Database : HANSEN Search on : PE [Subject descriptor] References found : 166 [refine] Displaying: 1 .. 20   in format [Detailed]

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Id: 19891 Author: Anon. Title: Cuidando dos Pés / ? Source: In: Brasil. Ministério da Saúde. Secretaria de Vigilância em Saúde. Departamento de Vigilância Epidemiológica.Autocuidado em Hanseníase: face, mãos e pés^ipt. Brasília, Editora do Minist´rio da Saúde, 2010. p.48-69ilus, tab. Descriptors: Pé/fisiopatol Location: BR191.1, B736a

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Id: 19247 Author: Win, Maartje M. L. de; Theuvenet, Wim J; Roche, Paul W; Bie, Rob A. de; Mameren, Henk van. Title: The paper grip test for screening on intrinsic muscle paralysis in the foot of leprosy patients. Source: Int. J. Lepr;70(1):16-24, Mar.,2002. ilus, graf. Abstract: Plantar intrinsic foot muscles provide structure to the foot during walking and thus regulate mechanical foot sole stresses. When paralyzed, for instance in leprosy patients with neuropathy of the distal part of the tibial nerve, there is a high prevalence of plantar ulceration and deformities, especially when muscle weakness goes together with loss of foot sole sensibility. These patients should get immediate care involving education, special footwear and reconstructive surgery before further foot impairment and deformity becomes manifest. Thus far, in leprosy patients little attention is paid to screening of plantar intrinsic muscles activity. This can be done with a new simple and non-invasive method, the Paper Grip Test (PGT). There are two variants for detecting intrinsic muscle weakness of the foot, PGT1 for the great toe and PGT2 for the combined lesser toes. In this study, 517 leprosy patients and 170 healthy volunteers were investigated with the PGT. Sensibility of the foot sole was tested by means of a 10 gram monofilament. Specificity to the PGT1 is found to be about 95.3% which is considered good for physical diagnostic tests. PGT2 is less specific than PGT1. Individual muscle power and understanding of the patient seems to influence the outcome of the test to a certain extent. Sensitivity can only be calculated when the diagnosis is confirmed by electromyography. Especially patients with anesthetic feet, females, older patients and patients with PN-, BB- or LL-types of leprosy appeared to have a higher prevalence of intrinsic foot muscle weakness. All results were analyzed by means of the bivariate Pearson correlation-analysis and proved to be statistically significant (p = < 0.05). It is concluded that the PGT1, more than the PGT2, is a useful screening test on the function of plantar intrinsic foot muscles in leprosy patients in hospitals and during fieldwork in developing countries. (AU)^ien. Descriptors: Paralisia/compl Paralisia/fisiopatol Pé/inerv Pé/fisiopatol Hanseníase/fisiopatol Electronic Medium: http://hansen.bvs.ilsl.br/textoc/revistas/intjlepr/2002/pdf/v70n1/v70n1a03.pdf / pt Location: BR191.1

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Id: 19195 Author: Soares, José Augusto. Title: Mal perfurante plantar: tratamento intra arterial pela padutina e vacina antipiogena Behring / Foot ulcerations: treatment by intra-arterial and padutina vaccine antipiogena Behring Source: Rev. bras. Leprol;9(2):132-62, jun. 1941. ^bilus. Descriptors: Hanseniase Hanseniase/clas Hanseniase/diag Ulcera do pe/clas Ulcera do pe/quimioter Ulcera do pe/prev Electronic Medium: http://hansen.bvs.ilsl.br/textoc/revistas/brasleprol/1941/pdf/v9n2/v9n2a02.pdf / pt Location: BR191.1

