Search | SciELO

RESUMO Antecedentes: O acidente vascular cerebral (AVC) é um problema de saúde pública. Nos casos de AVC isquêmico, a trombólise venosa e a trombectomia mecânica são efetivas opções terapêuticas de fase aguda. Entretanto, mesmo com a Diretriz Nacional de AVC publicada desde 2012, o número de casos tratados ainda é baixo. Objetivo: Apurar os fatores determinantes para o acesso às terapias de fase aguda na realidade espírito-santense e investigar o perfil dos pacientes de AVC atendidos no Hospital Estadual Central de Vitória (HEC). Métodos: O presente estudo analisou dados retrospectivos de prontuários de 1.078 pacientes no período de maio de 2018 a dezembro de 2019. Resultados: Dos 1.078 pacientes, 54,9% eram homens e a faixa etária mais prevalente foi a de 60 a 79 anos. A hipertensão arterial sistêmica foi o principal fator de risco isolado. Quanto ao tratamento, identificou-se que entre os pacientes que chegaram ao HEC na janela terapêutica 47% receberam terapia de fase aguda e que acordar com o déficit foi a principal contraindicação para trombólise venosa nesses casos. Conclusões: As análises demonstraram que a aplicação do fluxograma estabelecido pela Secretaria de Estado da Saúde do Espírito Santo parece ser eficaz na agilidade de atendimento das vítimas de AVC e que o Serviço de Atendimento Móvel de Urgência tem um papel fundamental nesse processo. Além disso, a assistência de um centro terciário de AVC permite acesso às terapias de fase aguda com excelência. Todavia, mesmo que o modelo de serviço prestado no HEC seja eficiente, ele atinge no máximo 50% da população do ES, sendo necessária a sua ampliação.

ABSTRACT Background: Stroke is a public health problem. For patients with ischemic stroke, venous thrombolysis and mechanical thrombectomy are effective therapeutic options. However, even after the National Stroke Treatment Guidelines were published in 2012, the number of cases treated is still lower than expected. Objective: To identify the determining factors for obtaining access to acute-phase therapies in the state of Espírito Santo (ES) and investigate the profile of stroke patients treated at the Central State Hospital (HEC). Methods: Retrospective data from the medical records of 1078 patients from May 2018 to December 2019 were analyzed. Results: Among the 1,078 patients, 54.9% were men and the most prevalent age group was 60 to 79 years. Systemic arterial hypertension was the main single risk factor. Regarding treatment modality among the patients who arrived at the HEC within the therapeutic window, 47% received some type of acute-phase therapy. Waking up with the deficit was the main contraindication for venous thrombolysis in these cases. Conclusions: Application of the flowchart established by SESA-ES seemed to be effective for enabling responsiveness of care for stroke victims. Public emergency transport services had a fundamental role in this process. In addition, the care provided by the tertiary stroke center provided excellent access to acute-phase therapies. However, despite the efficiency of the service provided at the HEC, it only reached a maximum of 50% of the ES population. This service model therefore needs to be expanded throughout the state.

https://doi.org/10.1590/0004-282x-anp-2020-0466

What do Cochrane systematic reviews say about congenital vascular anomalies and hemangiomas? A narrative review
Facebook Twitter

Other social networks
Google+
LinkedIn
Reddit
StambleUpon
CiteULike
Mendeley
Other networks

