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Health care in terms of palliative care for neoplastic wounds is characterized by a comprehensive assessment, determining coverage, measuring the wound, minimizing suffering and pain, in addition to supporting the family, working with the other health professionals. The challenges faced by these professionals are great, as knowledge is still lacking, and there is a need for qualification and continuous permanent education. Thus, the objective was to reflect on palliative care with regard to neoplastic wounds. It was possible to conclude that it is possible to observe that the patient with the presence of neoplastic wounds still represents a challenge? for the healthcare team that provides direct assistance in managing the signs and symptoms that the wound imposes, in addition to caring for the injuries. It is evident that the lack of knowledge about how to manage and manipulate neoplastic wounds is a reality present in health institutions and among team members, which hinders the quality of patient treatment. It was realized that continuing education is the key for care to be properly carried out, aiming to improve the health team's assistance in a comprehensive manner. The research highlighted this result, reflecting and debating on the topic with professional diversity in mind. [ABSTRACT FROM AUTHOR]

Objective: The aim of this study was to analyze the various computed tomography findings in penetrating chest trauma, as well as to determine the frequency and extent of the lesions. Material and Methods: We studied the computed tomography findings from 40 cases of penetrating thoracic trauma, of which 35 (85.8%) were gunshot wounds and 5 (14.2%) were caused by another type of weapon. Results: Pulmonary lesions were found in 39 cases (97.5%), manifesting as contusions in 34 cases (85%), atelectasis in 8 (20%), lacerations in 1 (2.5%) and hematomas in 1 (2.5%). Hemothorax was seen in 31 cases (77.5%), and pneumothorax was seen in 22 cases (55%). Mediastinal lesions were observed in 8 cases (20%), including mediastinal hematoma in 3 cases (7.5%), hemopericardium in 3 (7.5%), and pneumomediastinum in 2 (5%). Diaphragmatic rupture was seen in 2 cases (5%). Conclusion: In patients with penetrating thoracic trauma, computed tomography of the chest is an important tool for characterizing the affected organs and evaluating the path of injury, as well as the severity and extent of the lesions. The images obtained are also useful in estimating the risk of death and determining the best therapeutic approach. [ABSTRACT FROM AUTHOR]

This article describes the case of a work accident victim with a penetrating wound to the right inguinal region caused by a metal spiral. The patient developed an arteriovenous fistula between the deep femoral artery and deep femoral vein, combined with a pseudoaneurysm surrounding these structures and the common femoral vein. Arteriovenous fistulas frequently occur after traumas, but the combination of fistula and pseudoaneurysm is rare. It is recommended that they be treated immediately after diagnosis. Duplex ultrasound is the most widely used method for initial assessment and arteriography is the gold standard for diagnosis of arteriovenous fistulas. Endovascular surgery has recently been used successfully in such cases. However, this patient was treated conventionally using a direct surgical approach, arterial suture and venous ligatures, and the limb was saved. The patient developed no complications and was discharged to outpatients follow-up. [ABSTRACT FROM AUTHOR]

Oncological wounds are caused by the infiltration of malignant cells in the epithelial tissue and a flaw in its integrity. These lesions occur in 5 to 10% of patients suffering from cancer. They may develop at the onset of the disease, as in skin cancer, or at the end, through metastases. Oncological lesions are a bad prognostic since they do not heal, require palliative care to lessen their symptoms, reduce complications and improve the life quality by prevention and a relief from the patient's and family's suffering. The health team, especially nurses, should be aware that specific care should be provided to people with tumor wounds and the need of products, materials and medicine for treatment. Current review of literature underscores the lack of scientific works on the subject matter and its contribution towards knowledge for better planning of activities for people with tumor lesions. Strategies should be implemented for professional qualification, improvement of care by the establishment of new practices and a higher satisfaction to patients and their families through the attendance of their needs. [ABSTRACT FROM AUTHOR]

Background: firearm wounds are relatively frequent and show high incidence at the head and face area. Temporomandibular joint may be involved, and also some important anatomic structures as the facial nerve directing the need for an interdisciplinary team in order to promote an efficient treatment. Procedures: a case report related to a comminuted condyle fracture caused by firearms with a nonsurgical treatment associated to myofunctional therapy. The patient was referred to Speech and Language Pathologist after the conduct of oral and maxillofacial surgery team, without removing the bullet, lodged superficially near the origin of the sternocleidomastoid muscle on the right side; with comminuted condyle fracture and facial nerve damage. Myofunctional evaluation found an important reduction in the mandibular movement amplitude with severe deviations as for the affected side, no contralateral laterality, muscle pain; paralysis and paresthesia on the right side of the face. Myofunctional therapy followed a specific protocol for facial trauma including: drainage of edemas, specific ipsilateral manipulations on jaw muscles; correction and enlargement of the mandibular movements, specific procedures related to facial paralysis and directed functional reorganization. Results: after eight therapy sessions we obtained: mandibular movements with adequate amplitude and symmetry, chewing reorganization, adequacy of swallowing and speech, remission of painful symptoms and remission of paralysis in the medium third of the face. Conclusion: the conservative treatment for comminuted condyle fracture through myofunctional therapy resulted in functional rehabilitation of the jaw and face, directing the movements and stimulating the adequacy of the sthomatognatic functions. [ABSTRACT FROM AUTHOR]

In order to know the effects of application of honey to wounds (that is, in their healing process), the following question was formulated: "How does the application of honey to wounds contribute to their treatment?". To carry out the work, the seven steps in the Cochrane Handbook were followed. Using this process, it was possible to assemble a set of studies that followed the previously-defined criteria for inclusion and exclusion. The analysis showed that honey can be beneficial in the healing of wounds; however, no definitive conclusions are possible. This review opens doors for further research to be undertaken in this area. [ABSTRACT FROM AUTHOR]

The aim of the study was to compare the effectiveness of Cissus quandrangularis and Phyllanthus reticulatus poir in healing at induced wound in guinea pigs skin. Were used 12 guinea pigs, male, Abyssinian, with 6 months old and weighing 550 to 850g. Three groups of four animals were created. Once anesthetized, three surgical wounds were performed on each animal. The F1 was treated with Cissus quandrangularis; F2 was group control (saline solution) and F3 with Pyllanthus reticulatus poir. Group I was euthanized on the seventh day after surgery; Group II on the fourteenth day and the Group III on the twenty-first day after surgery and the lesions submitted to histological examination. Were used SPSS®, with analysis of variance (ANOVA) followed by Tukey test at 5% of significance. The lesions treated with Cissus quandrangularis healed faster and higher than Phyllanthus reticulatus poir. [ABSTRACT FROM AUTHOR]