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Id: 18929 Author: Silveira, Linneu M. Title: O mal perfurante plantar na lepra / The ulcerations in leprosy Source: Rev. bras. Leprol;16(1):7-32, mar. 1948. ^bilus. Descriptors: Úlcera do Pé/compl Úlcera do Pé/diag Úlcera do Pé/fisiopatol Úlcera do Pé/reabil Limits: Humanos Electronic Medium: http://hansen.bvs.ilsl.br/textoc/revistas/1948/PDF/v16n1/v16n1a01.pdf / pt Location: BR191.1

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Id: 18722 Author: Jordy, Ceme F; Belda, Walter; Manzolli, Silvio. Title: Transtornos neurológicos associados ao mal perfurante plantar leprótico. Source: Rev. bras. Leprol;34(1/4):45-51, jan.-dez. 1966. ^btab. Abstract: Os autores analisam os distúrbios neurológicos sensitivos, motores e tróficos em 100 pacientes de lepra, 32 dos quais portadores de mal perfurante plantar. Concluem ser o m.p.p. complicação tardia do processo patológico hanseniano que se manifesta tôda vez que profundas modificações sensitivas, motoras e tróficas, devidas principalmente a transtornos da inervação profunda dos pés, alteram a arquitetura dos segmentos distais dos membros inferiores. (AU)^ipt. Descriptors: Úlcera do Pé/compl Úlcera do Pé/diag Úlcera do Pé/fisiopatol Doenças do Sistema Nervoso/compl Doenças do Sistema Nervoso/diag Doenças do Sistema Nervoso/fisiopatol Electronic Medium: http://hansen.bvs.ilsl.br/textoc/revistas/brasleprol/1966/PDF/v34n1-4/v34n1-4a05.pdf / pt Location: BR191.1

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Id: 18706 Author: Belda, Walter. Title: Tratamento do mal perfurante plantar com um extrato de sangue desproteinizado (Solcoseryl): primeiros resultados. Source: Rev. bras. Leprol;33(1/4):61-67, jan.-dez. 1965. ^bilus. Abstract: Após considerações gerais sobre a importância do problema do mal perfurante plantar como incapacidade f¡sica e sua gênese, o autor expõe as caracter¡sticas de um produto obtido do sangue de amimais jovens (Solcoseryl) e usado no tratamento desta complicação tardia de lepra. Em quatorze anos obtem doze curas com um m¡nimo de cinco e um máximo de 38 aplicações, e em dois casos obtem melhora evidente. Os resultados são ilustrados por fotografias anteriores e posteriores ao tratamento. Concluiu-se que, pela ação cicatrizante rápida, é de utilidade no tratamento, em regime ambulatorial, do mal perfurante plantar de origem leprótica. (AU)^ipt. Descriptors: Úlcera do Pé/sangue Úlcera do Pé/cirurg Hanseníase Dimorfa/sangue Hanseníase Dimorfa/fisiopatol Hanseníase Dimorfa/cirurg Hanseníase Virchowiana/sangue Hanseníase Virchowiana/fisiopatol Hanseníase Virchowiana/cirurg Hanseníase Tuberculóide/sangue Hanseníase Tuberculóide/fisiopatol Limits: Humanos Masculino Feminino Adulto Meia-Idade Idoso Electronic Medium: http://hansen.bvs.ilsl.br/textoc/revistas/brasleprol/1965/PDF/v33n1-4/v33n1-4a07.pdf / pt Location: BR191.1

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Id: 18361 Author: Carayon, A; Giraudeau, P; Disy, P Title: La composante neuro-vasculaire dans les ulceres plantaires de la lepre The neurovascular component in the plantar ulceres of leprosy- Source: s.l; s.n; 1978. 25 p. ilus. Descriptors: ULCERA DO PE/compl ULCERA DO PE/diag ULCERA DO PE/fisiopatol ULCERA DO PE/reabil ULCERA DO PE/cirurg HANSENIASE/compl HANSENIASE/diag HANSENIASE/fisiopatol HANSENIASE/cirurg Limits: ESTUDO COMPARATIVO Location: BR191.1; 00936/s

