Sistema Regional de Información
en línea para Revistas Científicas de América Latina,
el Caribe, España y Portugal

Introduction: Nuclear medicine is essential to identify physiological disorders, one of the applications is on imaging of labeled leukocytes, which allows to identify and assess infections. Objective: The objective of this work was to analyze on a general basis the effectiveness of the imaging of labeled leukocytes in infection diagnosis emphasizing periprosthetic joint infection. Methods: To carry out the research, were identified papers that match the keywords on the data bases LILACS, MEDLINE, SCIELO and Scholar Google. Results: The papers published in 2017-2022 stated that there are gaps to be filled, although labeled leukocytes scintigraphy represents the best accuracy. Conclusion: Labeled leukocytes scintigraphy, combined with bone marrow scintigraphy and SPECT/CT when necessary, is the gold standard for differential diagnosis of periprosthetic joint infection. 

Introdução: A COVID-19 é uma infecção respiratória aguda potencialmente grave, de elevada transmissibilidade e de distribuição global, cuja transmissão ocorre por contato direto através de uma pessoa infectada, por gotícula e por aerossol. A internação em uma Unidade de Terapia Intensiva é necessária para pacientes com dificuldade de troca gasosa. Objetivo: Identificar o perfil sociodemográfico, o perfil clínico, as complicações e o desfecho dos pacientes adultos internados na Unidade de Terapia Intensiva com COVID-19. Material e Método: Pesquisaretrospectiva com pacientes de ambos os sexos, com idade acima de 18 anos, internados em qualquer Unidade de Terapia Intensiva do Hospital Central da Irmandade da Santa Casa de Misericórdia de São Paulo no período de 01/07/2021 a 31/07/2021 com diagnóstico de COVID-19. Resultados: Com relação ao perfil sociodemográfico dos 42 prontuários analisados, 61,9% desses pacientes eram do sexo masculino; a média de idade foi de 54 anos, variando de 28 a 90 anos; no que concerne à cor dos pacientes, houve um registro de 85,7% de pacientes de cor branca; 90,5% eram solteiros. A média de internação hospitalar foi de 15 dias, variando de 2 a 41 dias, e a média de internação na Unidade de Terapia Intensiva foi de 11 dias, variando de 1 a 33 dias. A comorbidade mais frequente foi a hipertensão arterial sistêmica (54,8%), seguida de diabetes mellitus (23,8%) e obesidade (11,9%). Com relação aos dispositivos utilizados durante a internação na Unidade de Terapia Intensiva, o cateter venoso periférico foiusado em todos os pacientes, a sonda enteral em 66,7%, o cateter venoso central em 64,3%, a intubação traqueal em 57,1%, o cateter vesical de demora em 57,1% dos pacientes e a traqueostomia em 28,6% da amostra. A média de permanência com a intubação traqueal foi de 11 dias; com a traqueostomia e com o cateter venoso periférico foi de 15 dias; com cateter venoso central, cateter vesical de demora e sonda enteral, a média de permanência foi de 13 dias cada. O uso de drogas vasoativas foi evidenciado em 90,5% da amostra, com uma média de tempo de uso de 12dias. A complicação mais frequente decorrente da internação na Unidade de Terapia Intensiva foi a pneumonia  (38,1%), seguida de lesão renal aguda (21,4%), trombose venosa profunda (16,7%), lesão por pressão (11,9%) e embolia pulmonar (9,5%). Dos 42 pacientes avaliados, 23 (54,8%) receberam alta hospitalar e 19 (45,2%) evoluíram a óbito. Conclusões: Dos 42 pacientes adultos internados na Unidade de Terapia Intensiva por COVID-19, prevaleceram indivíduos do sexo masculino (61,9%), na faixa etária de 51 a 60 anos (28,6%), de cor de pele branca (85,7%) e solteiros (90,5%). A média de internação hospitalar foi de 15 dias e a média de internação na Unidade de Terapia Intensiva foi de 11 dias. A hipertensão arterial sistêmica foi a comorbidade com maior frequência (54,8%), 19,0% dos pacientes eram tabagistas e 4,8% eram etilistas. A complicação mais frequente decorrente da internação na Unidade de Terapia Intensiva foi a pneumonia (38,1%), e 45,2% dos pacientes evoluíram a óbito. Palavras-chave: Perfil de saúde, Características da população, Características de estudos epidemiológicos, COVID-19, Unidades de terapia intensiva, Adulto ABSTRACT Introduction: COVID-19 is an acute respiratory infection, potentially serious, of high transmissibility and global distribution, whose transmission occurs by direct contact through an infected person, by droplet and by aerosol. Admission to an Intensive Care Unit (ICU) is necessary for patients with gas exchange difficulties. Objective: To identify the sociodemographic profile, clinical profile, complications and outcome of adult patients hospitalized in the Intensive Care Unit with COVID-19. Material and Method: Retrospective research with patients of both sexes, aged over 18 diagnosis of COVID-19. Results: Regarding the sociodemographic profile of the 42 medical records analyzed, 61.9% of these patients were male; the mean age was 54 years, ranging from 28 to 90 years; with regard to the color of the patients, 85.7% were white and 90.5% were single. The mean hospital stay was 15 days, ranging from two to 41, and the mean ICU stay was 11 days, ranging from one to 33. The most frequent comorbidity was systemic arterial hypertension — SAH (54.8%), followed by diabetes mellitus (23.8%) and obesity (11.9%). Regarding the devices used during the ICU stay, peripheral venous catheter was used in all patients, enteral catheter in 66.7%, central venous catheter in 64.3%, tracheal intubation in 57.1%, indwelling urinary catheter in 57.1% of the patients and tracheostomy in 28.6% of the sample. The average length of stay with tracheal intubation was 11 days, with tracheostomy and peripheral venous catheter it was 15 days, and with central venous catheter, indwelling urinarycatheter and enteral tube, 13 days each. The use of vasoactive drugs was evidenced in 90.5% of the sample, with an average time of use of 12 days. The most frequent complication resulting from ICU admission was pneumonia (38.1%), followed by acute kidney injury (21.4%), deep vein thrombosis (16.7%), pressure injury (11.9%) and pulmonary embolism (9.5%). Of the 42 patients evaluated, 23 (54.8%) were discharged from the hospital and 19 (45.2%) died. Conclusions: Of the 42 adult patients admitted to the ICU for COVID-19, male individuals (61.9%), aged between 51 and 60 years (28.6%), with white skin color (85.7%) and single (90.5%) prevailed. The mean hospital stay was 15 days and the mean ICU stay was 11 days. SAH was the most frequent comorbidity (54.8%), 19.0% of patients were smokers and 4.8% were alcoholics. The most frequent complication resulting from ICU admission was pneumonia (38.1%), and 45.2% of patients died.Keywords: Health profile, Population characteristics, Epidemiologic study characteristics, COVID-19, Intensive care units, Adult.years, admitted to any ICU of the Hospital Central da Irmandade da Santa Casa de Misericórdia de São Paulo from 07/01/2021 to 7/31/2021 with