Metrics
- SciELO Analytics
- Dimensions
- PlumX
- Altmetric

Guedes Neto, Henrique Jorge

; Kuramoto, Danielle Akemi Bergara

; Correia, Rebeca Mangabeira

; Santos, Brena Costa

; Borges, Amanda da Cunha

; Pereda, Mariana Raffo

; Aidar, Ana Laura e Silva

; Pereira Júnior, Francisco Amadeu

; Amaral, Fabio Cabral de Freitas

; Vasconcelos, Vladimir Tonello de

; Lustre, Wellington Gianoti

; Amorim, Jorge Eduardo de

; Flumignan, Ronald Luiz Gomes

; Nakano, Luis Carlos Uta

; Baptista-Silva, José Carlos Costa

Sao Paulo Medical Journal

Journal Metrics
- Sobre o periódico
- SciELO Analytics

feb 2022, Volume 140 N. 2 Pages 320 - 327

Abstract: En | Text: En | PDF: En

ABSTRACT BACKGROUND: Congenital vascular anomalies and hemangiomas (CVAH) such as infantile hemangiomas, port-wine stains and brain arteriovenous malformations (AVMs) impair patients’ lives and may require treatment if complications occur. However, a great variety of treatments for those conditions exist and the best interventions remain under discussion. OBJECTIVE: To summarize Cochrane systematic review (SR) evidence on treatments for CVAH. DESIGN AND SETTING: Review of SRs conducted in the Division of Vascular and Endovascular Surgery of Universidade Federal de São Paulo, Brazil. METHODS: A broad search was conducted on March 9, 2021, in the Cochrane Database of Systematic Reviews to retrieve any Cochrane SRs that assessed treatments for CVAH. The key characteristics and results of all SRs included were summarized and discussed. RESULTS: A total of three SRs fulfilled the inclusion criteria and were presented as a qualitative synthesis. One SR reported a significant clinical reduction of skin redness by at least 20%, with more pain, among 103 participants with port-wine stains. One SR reported that propranolol improved the likelihood of clearance 13 to 16-fold among 312 children with hemangiomas. One SR reported that the relative risk of death or dependence was 2.53 times greater in the intervention arm than with conservative management, among 218 participants with brain AVMs. CONCLUSION: Cochrane reviews suggest that treatment of port-wine stains with pulsed-dye laser improves redness; propranolol remains the best option for infantile hemangiomas; and conservative management seems to be superior to surgical intervention for treating brain AVMs.

https://doi.org/10.1590/1516-3180.2021.0374.r2.15092021

Guidelines on COVID-19 vaccination in patients with immune-mediated rheumatic diseases: a Brazilian Society of Rheumatology task force
Facebook Twitter

Other social networks
Google+
LinkedIn
Reddit
StambleUpon
CiteULike
Mendeley
Other networks

Metrics
- SciELO Analytics
- Dimensions
- PlumX
- Altmetric

Tavares, Anna Carolina Faria Moreira Gomes

; Melo, Ana Karla Guedes de

; Cruz, Vítor Alves

; Souza, Viviane Angelina de

; Carvalho, Joana Starling de

; Machado, Ketty Lysie Libardi Lira

; Valadares, Lilian David de Azevedo

; Reis Neto, Edgard Torres dos

; Rezende, Rodrigo Poubel Vieira de

; Guimarães, Maria Fernanda Brandão de Resende

; Ferreira, Gilda Aparecida

; Braz, Alessandra de Sousa

; Vieira, Rejane Maria Rodrigues de Abreu

; Pinheiro, Marcelo de Medeiros

; Ribeiro, Sandra Lúcia Euzébio

; Bica, Blanca Elena Gomes Rios

; Baptista, Kátia Lino

; Costa, Izaias Pereira da

; Marques, Claudia Diniz Lopes

; Lopes, Maria Lúcia Lemos

; Martinez, José Eduardo

; Giorgi, Rina Dalva Neubarth

; Mota, Lícia Maria Henrique da

; Loures, Marcos Antônio Araújo da Rocha

; Paiva, Eduardo dos Santos

; Monticielo, Odirlei André

; Xavier, Ricardo Machado

; Kakehasi, Adriana Maria

; Pileggi, Gecilmara Cristina Salviato

Advances in Rheumatology

Journal Metrics
- Sobre o periódico
- SciELO Analytics

2022, Volume 62 elocation 3

Abstract: En | Text: En | PDF: En

Abstract Objective: To provide guidelines on the coronavirus disease 2019 (COVID-19) vaccination in patients with immune-mediated rheumatic diseases (IMRD) to rheumatologists considering specific scenarios of the daily practice based on the shared-making decision (SMD) process. Methods: A task force was constituted by 24 rheumatologists (panel members), with clinical and research expertise in immunizations and infectious diseases in immunocompromised patients, endorsed by the Brazilian Society of Rheumatology (BSR), to develop guidelines for COVID-19 vaccination in patients with IMRD. A consensus was built through the Delphi method and involved four rounds of anonymous voting, where five options were used to determine the level of agreement (LOA), based on the Likert Scale: (1) strongly disagree; (2) disagree, (3) neither agree nor disagree (neutral); (4) agree; and (5) strongly agree. Nineteen questions were addressed and discussed via teleconference to formulate the answers. In order to identify the relevant data on COVID-19 vaccines, a search with standardized descriptors and synonyms was performed on September 10th, 2021, of the MEDLINE, EMBASE, Cochrane Central Register of Controlled Trials, ClinicalTrials.gov, and LILACS to identify studies of interest. We used the Newcastle–Ottawa Scale to assess the quality of nonrandomized studies. Results: All the nineteen questions-answers (Q&A) were approved by the BSR Task Force with more than 80% of panelists voting options 4—agree—and 5—strongly agree—, and a consensus was reached. These Guidelines were focused in SMD on the most appropriate timing for IMRD patients to get vaccinated to reach the adequate covid-19 vaccination response. Conclusion: These guidelines were developed by a BSR Task Force with a high LOA among panelists, based on the literature review of published studies and expert opinion for COVID-19 vaccination in IMRD patients. Noteworthy, in the pandemic period, up to the time of the review and the consensus process for this document, high-quality evidence was scarce. Thus, it is not a substitute for clinical judgment.