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Id: 18317 Author: Convit, J; Arvelo, J. J Title: Prevention and treatment of physical disabilities in leprosy ..- Source: s.l; s.n; s.d. 12 p. . Descriptors: HANSENIASE/diag HANSENIASE/prev HANSENIASE/reabil HANSENIASE/terap NEURITE/diag NEURITE/reabil NEURITE/terap - DEFORMIDADES DA MAO/reabil  DEFORMIDADES DO PE/reabil Limits: ESTUDO COMPARATIVO Location: BR191.1; 00658/s

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Id: 18316 Author: Ganapati, R; Pai, V. V; Kingsley, S Title: Disability prevention and management in leprosy: a field experience ..- Source: s.l; s.n; 2003. 6 p. ilus, tab. Abstract: Bombay Leprosy Project has conducted operational research into cost effective ways of using therapeutic management for prevention of disabilities (POD). The goal of achieving this are broadly divided as 1) prevention of impairments and disabilities (POID) and 2) prevention of worsening of disabilities [POWD]. About 33-56% of newly registered leprosy patients already have clinically detectable nerve function impairment [NFI], often no longer amenable to MDT. An analysis of 892 leprosy cases treated with WHO-MDT stresses the need to focus attention on leprosy patients having > 5 skin lesions and multiple nerve thickening. Asasessment of 454 disabled leprosy patients after 4 years indicated that the compliance for the services offered was good and it helped to improve the disability status in more than 50% of patients. In terms of effectiveness of the services, it was found to be effective in preventing worsening of deformities in hands and healing of trophic ulcers in nfeet. The methodology adopted has also helped us to develop an operational research model about the necessity to systematize the assistance and support to be given if the services can be routed through a public health facility. Because of the large numbers of leprosy patients with disability living in this region and the limited resources available, the services have to be targeted towards those who are most in need. The major advantage of such community based program is an attempt to eliminate the social stigma in the patients' families and the education of the community. (AU). Descriptors: HANSENIASE/diag HANSENIASE/epidemiol HANSENIASE/prev HANSENIASE/fisiopatol HANSENIASE/reabil HANSENIASE/terap DEFORMIDADES DO PE/reabil Limits: ESTUDO COMPARATIVO Location: BR191.1; 09355/S

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Id: 18262 Author: Anon Title: Rehabilitation of HD patients: a new wave for the period 1993 - 2000 as the main subject at the International Leprosy Congress 1993 ..- Source: s.l; s.n; 1992. 4 p. ilus. Descriptors: PE/cirurg ULCERA DO PE/reabil ULCERA DO PE/cirurg Limits: ESTUDO COMPARATIVO Location: BR191.1; 01101/f

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Id: 18232 Author: Anon Title: Classification of disabilities resulting from leprosy, for use in control projects ..- Source: s.l; s.n; s.d. 4 p. tab. Descriptors: AVALIACAO DA DEFICIÊNCIA DEFORMIDADES DA MAO/clas DEFORMIDADES DO PE/clas - HANSENIASE/compl  HANSENIASE/diag  FACE/inerv Limits: HUMANO Location: BR191.1; 00629/s

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Id: 18194 Author: Tuck, W H Title: Problems in footwear for the leprosy patient ..- Source: s.l; s.n; 1971. 6 p. ilus. Abstract: This paper deals with footwear for partially amputated feet of patients in tows and cities who require either surgical footwear made to measure or normal footwear which can be adapted surgically. It includes a problems associated with amputation of the great toe including balance, relief of pressure and satiffeling to prevent deformity. Unilateral amputation of all toes and associated complications, bilateral amputation of al toes, with similar complications, but with the added possibility of rocker soles to correct the gait, and amputatiuons through the midtarsalarea where major protheses are necessary.Descriptions are given of the use of sponge rubber cork and plastazote for weight distribution and relief and of the manufacture of suitable footwear by the vacuum forming method.(AU). Descriptors: HANSENIASE/compl HANSENIASE/reabil HANSENIASE/cirurg HALLUX/les HALLUX/cirurg MARCHA/fisiol - DEFORMIDADES ADQUIRIDAS DO PE/etiol  DEFORMIDADES ADQUIRIDAS DO PE/cirurg  DEDOS DO PE/cirurg Limits: HUMANO Location: BR191.1; 01195/s

