describen estrategias del equipo que desarrollan una asistencia temprana e integral (multidisciplinaria) en el tratamiento con IPT. Éstas posibilitan mitigar en el desarrollo del paciente la presencia de dificultades, principalmente a nivel del esquema corporal, la autoestima, el desarrollo de la sexualidad y la inserción social. De esta manera se promueve una mejor calidad de vida para el niño y su grupo familiar. La evaluación de la experiencia realizada ha sido satisfactoria y se observó en los pacientes, en general, un alto nivel de satisfacción en relación al tratamiento, por lo que recomendamos el empleo de los IPT.
Introduction: an Interdisciplinary Center for the Attention of Children with Down syndrome provides services for children until the age of 2. Objective: describe the mortality incidence and the associated diseases during the first year of life in children with Down syndrome. Material and methods: children with Down syndrome born or derived to the Pereira Rossell Neonatology Service from January 7, 2003 until April 30, 2005. Results: 45 children were assisted. 22 mothers (48,9%) were over 35 years old. Only in one case (2,2%) a prenatal diagnosis was done. 8 children died (17,8%). Associated malformations were observed in 36 children (80%). 32 children (71,1%) had congenital heart disease and 11 (34,4%) required surgery. One children (2,2%) had congenital hypothyroidism. From the 37 children alive after one year, eight had hypothyroidism. Conclusions: these children and families multiple problems are confronted in a better way by an interdisciplinary group. This allowed an earlier diagnosis of the different problems. There is a high mortality and a high incidence of cardiac and thyroid problems.
Assuntos
Humanos , Masculino , Criança , Adolescente , Próteses e Implantes/psicologia , TestículoRESUMO
Neste trabalho, relata-se o caso de uma paciente de 66 anos de idade, atendida na Clínica de Prótese Buco-Maxilo-Facial, da Faculdade de Odontologia de Pernambuco, portadora de um carcinoma basocelular queprovocou a perda do apêndice nasal. Descreve-se, também, a importância da reabilitação protética, abordando os aspectos estéticos, funcionais e psicológicos.
Assuntos
Feminino , Idoso , Nariz/lesões , Próteses e Implantes/psicologia , Reabilitação/psicologiaAssuntos
Membros Artificiais , Medicina Militar , Militares , Patentes como Assunto , Próteses e Implantes , Tecnologia , Membros Artificiais/economia , Membros Artificiais/história , Membros Artificiais/psicologia , Cirurgiões Barbeiros/história , História do Século XIX , México/etnologia , Medicina Militar/economia , Medicina Militar/educação , Medicina Militar/história , Medicina Militar/legislação & jurisprudência , Militares/educação , Militares/história , Militares/legislação & jurisprudência , Militares/psicologia , Patentes como Assunto/história , Patentes como Assunto/legislação & jurisprudência , Pacientes/história , Pacientes/legislação & jurisprudência , Pacientes/psicologia , Médicos/economia , Médicos/história , Médicos/legislação & jurisprudência , Médicos/psicologia , Próteses e Implantes/economia , Próteses e Implantes/história , Próteses e Implantes/psicologia , Tecnologia/economia , Tecnologia/educação , Tecnologia/história , Tecnologia/legislação & jurisprudênciaRESUMO
Desde que a primeira herniorrafia foi realizada por Bassini, há mais de 100 anos, todas as modificaçöes técnicas esbarram num problema comum - tensão na linha de sutura. A utilização da tela de marlex na cirurgia de hérnia determinou uma superação deste problema, pois consegue uma reconstruçao anatômica da região inguinal e fornece um rebusto reforço à parede posterior e ao anel interno. Com o objetivo de avaliar esta nova tendência em reparos herniários, fizemos um estudo preliminar abordando os últimos 25 reparos herniários realizados de julho a setembro de 1996...