https://doi.org/10.1186/s42358-022-00234-7

Factor analysis of the Resilience Scale for Brazilian caregivers of people with Alzheimer’s disease
Facebook Twitter

Other social networks
Google+
LinkedIn
Reddit
StambleUpon
CiteULike
Mendeley
Other networks

Metrics
- SciELO Analytics
- Dimensions
- PlumX
- Altmetric

Monteiro, Alexandre Magno Frota

; Simões Neto, José Pedro

; Santos, Raquel Luiza

; Kimura, Nathália

; Baptista, Maria Alice Tourinho

; Dourado, Marcia Cristina Nascimento

Trends in Psychiatry and Psychotherapy

Journal Metrics
- Sobre o periódico
- SciELO Analytics

dec 2021, Volume 43 N. 4 Pages 311 - 319

Abstract: En | Text: En | PDF: En

Abstract Introduction Resilience is a dynamic process that acts to modify the effects of an adverse life event. In this study, we aimed to test the construct validity of the Resilience Scale by employing exploratory and confirmatory procedures, and to investigate the relationship between caregiver’s resilience and clinical status of people with Alzheimer’s disease. Methods A sample of 143 dyads of people with Alzheimer’s disease and their primary caregivers were included. Results The total Resilience Scale mean score was 140.3 (standard deviation [SD] = 16.289), ranging from 25 to 175, indicating a high level of resilience. Cronbach’s alpha was high (α = 0.77), indicating excellent internal consistency. The mean of corrected item-total correlation coefﬁcients was moderate. The Resilience Scale presented a four-factor solution with a well-deﬁned structure: sense of life and self-sufficiency, perseverance, self-confidence and equanimity, and meaningfulness. Conclusion The findings indicate excellent internal consistency of the Resilience Scale when used to evaluate psychological and emotional difficulties of caregivers, even though the correlations observed between the Resilience Scale and clinical variables were not significant for functionality, mood, awareness, neuropsychiatric symptoms, or burden.

https://doi.org/10.47626/2237-6089-2020-0179

Upconversion 3D Printed Composite with Multifunctional Applications for Tissue Engineering and Photodynamic Therapy
Facebook Twitter

Other social networks
Google+
LinkedIn
Reddit
StambleUpon
CiteULike
Mendeley
Other networks

Metrics
- SciELO Analytics
- Dimensions
- PlumX
- Altmetric

Nigoghossian, Karina

; Saska, Sybele

; Christovam, Livia M.

; Coelho, Fernanda

; Beatrice, Cesar Augusto G.

; Lucas, Alessandra A.

; Neto, Paulo I.

; Silva, Jorge Vicente L. da

; Tercjak, Agnieszka

; Baptista, Maurício S.

; Catalani, Luiz Henrique

; Scarel-Caminaga, Raquel M.

; Capote, Ticiana S. O.

; Ribeiro, Sidney José L.

Journal of the Brazilian Chemical Society

Journal Metrics
- Sobre o periódico
- SciELO Analytics

apr 2020, Volume 31 N. 4 Pages 638 - 652

Abstract: En | Text: En | PDF: En

Upconversion nanoparticles (UCNPs) are suitable materials for bioapplications due to their ability to emit visible light under near infrared (NIR) excitation, in the biological transparency range. Polycaprolactone(PCL)-based scaffolds are widely used in tissue engineering in combination with inorganic compounds to improve bioactivity and osteoconductive properties. This work proposes a 3D printed composite scaffold with upconversion property aiming at biomedical applications in therapy-stimulated bone repair and photodynamic therapy (PDT). The system combines PCL polymer, UCNPs-apatite and a PDT photosensitizer. Thermal and rheological behaviors of the composite were similar to pure PCL polymer. Mechanical properties were improved by adding UCNPs-apatite. The 3D printable composite presented upconversion property and potential for PDT application, which was demonstrated by singlet oxygen generation under 980 nm excitation. Cytotoxicity, genotoxicity and mutagenicity assays indicated no toxicological effects at low concentrations of rare earth elements. Taken together, a potential multifunctional material is proposed for biomedical applications.

https://doi.org/10.21577/0103-5053.20190228 489 downloads

What do Cochrane systematic reviews say about ultrasound-guided vascular access?
Facebook Twitter

