As cirurgias videolaparoscópicas possuem várias vantagens, tais como, menor risco de desenvolverem complicações como infecções e redução do tempo de recuperação do paciente, da incidência e redução da dor pós-operatória e, por isso, ganharam grande espaço na medicina moderna 2 . Sua prática durante o curso de habilidades cirúrgicas na graduação acadêmica de medicina é de extrema relevância ao preparar os estudantes para futuras atividades realizadas em estágios, internato e residência médica. Contudo, o treino das habilidades de cirurgias videolaparoscópicas não é uma realidade em todas as
A drenagem torácica é um procedimento invasivo destinado a drenar fluidos ou ar da cavidade pleural, e quando realizado, está sujeito a complicações. Sua execução de forma inapropriada pode aumentar os gastos e o tempo operatório. Desse modo, o treinamento e experiência profissional são fundamentais para a condução e melhor evolução do paciente.
Introduction: Eating disorders are not restricted to changes in eating habits, but also involve physical and emotional changes in individuals. These habits can lead to several consequences on health and quality of life. To point out the effects that the COVID-19 pandemic had on the lives of individuals with eating disorders and report its consequences on the quality of medical care, interpersonal relationships, and mental health in the context of social isolation.
Materials and Methods: A systematic review of scientific articles was carried out from August to December 2021. The target files for the study were written between the years 2019 to 2021. The modalities of articles included were cohort type, randomized clinical trials and non-randomized, and case reports. Finally, to evaluate the variables, the method “The GRADE approach” was used.
Results: A total of 43 articles were found. The notorious negative impact on the mental health of patients during the pandemic was observed, whether due to social, economic, and even media situations. The emergence of three major problems stands out: social restrictions, functional impairments, and limitations of access to professional support. Consequently, as a way of seeking comfort, many people used food as a method of relief, increasing the intensity and incidence of overweight/obesity and worsening emotional well-being. On the other hand, other individuals started to practice excessive physical activity, which also becomes harmful. Another unfavorable factor for the health of individuals was the commitment to medical care, due to the various safety protocols and restrictions imposed against the spread of the virus and the population's own fear.
Conclusion: The pandemic had a great impact on individual and collective quality of life, as evidenced by the studies found. However, its long-term consequences are still unclear. There was a proven accentuation in cases of psychiatric disorders (such as anxiety and depression) and in eating disorders, especially in the young adult population and, in general, individuals with a history of mental and eating disorders.
Com o intuito de possibilitar um aprendizado mais realístico, as instituições de ensino médico utilizam peças artificiais e orgânicas na realização das aulas práticas de cirurgia. Entretanto, estas continuam sendo somente simulações imperfeitas. Para o estudante ter um aprendizado fidedigno, englobando todo conhecimento adquirido, a participação em atendimentos ambulatoriais e hospitalares é o modo mais efetivo para ampliar e consolidar o aprendizado sobre os procedimentos cirúrgicos.
Introduction: Stüve-Wiedemann Syndrome was first described in 1971. However, this disease was considered a single entity only a few years later. The syndrome is now known to be an autosomal recessive disorder in which the patient has dysautonomia, bone dysplasia and respiratory distress and eating disorder. Objective: To report the case of a girl with Stuve-Wiedemann Syndrome. Case Description: A 7-year-old female SSG patient presented, at birth, with early neonatal sepsis, septic shock, pneumonia, respiratory acidosis, jaundice without the need for phototherapy, food intolerance, anemia, seizures, interstitial pulmonary edema, myositis and osteomyelitis of the right humerus. After 11 months of follow-up, she was referred to a maternal-fetal clinic for genetic testing to investigate the symptoms. The patient was diagnosed with Stüve-Wiedemann Syndrome. Final Considerations: This disease is considered a primary congenital bone dysplasia, characterized by skeletal and joint changes, bowing of the long bones, episodic hyperthermia, periodic respiratory infections, eating disorders and high mortality. These were facts found in the case of the child presented here. On the other hand, this disease can manifest other symptoms such as fissured tongue and episodes of hyperhidrosis, but it was not found in our patient's case. Rare diseases of genetic origin have a high negative impact on patients' quality of life. However, with the practice of physical activity, patients can have a healthy diet. Swimming practice by SSG presents itself as an extremely important activity for the physical and psychological development of this child, contributing to the improvement of her quality of life.
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