Introdução: O tromboembolismo venoso é considerado um problema de saúde pública, pois afeta grande parte da população e possui alta taxa de mortalidade. O termo abrange dois processos patológicos: a trombose venosa profunda e a embolia pulmonar. Objetivo: Identificar os fatores de risco para o tromboembolismo venoso e os métodos utilizados como tromboprofilaxia nos pacientes hospitalizados. Método: Pesquisa bibliográfica,com artigos científicos selecionados na Biblioteca Virtual em Saúde, incluídos os artigos completos, disponíveis na íntegra, escritos no idioma português (Brasil) e publicados de janeiro de 2016 a outubro de 2022. Resultados: O material desta pesquisa foi composto de 11 artigos, sendo dez publicados em periódicos gerais e um em periódico específico de enfermagem. Quatro artigos foram publicados no ano de 2019, seguidos de dois artigos nos anos de 2017 e 2018 e um nos anos de 2016, 2020 e 2021. Em cinco trabalhos, os dados foram coletados na Região Sudeste do Brasil; em outros cinco, na Região Sul; e, em um, na Região Centro-Oeste. Os fatores de risco para o tromboembolismo venoso citados pelos artigos foram: mobilidade reduzida ou imobilização pós-operatória; idade avançada; histórico prévio de tromboembolismo venoso; doenças crônicas; obesidade; terapia de reposição hormonal e uso de anticoncepcional oral; uso de medicações quimioterápicas; necessidade de radioterapia; necessidade de intervenção cirúrgica e anestesia; internação hospitalar acima de quatro dias; cirurgias de grande porte; tempo prolongado de cirurgia; procedimentos cirúrgicos recentes; tabagismo; grandes queimaduras; uso de dispositivos venosos; gestantes e histórico de trauma. Os métodos utilizados como tromboprofilaxia nos pacientes hospitalizados mencionados nos trabalhos foram: administração de heparina de baixo peso molecular e heparinanão fracionada; deambulação precoce; fisioterapia motora e mobilização de membros inferiores; uso de meia elástica de compressão graduada e de dispositivo de compressão pneumática intermitente. Conclusão: Identificaram-se fatores de risco intrínsecos e extrínsecos relacionados ao tromboembolismo venoso e métodos profiláticos farmacológicos e não farmacológicos. O conhecimento quanto aos fatores de risco e à corretautilização dos métodos profiláticos pode diminuir a taxa de incidência de tromboembolismo venoso nos pacientes hospitalizados.Palavras-chave: Tromboembolia venosa, Embolia pulmonar, Fatores de risco, Prevenção de doenças. ABSTRACT: Introduction: Venous thromboembolism is considered a public health problem, as it affects a large part of the population and has a high mortality rate. The term encompasses two pathological processes, deep vein thrombosis and pulmonary embolism. Objectives: To identify the risk factors for Venous Thromboembolism in hospitalized patients and to identify the methods used as thromboprophylaxis in hospitalized patients. Method:Bibliographic research, with articles selected from the Virtual Health Library, including full scientific articles, available in full, written in Portuguese (Brazil) and published from January 2016 to October 2022. Results: The material of this research consisted of eleven articles, ten of which were published in general journals and one published in a specific nursing journal. Four articles were published in 2019, followed by two articles in 2017and 2018 and one article in 2016, 2020 and 2021. In five articles data were collected in the Southeast region, in another five in the South region and in one article data were collected in the Center-West region of Brazil. The risk factors for Venous Thromboembolism, cited by the articles, were: reduced mobility or postoperative immobilization; advanced age; previous history of venous thromboembolism; chronic diseases; obesity; hormone replacement therapy and use of oral contraceptives; use of chemotherapy drugs; need for radiotherapy; need for surgical intervention and anesthesia; hospital stay for more than four days; major surgeries; prolonged surgery time; recent surgical procedures; smoking; large burns; use of venous devices; pregnant women and history of trauma. The methods used as thromboprophylaxis in hospitalized patients, cited by the articles were: administration of low molecular weight heparin and unfractionated heparin; early ambulation; motor physical therapy and lower limb mobilization; use of graduated compression stockings and intermittent pneumatic compression device. Conclusion: Intrinsic and extrinsic risk factors related to Venous Thromboembolism and pharmacological and non-pharmacological prophylactic methods were identified. Knowledge about risk factors and the correct use of prophylactic methods can reduce the incidence rate of venous thromboembolism in hospitalized patients.Keywords: Venous thromboembolism, Pulmonary embolism, Risk factors, Disease prevention.  