Other social networks
Google+
LinkedIn
Reddit
StambleUpon
CiteULike
Mendeley
Other networks

Metrics
- SciELO Analytics
- Dimensions
- PlumX
- Altmetric

Attie, Gabriela Araújo

; Flumignan, Carolina Dutra Queiroz

; Silva, Melissa Andreia de Moraes

; Barros, Edivando de Moura

; Daolio, Raul Muffato

; Guedes Neto, Henrique Jorge

; Baptista-Silva, José Carlos Costa

; Amorim, Jorge Eduardo de

; Nakano, Luis Carlos Uta

; Flumignan, Ronald Luiz Gomes

Sao Paulo Medical Journal

Journal Metrics
- Sobre o periódico
- SciELO Analytics

may 2019, Volume 137 N. 3 Pages 284 - 291

Abstract: En | Text: En | PDF: En

ABSTRACT BACKGROUND: Ultrasonography is currently used in investigating many vascular diseases, especially for guiding vascular access. OBJECTIVE: The objective here was to summarize the evidence from Cochrane systematic reviews (SRs) on the effects of ultrasound-guided vascular access as an intervention approach. DESIGN AND SETTING: Review of SRs, conducted in the Division of Vascular and Endovascular Surgery of Universidade Federal de São Paulo. METHODS: A broad search was conducted in the Cochrane Database of Systematic Reviews to retrieve any Cochrane SRs that assessed the effects of ultrasound guidance as a therapeutic approach towards performing any vascular access. The key characteristics and results of all the reviews included were summarized and discussed. RESULTS: Three SRs on venous access at all ages and one review on arterial access in pediatric participants were included. There was low to moderate certainty of evidence that ultrasound increased the success rate from the first puncture and the overall success rate of the procedure; and reduced the total rate of perioperative and postoperative adverse events, number of punctures, time needed to achieve success and rate of failure to place catheters. CONCLUSION: Evidence of low to moderate quality showed that ultrasound-guided vascular access seems to reduce the total rate of perioperative and postoperative complications/adverse effects, number of punctures, time needed to achieve success and rate of failure to perform venous catheterization in adults and arterial punctures in children. There is a lack of information regarding ultrasound-guided arterial puncture in adults. Further studies are still imperative for reaching solid conclusions, especially regarding arterial ultrasound-guided access.

https://doi.org/10.1590/1516-3180.2019.0113070519 901 downloads

Desenvolvimento e validação de indicadores de boas práticas de segurança do paciente: Projeto ISEP-Brasil
Facebook Twitter

Other social networks
Google+
LinkedIn
Reddit
StambleUpon
CiteULike
Mendeley
Other networks

Metrics
- SciELO Analytics
- Dimensions
- PlumX
- Altmetric

Gama, Zenewton André da Silva

; Saturno-Hernández, Pedro Jesus

; Ribeiro, Denise Nieuwenhoff Cardoso

; Freitas, Marise Reis de

; Medeiros, Paulo José de

; Batista, Almária Mariz

; Barreto, Analúcia Filgueira Gouveia

; Lira, Benize Fernandes

; Medeiros, Carlos Alexandre de Souza

; Vasconcelos, Cilane Cristina Costa da Silva

; Silva, Edna Marta Mendes da

; Faria, Eduardo Dantas Baptista de

; Dantas, Jane Francinete

; Neto Júnior, José Gomes

; Medeiros, Luana Cristina Lins de

; Sicolo, Miguel Angel

; Fonseca, Patrícia de Cássia Bezerra

; Costa, Rosângela Maria Morais da

; Monte, Francisca Sueli

; Melo Neto, Veríssimo de

Cadernos de Saúde Pública

Journal Metrics
- Sobre o periódico
- SciELO Analytics

2016, Volume 32 N. 9 elocation e00026215

Abstract: Pt En Es | Text: Pt En Es | PDF: Pt | PDF: En | PDF: Es

Resumo: Um monitoramento eficaz da segurança do paciente precisa focar a implantação de práticas baseadas em evidências que evitem danos desnecessários ligados à assistência à saúde. O objetivo do Projeto ISEP-Brasil foi desenvolver e validar indicadores de boas práticas de segurança do paciente para o contexto brasileiro. Tomou por base a tradução e adaptação dos indicadores validados no Projeto ISEP-Espanha, além do documento Safe Practices for Better Healthcare do National Quality Forum dos Estados Unidos, que possui 34 recomendações de boas práticas. Realizou-se validação por um painel de 25 especialistas e análise da confiabilidade e viabilidade em um estudo-piloto realizado em três hospitais com diferentes tipos de gestão (estadual, federal e privada). Aprovaram-se 75 indicadores de boas práticas (39 de estrutura; 36 de processo) para 31 das 34 recomendações. Os indicadores foram considerados válidos, confiáveis e úteis para o monitoramento da segurança do paciente em hospitais brasileiros.