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Id: 18142 Author: Martin M Fisher; William Mccann; Arthur Michele Title: Foot ulcers in hansens Disease ..- Source: New York; s.n; 1964. 5 p. ilus. Abstract: In this report we present the results of our observations of 2 patients in the New York City area with ulcers on the plantar surface. Our purpose in describing these cases is to emphasize the need to consiuder hansens diase in the diagnosis of ulcers of the foot. We have been able to heal theserefractory ulcers by the use of sodium sulfoxone (Diasone sodium), the specific for hansens disease. A critical evaluation of the newr technics for confirmation of this diagnosis is presented. The awareness of the existence of hansens disease helps to differentiate it from the more common causes of leg and foot ulcers in peripheral vascular diseases. Thus there is a need to evaluate all lower extremity ulcers with specifc diagnostic tests, such as blood sugar for diabetes cryoglobulins for cryoglobulinemia ulcer biopsy for epithelioma and a complete blood count bone marrow biopsy and coombs test for sickle cell anemia cooleys anemia and hemolytic anemia. A careful history and accurate physical examination can usually differentiate a thromboangiitis obliterans ulcer from that of peripheral arteriosclerosis obliterans. Similarly the ulcer of varicose veins is differentiated from that of diabetic neuritis by physival evaluation and the postphlebilitic ulcer is differenbtiated from that of choronic lymphedema by lymphangiography. The following are 2 typical cases of foot ulcers due to hansens disease found in the New York City area. (AU). Descriptors: HANSENIASE/compl HANSENIASE/terap ULCERA DO PE/compl ULCERA DO PE/diag ULCERA DO PE/etiol ULCERA DO PE/terap - HANSENOSTATICOS/uso terap  NEURITE/diag  NEURITE/terap Limits: HUMANO Location: BR191.1; 01142/s

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Id: 18104 Author: Andersen, G Title: Plantar ulcers in leprosy ?- Source: s.l; s.n; 1961. 12p p. . Abstract: In two papers an attempt has been made to present a concept of the natural history of plantar ulcers in leprosy with the main stress on factors dependent on anaesthesia of the foot. A rational therapy based on these findings has been described. Descriptors: ULCERA DO PE/clas ULCERA DO PE/compl ULCERA DO PE/diag ULCERA DO PE/prev ULCERA DO PE/fisiopatol ULCERA DO PE/cirurg ULCERA DO PE/terap - HANSENIASE/compl  HANSENIASE/fisiopatol Limits: HUMANO Location: BR191.1; 00931/s

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Id: 17983 Author: Srinivasan, H. Title: Nerve damage, surgery and rehabilitation in leprosy. Source: Hansen. int;(n.esp):100-, Jun. 1998. . Conference: Present in: Congresso da Associação Brasileira de Hansenologia, IX, Foz do Iguaçu, 04-08 junho 1997. Descriptors: NERVOS PERIFERICOS/anorm NERVOS PERIFERICOS/les NERVOS PERIFERICOS/fisiopatol HANSENIASE/compl HANSENIASE/fisiopatol HANSENIASE/reabil HANSENIASE/cirurg HANSENIASE/terap PE/anat PE/fisiopatol PE/cirurg Limits: RELATO DE CASO ESTUDO COMPARATIVO HUMANO Location: BR191.1

