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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]

It's visible that, on the violence rates, most situations involve firearms. It's use is extremely explored to commit homicides, according to the statistics. The firearms are responsible for causing several injuries that can lead to sequels, which can be reversible or not, and compromise the social, professional and psychological life of the victim. Some studies show that there is a preference for the maxillofacial region, due to the capacity of disfigure a visible area that has a huge importance for the individual coexistence. Besides that, this region is considered unprotected and exposed. The most common sequels caused on this region are neurological, phonoaudiological, ophthalmological and orthopedic. The trauma can, basically, rush any anatomical area of the head: soft tissues, dent alveolar tissue, and cranioencephalic region. Besides the physical traumas suffered by the victims, the psychological traumas are also important, since the researches show that the quality of life post injury is a quite considerable factor. On cases that involve drilling by firearm, the approaches are the most complex, requiring emergency care and demanding multidisciplinary action. Thus, the knowledge about the topic and the principles of treatment are extremely important, so satisfactory results can be obtained on the patient's life. [ABSTRACT FROM AUTHOR]

Objective: To determine the occurrence of occupational exposure to biological fluids in sharps injuries in the hospital nursing team. Methods: A total of 747 professionals were interviewed, based on questionnaires for work accidents. Results: Of the 747 interviewees, 53.9% suffered accidents by sharp instruments. The increased risk of accidents was related to the female sex, daytime work hours and nursing technician and assistant professions. A large part of the accidents occurred due to needle recapping and inadequate disposal of materials, due to lack of attention. More than a third of the victims did not report the accident. Conclusion: The studied professionals have attitudes of risk that must be tackled with policies of health education, reinforcing the importance of the communication of occurrences. [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]

The plant Carapa guianensis is used empirically for the treatment of dermatological diseases against inflammatory processes. The present study aimed at evaluating the healing of open skin lesions in Wistar rats treated with the C. guianensis oil. Two incisions were made on the back of the animals and the wounds were treated with the C. guianensis oil at 50% (A50) and 20% (A20). The control group (CG) received a treatment with vaseline. The wounds were treated daily and clinical, morphological and histological evaluations were performed on the fourth, seventh, 14th and 21st days of treatment and the tensiometric study on the 21st day. The biochemical profile of the animals was also assessed after 21 days of treatment. It was observed that the use of C. guianensis showed similar results to the ones of the control group in the evaluations, but in the tensiometry, the concentration A20 group presented lower tension when compared to the other groups. Regarding the biochemical parameters, the AST enzyme of the A50 group showed higher values in relation to the control group. It was possible to conclude that the C. guianensis oil shows similar results to the vaseline in wound healing, especially at a concentration of 50%. This study also showed a possible biological interference of the C. guianensis oil on the AST enzyme. [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]

This study aimed to survey the scientific production on tissue repair in diabetic patients. We searched articles, books and articles published, particularly in the lastten years, from online databases such as SCIELO, MEDLINE- PUBMED, BIREME-LILACS and GOOGLE SCHOLAR. The Diabetes Mellitus is the absence of insulin or its action, with damage, dysfunction and organ failure. The major cause of prolonged hospitalization of diabetics are not treated the wounds, which raise the costs of treatment. It is estimated that four million people have injuries with complications in healing. The healing process is essential to the survival of living beings, including reactions of every organism. Understands complex stages, and simultaneous interdepentent with inflammation, reconstruction, epithelialization and maturation. The tissue repair in diabetic complications has linked to hyperglycemia, which increases the activity of the polyol pathway, non enzymatic glycation of proteins with glucose (AGEs) (Advanced Glycation End-products), and the very action of AGEs. These mechanisms lead to endothelial dysfunction that precede vascular complications in diabetes, impaired immune inflammatory response, with state of chronic inflammation. Physiological imbalance occurs and tissue susceptibility to disease. Health professionals should seek to prevent injuries and their complications in diabetics, guide balanced diet, reduced glucose AGEs [ABSTRACT FROM AUTHOR]

The pressure ulcer is a skin lesion that arises in areas of body pressure uninterrupted, for lack of tissue oxygenation, and the action of compression and shearing forces that arise due to the grounding body. Pressure ulcers have their high incidence among bedridden patients in hospitals, thus becoming a serious problem for nursing staff, who must act prevent and treat these lesions that often arise in the sacral region, the femoral trochanters, heels, malleolus among other areas, thus constituting an important source of infection that compromises quality of patient life. In this context the present study aimed to conduct a literature review of nursing care in the treatment and prevention of pressure ulcers. Upon completion of this review concluded that it is of fundamental importance that the nursing staff know evaluation tools capable of identify risk factors for the formation of these ulcers, as well as holding knowledge about the healing process and strategies for prevention and treatment these lesions, as well as know to select the appropriate nursing interventions for each patient, ensuring comprehensive assistance to the patient. [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]