Abstract: Efficacious patient safety monitoring should focus on the implementation of evidence-based practices that avoid unnecessary harm related to healthcare. The ISEP-Brazil project aimed to develop and validate indicators for best patient safety practices in Brazil. The basis was the translation and adaptation of the indicators validated in the ISEP-Spain project and the document Safe Practices for Better Healthcare (U.S. National Quality Forum), recommending 34 best practices. A 25-member expert panel validated the indicators. Reliability and feasibility were based on a pilot study in three hospitals with different management formats (state, federal, and private). Seventy-five best practice indicators were approved (39 structure; 36 process) for 31 of the 34 recommendations. The indicators were considered valid, reliable, and useful for monitoring patient safety in Brazilian hospitals.

Resumen: Un monitoreo eficaz de la seguridad del paciente necesita centrarse en la implantación de prácticas basadas en evidencias que eviten daños innecesarios, relacionados con la asistencia a la salud. El objetivo del Proyecto ISEP-Brasil fue desarrollar y validar indicadores de buenas prácticas de seguridad del paciente para el contexto brasileño. Tomó como base la traducción y adaptación de los indicadores validados en el Proyecto ISEP-España y el documento Safe Practices for Better Healthcare del National Quality Forum de los Estados Unidos, que posee 34 recomendaciones de buenas prácticas. Se realizó la validación mediante una selección de 25 especialistas y análisis de confiabilidad y viabilidad, en un estudio piloto en tres hospitales con diferentes tipos de gestión (estatal, federal y privada). Se aprobaron 75 indicadores de buenas prácticas (39 de estructura; 36 de proceso) para 31 de las 34 recomendaciones. Los indicadores fueron considerados válidos, confiables y útiles para el monitoreo de la seguridad del paciente en hospitales brasileños.

https://doi.org/10.1590/0102-311X00026215 9796 downloads

Desenvolvimento e validação de indicadores de boas práticas de segurança do paciente: Projeto ISEP-Brasil
Facebook Twitter

Other social networks
Google+
LinkedIn
Reddit
StambleUpon
CiteULike
Mendeley
Other networks

Metrics
- SciELO Analytics
- Dimensions
- PlumX
- Altmetric

Gama, Zenewton André da Silva

; Saturno-Hernández, Pedro Jesus

; Ribeiro, Denise Nieuwenhoff Cardoso

; Freitas, Marise Reis de

; Medeiros, Paulo José de

; Batista, Almária Mariz

; Barreto, Analúcia Filgueira Gouveia

; Lira, Benize Fernandes

; Medeiros, Carlos Alexandre de Souza

; Vasconcelos, Cilane Cristina Costa da Silva

; Silva, Edna Marta Mendes da

; Faria, Eduardo Dantas Baptista de

; Dantas, Jane Francinete

; Neto Júnior, José Gomes

; Medeiros, Luana Cristina Lins de

; Sicolo, Miguel Angel

; Fonseca, Patrícia de Cássia Bezerra

; Costa, Rosângela Maria Morais da

; Monte, Francisca Sueli

; Melo Neto, Veríssimo de

Cadernos de Saúde Pública

Journal Metrics
- Sobre o periódico
- SciELO Analytics

2016, Volume 32 N. 9 elocation e00026215

Abstract: Pt En Es | Text: Pt En Es | PDF: Pt | PDF: En | PDF: Es

https://doi.org/10.1590/0102-311X00026215 1133 downloads

10.

Water quality along the Alagoas State Coast, Northeast Brazil: advocacy for the coastal management
Facebook Twitter

Other social networks
Google+
LinkedIn
Reddit
StambleUpon
CiteULike
Mendeley
Other networks

Metrics
- SciELO Analytics
- Dimensions
- PlumX
- Altmetric

Fontenelle, Thiago Henriques

; Neto, José Antonio Baptista

; Fonseca, Estefan Monteiro da

Revista de Gestão Costeira Integrada

Journal Metrics
- Sobre o periódico
- SciELO Analytics

dec 2015, Volume 15 N. 4 Pages 559 - 567

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

A contaminação da zona costeira resultante do desenvolvimento urbano mal planejado é uma das principais causas da alteração dos ecossistemas, com efeitos sobre a saúde humana. O presente estudo estabelece um diagnóstico da zona costeira de alagoas, avaliando cinco anos de dados de monitoramento obtidos da secretaria de meio ambiente local. Os resultados sugerem a piora ao longo dos anos (2007-2011). Baixos níveis de saneamento, especialmente coleta e tratamento de esgoto, a falta de um planejamento urbano efetivo, o desenvolvimento das atividades do setor agrícola parecem ser os principais fatores impactantes da qualidade das águas da costa do estado de Alagoas. Por outro lado, em Barra de São Miguel, os investimentos em saneamento melhoraram as condições ambientais, incrementando ainda mais o turismo e a expansão urbana,o que sobrecarrega a própria infraestrutura sanitária existente.