Las fábricas de azulejos en la ciudad de València del último cuarto del siglo XVII y principio del XVIII elaboraron una producción singular. La continuidad técnica facilitó la evolución estética consiguiendo colores y diseños innovadores de alto nivel cromático. Las noticias sobre la actividad de estos obradores, sus creaciones, y sus autores, no son abundantes y más cuando muchos edificios de la época en estudio repletos de azulejos, han ido desapareciendo con el tiempo. En esta ocasión, recurrimos a la información que proporcionan algunos pleitos generados en el entorno de dichas fábricas con el objetivo de identificar las características de las obras realizadas y los productos que generó la actividad cerámica en un segmento temporal, amenudo ignorado.

In questo articolo si dimostra, in maniera conclusiva, la fonte nella quale Rubén Darío ha attinto, per il suo racconto “La ninfa”, i dati eruditi sull’esistenza di centauri e satiri, e sulle relazioni di questi con gli eremiti conosciuti come “Padri del deserto”. Si propone, inoltre, un’ipotesi sui motivi per i quali questo scrittore ha bevuto alla suddetta fonte e si è deciso a scrivere questo racconto e altri testi di simile argomento. En el presente artículo se establece de manera definitiva la fuente de los datos eruditos sobre la existencia de centauros y sátiros y su relación con los llamados “Padres del yermo” aportados en el relato “La ninfa” por Rubén Darío. Así mismo, se propone una hipótesis acerca de los motivos que indujeron a este autor a consultar tal fuente y a escribir dicho relato y otros textos de tema afín.

