Background Headache attributed to airplane travel is a rare form of headache that develops exclusively during airplane travel. It is characterized by occurring during takeoff, landing, or both, and improves spontaneously within 30 minutes after the ascent or descent of the airplane is completed. Objectives Our objectives were to determine the prevalence of headache attributed to airplane travel among medical students who traveled by plane, the time of flight when it occurred, and the emotional state of passengers on new trips. Methods The study was prospective, cross‐sectional, using a non‐random sample of medical students who traveled by plane. In total, 155 passengers who traveled by plane on at least 3 flights, regardless of duration were interviewed. Results Headache during flight occurred 3 or more times in 7.5% (80/1070) of the trips and 14.2% (22/155) of the passengers, especially during takeoff or landing (17/22; 77.3%), having a stabbing character and lasting less than 30 minutes. The headache improved spontaneously at the end of the landing phase (17/22; 77.3%). When traveling again, 68.2% (15/22) of passengers traveled normally, despite previous painful experience. Conclusions This study demonstrated that headache attributed to airplane travel is not as rare as previously thought, being predominant during takeoff or landing. In addition, despite the bothersome feeling, most passengers who experienced this headache traveled normally, despite previous painful experience.
A presente pesquisa objetivou determinar critérios diagnósticos capazes de fundamentar e fomentar o desenvolvimento de programas de rastreio efetivos da população, que apoiem o serviço de saúde pública na identificação precoce destas lesões potencialmente malignas, favorecendo seu prognóstico e auxiliando o diagnóstico diferencial com outras afecções dermatológicas. Este artigo consiste em uma revisão integrativa, de natureza descritiva, realizada com o objetivo de responder à seguinte questão norteadora: “Quais as estratégias de rastreamento das lesões de pele pré-cancerosas e como estas se caracterizam?”. Inicialmente, foram identificados 1706 estudos após a busca nas bases de dados e 8 estudos por buscas secundárias e bases cinzas da literatura. Após triagem, aplicação dos critérios de elegibilidade e análise dos dados coletados, 17 artigos foram incluídos nesta revisão integrativa. Neste estudo, revisou-se um grande volume de evidências existentes e sumarizou-se os principais aspectos que concernem o rastreamento e caracterização de lesões de pele pré-cancerosas. Desta forma, esta revisão de literatura conseguiu elucidar uma importante lacuna de evidências que limitavam o desenvolvimento de definições clínicas bem estabelecidas, essenciais para apoiar o diagnóstico e a decisão terapêutica das lesões pré-cancerosas de pele.
Objetivo: Reunir literatura científica para mitigar a disseminação e reduzir a gravidade da doença. Metodologia: revisão integrativa a cerca da infecção pelo COVID-19 em pacientes pediátricos pelas palavras-chave “COVID-19”, “SARS-CoV-2”, “Saúde da criança” e “Vacinas”. Resultados: A revisão constitui de 24 artigos científicos, selecionados pelos critérios de inclusão e exclusão. Além disso, foram utilizados dados epidemiológicos do Ministério da Saúde do Brasil e 2 notas técnicas emitidas pela Anvisa. Discussão: Foram definidas sintomatologia leve, moderado, grave e crítica, explicados através da fisiopatologia da doença que associa vírus SARS-CoV-2 e o sistema renina-angiotensina (RAS). Com isso, estabeleceu-se as forma de transmissão desse vírus e diagnóstico que, além na anamnese e exame físico, utiliza de exames laboratoriais e alteração tomográfica como confirmação da hipótese diagnóstica. O tratamento é direcionado de acordo com os sinais e sintomas apresentados pelo paciente, além de suprir o organismo com alimentação e hidratação equilibradas. A prevenção se dá por medidas de isolamento para evitar transmissão entre contatos e com os imunizantes produzidos e autorizados pela Anvisa de acordo com cada faixa etária. A forma aguda e grave que pode se desenvolver na população pediátrica é a Síndrome Inflamatória Multissitêmica (MIS-C) causando disfunção orgânica e aumento de marcadores inflamatórios. O tratamento desta é baseado na Doença de Kawasaki. Conclusão: a infecção pelo COVID-19 na população pediátrica pode causar efeitos diretos e indiretos. Dessa forma, são necessários mais estudos para atualização constante de protocolos que unifiquem as medidas profiláticas e tratamentos direcionados.
Introduction: Communicable infectious diseases are caused by micro-organisms that need a reservoir, being the main cause of death in the 1930s, accounting for 45.7% of deaths in Brazil. However, this index decreased due to changes in the health sector, epidemiological surveillannce and research institutes. Health professionals are responsible for diagnosis and treatment, thus, susceptible to developing these infections, seuch as occupational accidents, being able to prevent them through the use of personal protective equipment (PPE). Objective: To investigate through a literature review the use of PPE and the importance of PPE by health professionals in the face of communicable infectious diseases. Methods: This is na integrative review carried out on the SciELO and VHL electronic databases. Result: 54 qualitative, quantitative and mixed articles were selected based on the inclusion and exclusion criteria, which served as a basis for collecting relevant information, in addition to being tabulated and exposed. Final considerations: The use of PPE by health workers is not yet a reality, due to the rates of occupational accidents abserved, especially among nursing professionals and technicians. In addtion, hygiene measures, such as hand washing, are often not adopted, even though they are na important measure for the elimination of biological fluids after exposure. Thus, it is necessary to adopt continuing education by the institutions to maintain the practice of using PPE in daily life, as well as providing resources and adequate infrastructure for the adoption of these measures.
Objective: To gather scientific literature regarding the influence of the low activity of the enzyme Monoaminoxidase A, responsible for the regulation of brain neurotransmitters, on criminal and / or violent behavior. Methods: Searches were performed in the PubMed and SCOPUS databases using “genes”, “crime” and “monoaminoxidase”, selecting articles published between 2009 and 2019. Results: The selected sample, after applying the inclusion criteria and exclusion, was composed of 14 articles. Discussion: A relationship was found between low levels of activity of Monoaminoxidase A, when associated with socio-environmental factors, with a greater tendency to commit criminal and / or violent acts. Among the socio-environmental factors, the most cited is the experience of trauma in childhood. However, there were copyright disagreements, which demonstrates the need for further investigation and development of studies on the subject. Final considerations: It was found that individuals with low Monoaminoxidase A activity and who experienced stressful socioenvironmental factors are more prone to aggressive and / or violent behavior.
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