Poorly planned urban development and the associated lack of sanitation infrastructure are the main causes of ecosystem alteration and contamination of Alagoas coastal zone. As these ecosystems are significantly linked with human use, such as recreation and tourism, the impacts on human health cannot be obviated. The present study evaluates the water quality of the Alagoas coastal zone analyzing five years of monitoring data obtained from the state Environment Office. Results suggest a worsening of the water quality between the years 2007-2011. Low levels of sanitation, especially sewage collection and treatment, the lack of an effective land planning, environmental development of agribusiness activities and low perceptions of sustainability appear to be the main factors impacting the water quality of the Alagoas state coast. On the other hand, investment in sanitation has boosted investor confidence and driven development, to the extent that sanitation infrastructure capacities have been exceeded and raises potential water quality issues.

https://doi.org/10.5894/rgci562 1699 downloads

11.

Is there a role for pyloric exclusion after severe duodenal trauma?
Facebook Twitter

Other social networks
Google+
LinkedIn
Reddit
StambleUpon
CiteULike
Mendeley
Other networks

Metrics
- SciELO Analytics
- Dimensions
- PlumX
- Altmetric

Cruvinel Neto, José

; Pereira, Bruno Monteiro Tavares

; Ribeiro Jr., Marcelo Augusto Fontenelle

; Rizoli, Sandro

; Fraga, Gustavo Pereira

; Rezende-Neto, João Baptista

Revista do Colégio Brasileiro de Cirurgiões

Journal Metrics
- Sobre o periódico
- SciELO Analytics

jun 2014, Volume 41 N. 3 Pages 228 - 231

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

O trauma duodenal é incomum, mas possui alta morbimortalidade. As condições clínicas dos pacientes, gravidade das lesões, tempo de diagnóstico e lesões associadas influenciam na escolha do procedimento operatório. A maioria das lesões duodenais é tratada com reparo primário. Procedimentos adjuvantes para proteger a linha de sutura e evitar deiscência podem ser úteis em lesões complexas. Embora a exclusão pilórica (EP) seja utilizada em lesões duodenais graves, há controvérsia quanto a sua necessidade. A reunião "Telemedicina Baseada em Evidências - Cirurgia do Trauma e Emergência" (TBE-CiTE) revisou a literatura e selecionou três publicações relevantes sobre as indicações de EP no trauma duodenal. O primeiro estudo, retrospectivo, comparou 14 pacientes com ferimentos penetrantes duodenais grau > II, tratados com EP, com 15 pacientes semelhantes tratados com reparo primário; não houve diferença nos resultados. O segundo, também retrospectivo, comparou o reparo primário (34 casos) com EP (16 casos), em lesões duodenais contusas ou penetrantes grau > II. Os autores concluíram que a EP não é necessária para todos os pacientes, apesar de lesões duodenais graves. O terceiro estudo constituiu-se de revisão da literatura sobre os desafios do tratamento dos traumatismos duodenais. Na experiência do autor, a EP é útil nos casos de fístula de anastomoses gastrojejunais. Conclui-se que a escolha do procedimento operatório no tratamento das lesões duodenais deve ser individualizada. Não há evidência cientifica de boa qualidade para justificar o abandono da EP no tratamento das lesões duodenais graves com grande perda tecidual.