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Id: 17788 Author: Bastazini, Ivander. Title: Reação hansênica com lesões viscerais / Leprosy reaction with visceral lesions Source: Hansen. Int;3(1):87-93, 1978. ilus. Abstract: É apresentado um caso de um paciente virchoviano que na vigência de surto de Reação hansênica vem a fortalecer. A correlação anátomo-clínica sugere como provável causa mortis colapso tóxico-infeccioso secundário a extensa infecção aguda envolvendo traquéia, planos mediastinais, folhetos pleurais e pericárdios. Por sua vez pela análise dos dados clínicos e dos achados do estudo da laringe no pós mortem o comprometimento inicial laringo-traqueal foi consequente às lesões necrotizantes e supurativas da reação hansênica em nível laríngeo. Este mesmo comprometimento necrótico-supurativo da reação hansênica é encontrado no seio de infiltrado virchoviano na pele, gânglios linfáticos, nervos periféricos, testículos, fígado e baço. É comentado, que lesões desta intensidade podem causar sérios distúrbios funcionais, e piorar de muito as condições anatômicas das estruturas atingidas. Finalmente é destacada a presença de glomerulites proliferativas mesangios-endoteliais como substrato anatômico da proteinuria observada em vida. Descriptors: HANSENIASE/compl HANSENIASE/diag HANSENIASE/cirurg ULCERA DO PE/compl ULCERA DO PE/diag ULCERA DO PE/cirurg Limits: RELATO DE CASO HUMANO Electronic Medium: http://hansen.bvs.ilsl.br/textoc/hansenint/v01aov20/1978/PDF/v3n1/v3n1a12.pdf / Pt Location: BR191.1

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Id: 17787 Author: Campos, Mario Patrony. Title: Contribuição para o tratamento do mal perfurante plantar na hanseníase / Contribution for the treatment of the armor-piercing evil plantar in leprosy Source: Hansen. Int;3(1):59-61, 1978. . Abstract: O autor apresenta o resultado de 18 anos de atividade como médico em Hospitais de doentes de hanseníase e sua experiência no tratamento do MPP. Aprecia os elementos constituintes do pé normal como inervação, irrigação e coxins adiposos protetores, compara-os com os do pé hansênico cuja estrutura óssea, tegumentar, vascular e nervosa estão em desarmonia, perturbando toda a biodinâmica, com formação de irregularidades e escaras plantares. A falta de padronização de lesões e de tratamento se associa à falta de motivação pessoal dos próprios doentes que em maioria, não se preocupam. Após considerar rapidamente o mecanismo de formação do MPP o autor descreve seu tratamento, desde o método conservador ao cirúrgico. No tratamento conservador aplica o método curativo inicial e complementa-os com a colocação de bota gessada modificada no apoio; suplementa o tratamento com o uso de palmilhas adequadas, desde o material de cortiça até ao emprego da plastazote. Descriptors: HANSENIASE/diag HANSENIASE/reabil HANSENIASE/cirurg ULCERA DO PE/diag ULCERA DO PE/reabil ULCERA DO PE/cirurg Limits: ESTUDO COMPARATIVO HUMANO Electronic Medium: http://hansen.bvs.ilsl.br/textoc/hansenint/v01aov20/1978/PDF/v3n1/v3n1a08.pdf / Pt Location: BR191.1

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Id: 17726 Author: Liwen, Dong; Futian, Li; Juan, Jiang; Guocheng, Zhang. Title: Transplantation of fibula with vascular pedicle for fusion of ankle in leprotic drop-foot. Source: In: Wen, Dong Li.Microscopic surgical techniques in leprosy. Shanghai, STD, 2001. p.78-83tab. Abstract: Devascularized bone grafts are pieces of dead bone they simply serve as scaffods for new bone to grow and fill the gap, taking a long time when they succeed in doing so. In constrast, vascularized grafts being living tissues have short healing time, great vitality and strong infection resisting capacity. We report here the successful use of vascularized grafts of the lower end of fibula for fusing the ankle in five leprosy patients. Descriptors: NERVO FIBULAR/anorm NERVO FIBULAR/les NERVO FIBULAR/cirurg PE/anat PE/cirurg HANSENIASE/cirurg Limits: RELATO DE CASO ESTUDO COMPARATIVO HUMANO Location: Br191.1; WC335.603, W48m