Introduction: Infections of the bone tissue by pathogenic germs by hematogenous route are frequent in the child in the metaphyseal zones and in the spine in the adult. Objective: To present an adult patient with osteomyelitis of the femur by hematogenous route. Case report: A 38-year-old white female patient with no known morbidity, clinical record 253853, named MRA, who went to the Orthopedics and Traumatology clinic for reporting severe pain at the level of the right thigh that did not respond to treatment with ambulatory pain relievers. Physical examination revealed a slight increase in volume at the level of the distal thigh. On palpation, skin hyperesthesia was detected, especially towards the lateral aspect of the knee. A computed tomography detected an osteolytic lesion at the distal diaphysis of the right femur with the presence of hyperdensity with bone density. Taking all the above elements into account, it was decided to take the patient to the operating room for surgical treatment, where a lateral surgical incision was made in the distal area of the right thigh, surgical plans were performed, and an eight millimeters trocar bone puncture was used to open the bone where thick pus was observed. Conclusions: Hematogenous osteomyelitis is a typical entity of the patient with open epiphyses and in the adult spine. Invasion of bone tissue by the hematogenous route in adults other than in the spine is very rare. DeCS: FEMUR/surgery; OSTEOMYELITIS; HYPERESTHESIA; ADULT; BONE AND BONES/pathology.

The popular films by the French filmmakers Olivier Nakache and Éric Toledano, The Untouchables (Intouchables, 2011) and Samba (2014), starring the actor of Senegalese descent Omar Sy, work as a critical approach to the historical and political period lived by the France of this period, but also as a faithful reflexion. Through narrative and cinematographic analysis, and taking Paul Gilroy’s Black Atlantic as a main reference, this article studies how the heroes performed by Omar Sy function as a questioning of the national integration plan outlined by the Nicolas Sarkozy Administration (2007-2012). In turn, the fact that these characters —black, poor residents of a banlieue— are fully acultural individuals, is a clear display of the limitations in the gaze of the filmmakers, aligned, without intending it, with the legislative and institutional discourse in force during Sarkozy’s mandate.

Based on Deleuze's concept of "rhizome", which understands knowledge in a non-hierarchical way, as an apprehension of multiplicity, we propose a conceptual framework for film analysis, the "ethno-cinematographic rhizome", as a parallel and convergent vehicle of audiovisual artistic creation and para-ethnographic observation. We present the example of two feature films by the Thai independent director Anocha Suwichakornpong, conceived as ethno-cinematographic rhizomes: By the time it gets dark (Dao Khanong, 2016), which deals with the historical memory of the massacre of students at Thammasat University in 1976 and Krabi 2562 (co-directed with Ben Rivers, 2019), which presents the sociocultural microcosm of the tourist town of Krabi. We highlight their fragmented rhizomatic structure that presents a multiplicity of narrative and chronological lines that are assembled in a complex way to make emerge a cinematographic apparatus of great aesthetic beauty and deep para-ethnographic knowledge of the past and present Thai social reality.

This study approaches the BBC's adaptations of certain novels by Elizabeth Gaskell for television, analysing the similarities and differences between the original and its televised version, highlighting those issues present in the nineteenth-century original that the BBC versions bring to the fore, which has made these miniseries an excellent way of bringing the narrative of a Victorian novelist who enjoyed notorious popularity among her contemporaries and who, nevertheless, from her death until well into the second half of the 20th century went unnoticed by both critics and the general public. It will be seen, thus, how these adaptations have led to the inclusion of Gaskell's works in popular culture.

Fidelio, the animated short film (Vindevogel, 2020) is an animated short film that uses Beethoven’s only opera to condense an update of its plot into fifteen minutes. From it, this article analyses the musical insertion in relation to the visual elements, to testify how metaphors bring narrative agility and symbolic effectiveness to a complex message, since it addresses issues such as inequality, social justice, the active role of women or the problems derived from capitalism. It is concluded that the intentionally restricted visual language is enhanced in a singular way by the connotations inherent to the music, so that the animation piece enjoys an effective finish and great potential as a transmitter of a message of brotherhood.