Duodenal trauma is an infrequent injury, but linked to high morbidity and mortality. Surgical management of duodenal injuries is dictated by: patient's hemodynamic status, injury severity, time of diagnosis, and presence of concomitant injuries. Even though most cases can be treated with primary repair, some experts advocate adjuvant procedures. Pyloric exclusion (PE) has emerged as an ancillary method to protect suture repair in more complex injuries. However, the effectiveness of this procedure is debatable. The "Evidence Based Telemedicine - Trauma & Acute Care Surgery" (EBT-TACS) Journal Club performed a critical appraisal of the literature and selected three relevant publications on the indications for PE in duodenal trauma. The first study retrospectively compared 14 cases of duodenal injuries greater than grade II treated by PE, with 15 cases repaired primarily, all of which penetrating. Results showed that PE did not improve outcome. The second study, also retrospective, compared primary repair (34 cases) with PE (16 cases) in blunt and penetrating grade > II duodenal injuries. The authors concluded that PE was not necessary in all cases. The third was a literature review on the management of challenging duodenal traumas. The author of that study concluded that PE is indicated for anastomotic leak management after gastrojejunostomies. In conclusion, the choice of the surgical procedure to treat duodenal injuries should be individualized. Moreover, there is insufficient high quality scientific evidence to support the abandonment of PE in severe duodenal injuries with extensive tissue loss.

https://doi.org/10.1590/S0100-69912014000300016 8295 downloads

12.

The Role of the Humic Substances in the Fractioning of Heavy Metals in Rodrigo de Freitas Lagoon, Rio de Janeiro - Brazil
Facebook Twitter

Other social networks
Google+
LinkedIn
Reddit
StambleUpon
CiteULike
Mendeley
Other networks

Metrics
- SciELO Analytics
- Dimensions
- PlumX
- Altmetric

FONSECA, ESTEFAN M. DA

; BAPTISTA NETO, JOSÉ A.

; MCALISTER, JOHN

; SMITH, BERNARD

; FERNANDEZ, MARCOS A.

; BALIEIRO, FABIANO C.

Anais da Academia Brasileira de Ciências

Journal Metrics
- Sobre o periódico
- SciELO Analytics

2013, Volume 85 N. 4 Pages 1289 - 1301

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

Um dos principais resultados dos processos relativos da urbanização é a contaminação de corpos d'água adjacentes. Inserida neste contexto, a Lagoa Rodrigo de Freitas está situada na zona sul da cidade do Rio de Janeiro. Este ecossistema recebe uma série de descargas contendo todos os tipos de poluentes incluindo metais pesados. O presente trabalho estudou o fracionamento dos metais pesados nos sedimentos da Lagoa Rodrigo de Freitas assim como identificou a influência da matéria orgânica na dinâmica de partição. Os resultados das análises indicaram a matéria orgânica como um importante agente ligante. Características peculiares como sedimentos redutores, altas concentrações de metais pesados e granulometria fina transformaram este ecossistema em um depósito efetivo de metais pesados, onde os mesmos não se apresentam em frações facilmente remobilizáveis.

One of the main results of the processes related to urbanization is the contamination of the adjacent water bodies. Inserted in this context, the Rodrigo de Freitas lagoon is situated in the south zone of the city of Rio de Janeiro. This ecosystem receives several inputs containing all sorts of pollutants, including heavy metals. The present work aimed to study the partitioning of heavy metals in the sediments of Rodrigo de Freitas and the influence of organic matter in this fractionation dynamic. The results of these analyses presented the contents of organic matter as an important metal-capturing agent. Fractionation of organic matter resulted in a predominance of humine. Heavy metal partitioning showed that the metals bound by the water-soluble phase have no significant concentrations. Special features such as, reducing sediment, high levels of organic matter and fine grain size have transformed this ecosystem in an effective deposit of pollutants, where heavy metals are not available in easily reactive fractions.

https://doi.org/10.1590/0001-3765201371011 3630 downloads

13.

Geochronology and heavy metal flux to Guanabara bay, Rio de Janeiro state: a preliminary study
Facebook Twitter

Other social networks
Google+
LinkedIn
Reddit
StambleUpon
CiteULike
Mendeley
Other networks

Metrics
- SciELO Analytics
- Dimensions
- PlumX
- Altmetric

Baptista Neto, José A.

; Peixoto, Tomás C.S.

; Smith, Bernard J.

; Mcalister, John J.

; Patchineelam, Soraya M.

; Patchineelam, Sambasiva R.

; Fonseca, Estefan M.

Anais da Academia Brasileira de Ciências

Journal Metrics
- Sobre o periódico
- SciELO Analytics

2013, Volume 85 N. 4 Pages 1317 - 1327

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

A Baía de Guanabara, localizada no estado do Rio de Janeiro, é cercada pela segunda mais importante área metropolitana do país. Nas últimas décadas, a urbanização e outros processos na área circundante têm aumentado significativamente a entrada de sedimentos para a baía, tendo um efeito negativo sobre todo o meio ambiente. Estes impactos negativos estão relacionados com grandes volumes de esgoto sem tratamento e efluentes industriais. O presente estudo avalia a história deste impacto humano através do exame detalhado de um testemunho coletado na porção norte da Baía de Guanabara. A geocronologia é estabelecida usando 210Pb e relacionada com o carbono orgânico e fluxos de metais pesados para os sedimentos. Os resultados indicaram uma taxa de sedimentação média de 0,67 cm.y-1. O fluxo de carbono orgânico e metais pesados começaram a aumentar no início do século passado e os maiores valores foram observados no topo do testemunho.

