BACKGROUNDOccupational dermatitis affects the quality of life and productivity of workers. Studies on the subject are scarce in Brazil. It is estimated that the disease is underreported and that many affected patients do not seek health care.OBJECTIVESTo conduct an epidemiological analysis of occupational dermatitis notified via SINAN in Brazil from January 2007 to December 2012; evaluate the profile of patients assisted; and check the main etiological agents involved.METHODSWe analyzed the compulsory notification forms of cases of occupational dermatitis filled nationwide during January 2007 to December 2012.RESULTSDuring the study period 3027 cases of occupational dermatitis were notified in Brazil. In 61.4% of cases patients were men aged between 35-49 years (39.6%). The most described etiological agent was chromium (13.9%). The location of the body most affected was the hands, with 28.4% of cases. The construction sector is implicated in 28.7% of cases and domestic services by 18%. Allergic contact dermatitis is the most prevalent occupational dermatitis (20.6%) and the region with the highest number of notifications was the Midwest, with 376.4 cases per million inhabitants.CONCLUSIONSThe profile of patients most affected by occupational dermatitis in Brazil during the study period was: men with elementary school, aged between 20 and 49 years old and working in the construction industry. The most common occupational dermatitis were allergic contact dermatitis caused by chromium after years of exposure, being the hands and head the parts of the body most affected.
Objectives: To assess the demographic and behavioral profile of patients with optic medical indication of contact lenses (CL) in a public
. RESUMOO tratamento cirúrgico nas hérnias umbilicais gigantes complicadas (obstrução, evisceração e/ou contaminação) consiste muitas vezes em tratar a complicação em uma primeira cirurgia e posteriormente corrigir o grande defeito na parede abdominal utilizandose uma tela de reforço. Relata-se o caso de uma paciente com hérnia umbilical gigante eviscerada no qual se realizou a cirurgia em um tempo com reforço da parede com tela, discute-se os aspectos do caso e a literatura atual.. Palavras-Chave: hérnia umbilical, herniorrafia. ABSTRACTSurgical treatment of complicated giant umbilical hernias (obstruction, infection) was to treat complication first and during a second surgery reinforced the abdominal wall with a non-absorbable prosthesis. In this case the patient has an eviscerated giant umbilical hernia, the operation performed was dissection of the hernia sac wall with resection of omentum. The abdominal wall was reinforced with a non-absorbable prosthesis. Others authors agreed with the use of non-absorbable prosthesis in cases with potentially contaminated surgery provided careful surgery technique is used so to minimize infection risks, combined with a suitable designed antibiotic regime.
RESUMO - A artéria tibial anterior, originária da artéria poplítea, normalmente se ramifica abaixo da articulação do joelho, passando posteriormente ao músculo poplíteo. Desta forma, a existência da artéria tibial aberrante ocorre quando sua ramificação está alterada, podendo se formar em diferentes alturas da artéria poplítea e realizar cursos alterados em relação aos músculos e articulações. Essas variações podem aumentar o risco de lesões intra-operatórias. O objetivo deste estudo foi realizar revisão de literatura sobre o tema pouco abordado, visando promover maior conhecimento e prevenção de iatrogenia nos atos operatórios. Foi realizada busca em bases de dados eletrônicas (PubMed, Scielo e Biblioteca Virtual em Saúde) utilizando os seguintes descritores: artérias da tíbia, artéria poplítea, e variação anatômica. Para a seleção dos artigos, foram utilizados os seguintes critérios de inclusão: resultados de pesquisa com relevância ao tema proposto, por meio de leitura crítica de cada artigo selecionado e em seguida, foram realizadas comparações das informações de cada um deles. Foram selecionados 10 artigos. Em conclusão, a presença de artéria tibial anterior aberrante é alteração anatômica de baixa incidência, mas é responsável por intercorrências durante procedimentos cirúrgicos, devido à sua localização próxima à tíbia. Sugere-se realização de exames de imagens para diagnóstico pré-operatório dessa anormalidade anatômica.
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