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Bibliographic Details
Main Author:	Rhonan Ferreira da Silva
Format:	Artículo científico
Language:	pt
Published:	Universidade da Região de Joinville 2010
Subjects:	Medicina Saúde pública corpos estranhos Odontologia Legal
Online Access:	https://www.redalyc.org/articulo.oa?id=153017325016
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Orientações clínicas e éticas em caso de deglutição de corpo estranho durante atendimento odontológico Rhonan Ferreira da Silva Felippe Bevilacqua Prado Cláudia Daniela Moreira Portilho Rhodolfo Ferreira da Silva Eduardo Daruge Júnior Medicina Saúde pública corpos estranhos Odontologia Legal Introdução: A passagem de corpos estranhos pela orofaringe durante o tratamento odontológico é um acidente que pode ser evitado na maioria das vezes, principalmente quando o profissional adota condutas preventivas, como usar o lençol de borracha ou amarrar determinados objetos com fio dental. Objetivo: Ressaltar a importância de evitar que corpos estranhos sejam deglutidos durante o tratamento odontológico e orientar o cirurgião-dentista sobre como proceder, clínica e eticamente, caso esse tipo de acidente ocorra. Relato de caso: Paciente do sexo feminino, menor de idade e desacompanhada, deglutiu acidentalmente uma ponta utilizada no acabamento de restauração de resina composta durante um atendimento odontológico realizado em serviço público, em decorrência de defeito na caneta de alta rotação. A paciente e seus responsáveis legais foram avisados do acidente, e o objeto foi monitorado radiograficamente até ser eliminado pelas vias naturais, sem relatos de desconforto. Conclusão: Cabe ao cirurgião-dentista conhecer e observar os meios necessários para evitar ou contornar complicações decorrentes da passagem de corpos estranhos pela orofaringe, tendo em vista o bem maior a ser zelado, que é a saúde e a integridade do paciente. Além disso, o cirurgião-dentista também se resguardará de possíveis demandas ético-judiciais por cumprir suas responsabilidades como profissional da área da saúde. 2010 artículo científico 1806-7727 https://www.redalyc.org/articulo.oa?id=153017325016 pt http://www.redalyc.org/revista.oa?id=1530 RSBO Revista Sul-Brasileira de Odontologia application/pdf Universidade da Região de Joinville RSBO Revista Sul-Brasileira de Odontologia (Brasil) Num.3 Vol.7

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// Anecdotal testing Today and Yesterday seems to indicate destroy() // is called by the garbage collector and everything is good. // Something to keep in mind though. return 0; } /** * Write function that is called when session data is to be saved. * * @param string $sessId The current session ID * @param string $data The session data to write * * @return bool */ public function write($sessId, $data): bool { if ($this->writesDisabled) { return true; } return $this->saveSession($sessId, $data); } /** * A function that is called internally when session data is to be saved. * * @param string $sessId The current session ID * @param string $data The session data to write * * @return bool */ abstract protected function saveSession($sessId, $data): bool; }

* * @return void */ public function writeClose() { // The assumption is that we're using PHP's ext/session. // session_write_close() will actually overwrite $_SESSION with an // empty array on completion -- which leads to a mismatch between what // is in the storage object and $_SESSION. To get around this, we // temporarily reset $_SESSION to an array, and then re-link it to // the storage object. // // Additionally, while you _can_ write to $_SESSION following a // session_write_close() operation, no changes made to it will be // flushed to the session handler. As such, we now mark the storage // object isImmutable. $storage = $this->getStorage(); if (! $storage->isImmutable()) { $_SESSION = $storage->toArray(true); session_write_close(); $storage->fromArray($_SESSION); $storage->markImmutable(); } } /** * Attempt to set the session name * * If the session has already been started, or if the name provided fails * validation, an exception will be raised. * * @param string $name * @return SessionManager * @throws Exception\InvalidArgumentException */ public function setName($name) { if ($this->sessionExists()) { throw new Exception\InvalidArgumentException( 'Cannot set session name after a session has already started'

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