Introdução: O câncer de colo uterino é um importante problema de saúde pública, é o terceiro câncer mais frequente em mulheres e a quarta causa de mortalidade no Brasil. Dentre todos os tipos de câncer, o câncer do colo do útero é o que apresenta um dos mais altos potenciais de prevenção e cura, se diagnosticado e tratado precocemente. O exame de rastreio deste câncer é considerado umas das estratégicas públicas mais efetivas, seguras e de baixo custo para detecção precoce. O crescimento nos gastos para controle da doença acentua sua importância como problema de saúde pública, o tratamento do câncer do colo do útero representa um grande impacto na economia brasileira. Objetivos: Avaliar as características clínico-epidemiológicas e os custos das internações hospitalares e procedimentos realizados no SUS por câncer de colo uterino no período de 2012 a 2017. Métodos: Trata-se de um estudo transversal, descritivo, com informações coletadas a partir do banco de dados TabNet-DataSUS, utilizando o CID-10 "C53.0-Neoplasia maligna do colo uterino". Foram incluídas todas as faixas etárias que necessitaram de internação hospitalar, registrados no período de 2012 a 2017, em todos os Regiões brasileiras. Analisou-se os custos, caráter de internação e mortalidade. NO período do estudo a cobertura da vacina predominou no sexo feminino (86%), semelhante a estudos realizados nos EUA. A colpocitologia teve uma média de cobertura em torno de 28,55%. Em relação aos custos gastos com rastreamento e diagnóstico de câncer de colo uterino, obtivemos resultados inferiores em relação a outros países. A taxa média de internações hospitalares por ano foi de 3,54 internações/10.000 mulheres expostas. A idade média com maior número de internação foi 40 a 59 anos, com aproximadamente 6 dias de internação. Do ponto de vista econômico, o valor médio gasto por cada internação foi de R$ 1683,33. Os gastos com serviços hospitalares foram quatro vezes maiores do que o gasto com serviços de profissionais da área da saúde. Das pacientes internadas, 13.358 pacientes evoluíram para o óbito em 5 anos. Conclusão: Conclui-se, portanto, que ocorreu aumento significativo no número das internações hospitalares por câncer de colo uterino, e que a taxa de cobertura do exame colpocitológico está muito baixa, necessitando-se campanhas de estímulos à realização do mesmo.
Objective: Conduct a systematic review to assess the risk of increased intraocular pressure (IOP) associated with corticosteroid use in children and adolescents with acute lymphocytic leukemia (ALL) and non-Hodgkin's lymphoma (NHL). Methodology: A search was performed on PubMed, Scopus, Web of Science, Science Direct Cochrane Library, Google Scholar and OpenThesis databases. Relevant studies were read in full and selected according to eligibility criteria (children and adolescents up to 19 years of age with ALL or NHL, regardless of gender, and who were treated with systemic corticosteroids regularly) and those who reported ocular hypertension due to tumor infiltration, and glaucomatous damage and corticosteroid-induced ocular hypertension in initial testing. Results: 8 studies were selected: three case reports, a series of 5 cases, two prospective observational studies -one with 55 patients and one with 90 patientsand two retrospective observational studies -one with 54 and one with 12 patients. The results demonstrated eventual control of IOP, and consequences ranging from no ocular impairment to complete loss of vision.Conclusion: The possibility of silent ocular hypertension, with risk of irreversible amaurosis, demonstrates the need to evaluate the introduction of an evaluation and treatment protocol in pediatric patients soon after the diagnosis of ALL or NHL. However, given the limited evidence, further studies are warranted evaluating IOP and visual function before treatment initiation, as well as systematic measures during and after treatment.
Goal: To evaluate the quality of life of patients after cataract surgery, with the use of different types of intraocular lenses. Methods: This is a quantitative, crosssectional and observational study, carried out in 2020, with 50 patients operated on for cataracts, at Instituto de Olhos Cristiano Mendonça (IOCM), in Aracaju, Sergipe. The following criteria were applied for selection: patients over 18 years of age, submitted to cataract surgery in one or both eyes, literate, without cognitive deficits, and who agreed to participate in the research by signing the Free and Informed Consent Form (ICF). In the period between August and October 2020, data collection was carried out, using the Visual Function Index questionnaire (VF-14) adapted to Portuguese as a collection instrument. Results: 25 patients used multifocal lens implants, and 25 used single vision lens implants, with a mean age of 65.4 years (±6.6 SD). 23 patients were male (46%) and 27 were female (54%). No statistically significant difference was found between lens types in any of the VF-14 questions, considering the level of significance (α = 0.05). In the group of monofocal lenses, there was a greater variability of the scores than that of the multifocal lenses. The sociodemographic characteristics evaluated in facectomized patients -age, sex and marital status -are in accordance with the literature. Conclusion: Although the comparison between monofocal and multifocal lenses through the VF-14 scores did not show significant differences between the two types of lenses, it is possible to conclude that the quality of visual life improved after cataract surgery.
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