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Id: 17725 Author: Liwen, Dong; Futian, Li; Juan, Jiang; Guocheng, Zhang. Title: Techniques for covering soft tissu defects resulting from plantar ulcers in leprosy: Part V - use of the flap in the inguinal region and latissimus dorsi musculocutaneous flap. Source: In: Wen, Dong Li.Microscopic surgical techniques in leprosy. Shanghai, STD, 2001. p.60-77ilus, tab. Abstract: The area of distribution of the superficial cicunflex iliac, superficial epigastric and superficial external pudental arteries is large and flaps based on them can meet the requirement of different recipient sites. We have transplanted free flaps based on the superficial epigastric artery for repairing plantar soft tissue defects in six leprosy patients. During the follow up examination 58 to 118 months later there has been no recurrence of ulceration in any of these cases. The latissimus dorsi muscle, is mainly nourished by the thoracadorsal artery and the latissimus dorsi musculocutaneous flap is a large sized, composite structure with abundant blood provision and strong anti infectious property. The latissimus dorsi flap can be used as a muscle graft. because ofits constant vascular position, wide outer diameter of the vessels and long pedicle. It can therefore be utilized for repairing soft tissue defect or replacement of paralyzed muscle. We have used the latissimus dorsi musculotacutaneous free flap for repairing large skin and soft tissue defects resulting from plantar ulceration in three leprosy patients. During the follow up period, one patient who had complete drop foot and had refused corrective surgery had recurrence of the ulcer in the 12 post operative month. No ulcers had recurred in the other two cases during the follow up at 48 and 114 months. Descriptors: ULCERA DA PERNA/compl ULCERA DA PERNA/diag ULCERA DA PERNA/cirurg PE/anat PE/cirurg Limits: RELATO DE CASO ESTUDO COMPARATIVO HUMANO Location: Br191.1; WC335.603, W48m

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Id: 17723 Author: Liwen, Dong; Futian, Li; Jugen, Zhang; Yongling, Ye; Juan, Jiang; Guocheng, Zhang. Title: Techniques for covering soft tissue defects resulting from plantar ulcers in leprosy: Part III - use of plantar skin or musculocutaneous flaps and anterior leg flap. Source: In: Wen, Dong Li.Microscopic surgical techniques in leprosy. Shanghai, STD, 2001. p.32-45ilus, tab. Abstract: Anatomical studies suggest that five types of plantar flaps namely, the lateral and medial plantar flaps, the Abductor hallucis, the Flexor digitorum brevis, and the Abductor digiti minimi myocutaneous flaps, can be incised from the central section of the sole. The advantages of a plantar flap are recognizable neurovascular bundles of the sole, wide calibre of constantly located blood vessels, identical histological structure of the donor and the recipient sites, hidden donnor site and absence of functional deficit. We have used the palntar flaps in seven cases. There has been no recurrence of ulceration in any of them during the follow up period of 12 to 108 month. An anterior leg flap based on the cutaneous branches of the anterior tibial artery, with firmly anchored vessels, a long pedicle with wide vessels may used not only as a free flap graft for reconstruction of moderate degree distant defects but also as a retrograde island flap graft for the reconstruction of adjacent tibial artery in five cases of plantar ulceration with satisfactoryresults. there was no recurrence of ulceration during the follow up period of 48 to 72 months. Descriptors: ULCERA DO PE/diag ULCERA DO PE/reabil ULCERA DO PE/cirurg ARTICULACAO DO DEDO DO PE/anat ARTICULACAO DO DEDO DO PE/cirurg Limits: RELATO DE CASO ESTUDO COMPARATIVO HUMANO Location: Br191.1; WC335.603, W48m

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