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Background: The lower limb edema observed in normal people at the end of their working days can vary in intensity and frequency depending on the predominant working positions required to perform different jobs. Objectives: To compare lower limb volumes of volunteers allocated to three study groups, depending on the predominant positions in which they work. Methods: Volumetric assessments were conducted of both lower limbs of 51 people free from vascular disease, allocated to three groups of 17 individuals each by predominant working position: sitting, static standing or alternating between the two. Volumes were measured at the start and at the end of the working day and the differences in volumes were calculated for each group. Means and frequencies were compared using appropriate inferential statistics and correlation coefficients were calculated. Results: The groups were homogenous in terms of sex distribution, age, skin color and BMI. The volumetric data from measurements taken before starting work revealed significant differences between all three groups. Volunteers who predominantly worked sitting down had largest volumes, followed by those who remained standing for long periods and then those who varied between these positions. The frequency of lower limb volume increase > 100 mL was significantly higher in the group of people who worked sitting down and maintained this position for long periods. Conclusions: Postural edema is more common among people who work sitting down for long periods, among whom it appears that there is a cumulative effect from the position, since they exhibit larger lower limb volumes at the start of the day.
LINKThe aim of the current study was to evaluate the prevalence of stump infections after major amputations of the lower extremities. Patients rehospitalized in Hospital de Base of the Medicine School in São José do Rio Preto in the period from January 2005 to January 2007 due to stump infection after major amputations of lower extremities were evaluated in a
retrospective study. All the patients underwent prophylactic antibiotic therapy at the time of the surgery. The Fisher exact test was utilized for statistical analysis with an alpha error of 5% (p-value < 0.05) being considered acceptable. A total of 231 patients were submitted to major amputations during this period and 17 (7.3%) were rehospitalized due to amputation stump infections of which 5 (29.4%) died within one month. The association between death due to stump infection and other causes of death during rehospitalizations was not significant (Fisher exact test: p < 0.1). However, death during rehospitalizations was significantly higher than in the initial hospitalization.
It is amazing how artifacts that optimize the performance of athletes arouse interest and have immediate adhesion. In addition to the known use of elastic stockings for venous and lymphatic insufficiency, their indication in other non‐pathological conditions such as in combatting occupational edema has recently been demonstrated and scientifically proven (1‐3). However, the benefits of the use of compressive mechanisms in sport, as has been extensively publicized by the media thanks to the great interest of athletes and manufacturers, have not always been verified by methodologically correct studies that are able to substantiate their appropriate and effective medical prescription.
LINKThe aim of this study was to evaluate complications experienced during implantation of the Braile Vena Cava filter (VCF) and the efficacy of the centralization mechanism of the filter. This retrospective cohort study evaluated all Braile Biomédica VCFs implanted from 2004 to 2009 in Hospital de Base Medicine School in São José do Rio Preto, Brazil. Of particular concern was the filter’s symmetry during implantation and complications experienced during the procedure. All the angiographic examinations performed during the implantation of the filters were analyzed in respect to the following parameters: migration of the filter, non-opening or difficulties in the implantation and centralization of the filter. A total of 112 Braile CVFs were implanted and there were no reports of filter opening difficulties or in respect to migration. Asymmetry was observed in 1/112 (0.9%) cases. A statistically significant difference was seen on comparing historical data on decentralization of the Greenfield filter with the data of this study. The Braile Biomédico filter is an evolution of the Greenfield filter providing improved embolus capture and better implantation symmetry.
LINKPeriodontal disease, or periodontitis, is one of the most underdiagnosed human diseases; it affects about 80% of the adult population.1 The mean percentage of the maximum score of the Community Periodontal Index in adults between the ages of 35 and 44 years indicates that only around 10% of individuals do not seem to have any kind of gingival inflammation.2 In the early stages of the disease, there is an accumulation of bacterial biofilm in the supragingival region that stimulates inflammation of the gingival tissue. When the inflammation is restricted to soft tissue, it is called gingivitis.
LINKBackground: Bleeding is a common complication of oral anticoagulation therapy. Objective: The present study evaluated the use of aminaphtone in patients with minor bleeding while taking warfarin. Methods: Seven patients suffering from bleeding of the nose and gums, who were taking therapeutic doses of warfarin, were included in the study.
Results: The patients were prescribed 75 mg aminaphtone twice daily. For 5 of these patients the bleeding was controlled within 48 h, for 1, within 96 h and for the other, a satisfactory reduction was obtained. Conclusion: Patients with minor bleeding during treatment using oral anticoagulation, who are free from risk of other complications, can benefit from the use of aminaphtone as an initial therapeutic option
