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Leao E.P.,State University of Maringá | Pena C.J.M.,Hospital Universitario Of Maringa | de Araujo S.M.,State University of Maringá | Gomes M.L.,State University of Maringá
Arquivos de Gastroenterologia | Year: 2011

Context - The treatment of Chagas' disease colopathy is limited to clinical management in the initial of the process, and for patients for whom surgery is not indicated or is not possible, anti-constipation diets are used, along with judicious administration of laxatives and enemas. Objective - To evaluate over time the effects of physical-therapy interventions combined with daily ingestion of a laxative fruit drink in the treatment of chagasic megacolon. Method - In a quantitative, prospective, and comparative study, 12 patients of both sexes and with a mean age of 67 ± 12 years were clinically evaluated to receive 12 sessions of physical therapy twice a week, along with fruit drink, and were evaluated for intestinal constipation before and after treatment. Results - A significant difference (P<0.0022) was observed in the constipation scores before and after 6 weeks of intervention in 91.7% of the patients, and in 72.7% after 12 months, with reduction of laxative medications, softer stools, and increased number of bowel movements. With respect to gender, age, and whether or not the patient had received surgical treatment, there was no significant difference (P>0.05). Conclusion - The proposed protocol is easy to implement, safe, non-invasive, and low-cost, with the potential to be deployed in health care by providing benefits independent of gender, age, or whether the participant has undergone surgery, improving the condition of patients with chagasic megacolon.

Seleghim M.R.,University of Sao Paulo | Oliveira M.L.F.,Hospital Universitario Of Maringa
Revista Neurociencias | Year: 2013

The identification of illicit drug users' profile is one of the first activities in the elaboration of public policies. Objective. Current investigation described the usage pattern of the main illicit drugs by crack users treated in a Therapeutic Community (TC). Method. A descriptive survey, with a series of cases, featuring semi-structured interview, was conducted with 20 crack users treated in a TC in a south region of Brazil. Data were analyzed by simple descriptive statistics. Results. Most users were within the 20 - 39 year-old bracket, were unmarried, had on average 7.4 years of schooling, and were unemployed. The pattern of drug use is characterized by frequent use, with an onset of licit and illicit drugs in their youth. Their life trajectory confirmed an escalation of the use of psychoactive substances, starting with tobacco and / or alcohol and ending with crack. Conclusions. The profile of the cases investigated was similar to that described in the literature, but the presence of polydrug use and a progression in drug use refers to need for public policies to interrupt these characteristics.

Nishida G.,Hospital Universitario Of Maringa | Sarrao B.D.,Hospital Universitario Of Maringa | Colferai D.R.,Hospital Universitario Of Maringa | Tenorio G.O.S.,Hospital Universitario Of Maringa | Bandeira C.O.P.,Hospital Universitario Of Maringa
Acta Scientiarum - Health Sciences | Year: 2011

The handling of adults' closed thoracic drainage systems at the University Hospital of Maringá, Maringá, Paraná State, Brazil during a 10-month period was prospectively evaluated. Ninety thoracic drainages in 75 patients were analyzed. Traumatic causes in young patients determined pleural drainage (61/90, 68%). The absence of an omental tag of tape as a complementary tube fixation was the most common, albeit isolated case, occurrence in the procedure. In fact, it has been routinely found in 20% (18/90) of cases. Whereas tube obstruction (due to kinking, siphoning, clotting or fibrin) was detected in 12% (11/90) of drainage cases, drainage complications (subcutaneous emphysema, infection, accidental dislodgement, pneumothorax following chest tube removal) occurred in 21% (20/90) of cases. Adequate handling of tube thoracostomy reduces morbidity related to this procedure. Current research enhances the importance of continuous training and of textbooks that would standardize procedures for health teams whose role involves interventions in the thoracic drainage system.

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