Introduction and objective: Esophagus is a muscular and mucosal tubular organ with 4 physiological narrowing’s that are preferred sites for the retention of foreign bodies accidentally or deliberately ingested. The latter form is frequent in people with mental disorders and prisoners. The aim of this study is to describe a rare clinical case of foreign body ingestion.Case Report: This case describes an incident in which a young man deliberately swallowed a key to hide evidence of theft. This is a unique case in the literature of deliberate ingestion in mentally healthy people and not part of the prison population. Discussion: Foreign bodies are a public health problem, related with huge ENT doctor's activities. It represents the first cause of ENT emergency services care. Although large foreign body ingestion is rare. The worldwide literature is full of articles related with little accidental foreign bodies ingestion, especially in children, such as coins, toys, fish bones and bones Conclusions: In the presence of intentionally and/or accidental foreign bodies ingested in adults, it is necessary to discard mental disorders or social factors.
Inicialmente os distúrbios no paladar e olfacto não foram considerados sintomas da COVID-19, todavia, posteriormente, a maioria dos pacientes com esta doença relatou algum distúrbio no olfacto e/ou paladar e, muita das vezes foi a única manifestação da doença. Para entender os distúrbios no olfacto (anosmia) e paladar (ageusia) em pacientes infectados por SARS-CoV-2 durante a pandemia da COVID-19 foi realizada uma revisão de literatura, do tipo descritivo exploratória. Concluiu-se que os pacientes com quadro de distúrbios no olfacto e/ou paladar, em meio a esta crise de saúde, devem ser vistos como possíveis portadores dos vírus e, devem isolar-se até que sejam obtidos os resultados do teste de PCR, de modo a evitar a propagação do vírus.
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Background: In China, a viral disease emerged which spread to the remainder of the world at an impressive speed, making it a pandemic that led a majority of countries in the world to declare a state of partial or total emergency with resulting repercussions. The aim of this study was to assess the level of knowledge, attitudes, and practices of COVID-19 among students of the health sciences fields in six higher education institutions in Mozambique. Methodsː An online survey was created, similar to the one used in a study in China, Portugal, Mozambique and Brazil. This is an exploratory, descriptive study, using a quantitative. An online questionnaire with closed questions was used as a collection tool, with 35 related to knowledge and perception, 2 to attitude and 7 to practices. Resultsː A total of 786 students participated in the study, of which 67% were female. The average age of the students was 22.7 years.The average level of knowledge of the students surveyed in the 33 questions related to COVID-19 was 70.2%. Conclusionsː The present study thus showed that the knowledge about COVID-19 in future Mozambican health professionals during the outbreak was satisfactory, attitudes have been very favorable, and practices are mostly suitable.
Introduction: In developing countries the problem of foreign bodies in Otorhinolaryngology Services (ENT) is poorly studied. The foreign body is common in children but may occur in adults with mental disorders or in prisoners. Objective: To describe the case of a patient with psychiatric problems who ingested a metallic object. Psychiatric observation was requested that diagnosed an "anxiety crisis" after family conflict. Results: Esophagoscopy was performed for uncomplicated extraction. Discussion: Voluntary (intentional) ingestion of objects occurs in patients with psychiatric disorders, especially schizophrenia, mental retardation or in the inmate population. However, the ingestion of a large foreign body is related to parasuicidal behaviour. Conclusions: Always suspect the presence of a foreign body in patients with psychiatric disorders with odynophagia in the absence of pharyngotonsillitis.
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