Guanabara Bay, located in Rio de Janeiro state. It is surrounded by the second most important metropolitan area of the country. Over recent decades, land disturbance and urbanization in the surrounding area has significantly increased sediment input to the bay and had a negative effect on its overall environmental. This is especially related to high volumes of untreated sewage and industrial effluents. This study evaluates the history of this human impact through detailed examination of a sediment core taken from the northern portion of Guanabara Bay. A geochronology is established using 210Pb dating and related to organic carbon and heavy metal fluxes to the sediments. This gave a calculated net average sedimentation rate for the core of 0.67 cm.year-1. The organic carbon and heavy metals flux started to increase at the beginning of the last century and the highest values was observed in the top of the cores.

https://doi.org/10.1590/0001-3765201394612 3208 downloads

14.

Recanalização da artéria tibial anterior via artéria pediosa: relato de caso
Facebook Twitter

Other social networks
Google+
LinkedIn
Reddit
StambleUpon
CiteULike
Mendeley
Other networks

Metrics
- SciELO Analytics

Farret Neto, Abdo

; Faria, Eduardo Dantas Baptista de

; Pantaleo, Ernesto

; Alencar, Marcelo José Carlos

; Andrade, George Anderson da Penha

; Lima, Célia Maria Guedes de

Radiologia Brasileira

Journal Metrics
- Sobre o periódico
- SciELO Analytics

oct 2012, Volume 45 N. 5 Pages 302 - 304

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

Os autores relatam um caso de abordagem mista para o tratamento endovascular de doença oclusiva da artéria tibial anterior por acesso pedioso retrógrado, no qual a abordagem tradicional anterógrada foi inadequada em vencer uma oclusão. A técnica parece oferecer uma opção para procedimentos endovasculares, que objetivam o tratamento de lesões da artéria tibial anterior em que a via anterógrada convencional mostre-se inadequada.

The authors report the case of mixed approach for endovascular treatment of occlusive disease of the anterior tibial artery by retrograde pedal artery access where the traditional antegrade approach failed to overcome a segmental occlusion. The technique seems to offer an option for endovascular procedures aimed at treating occlusion of the anterior tibial artery in cases where the conventional antegrade approach demonstrates to be inappropriate.

12240 downloads

15.

Hemossiderose pulmonar associada à doença celíaca: melhora após dieta livre de glúten
Facebook Twitter

Other social networks
Google+
LinkedIn
Reddit
StambleUpon
CiteULike
Mendeley
Other networks

Metrics
- SciELO Analytics

Santos, José Wellington Alves dos

; Mello Neto, Abdias Baptista de

; Marchiori, Roseane Cardoso

; Michel, Gustavo Trindade

; Fagundes, Ariovaldo Leal

; Tagliari, Leonardo Gonçalves Marques

; Cancian, Tiago

Jornal Brasileiro de Pneumologia

Journal Metrics
- Sobre o periódico
- SciELO Analytics

jun 2012, Volume 38 N. 3 Pages 412 - 414

Abstract: Pt | Text: Pt | PDF: Pt

8932 downloads

Showing

itens per page

Page of 2 Next

Select one or more results

All Alphabetic

Results

Comparative chart Download CSV

Statistics of

Send result

To*

Use ; (semicolon) to insert more emails.

Send to email

This page

Selected records

All references (max. 300)

Your email

Subject

Comments

Export format:

RIS (for EndNote, ProCite, Reference Manager, RefWorks, Citavi, etc.)

BibTeX

Citation

CSV (for Excel, etc)

Export:

This page

Selected itens

All references (max. 2000)

Sem resultados

No documents were found for your search

Glossary and search help

You can enrich your search in a very simple way. Use the search indexes combined with the connectors (AND or OR) and specify more your search.

For example, if you want to search for articles about
cases of dengue in Brasil in 2015, use:
ti:dengue and publication_year:2015 and aff_country:Brasil

See below the complete list of search indexes that can be used:

Index code	Element
ti	article title
au	author
kw	article keywords
subject	subject (title words, abstract and keywords)
ab	abstract
ta	journal short title (e.g. Cad. Saúde Pública)
journal_title	journal full title (e.g. Cadernos de Saúde Pública)
la	publication language code (e.g. pt - Portuguese, es - Spanish)
type	document type
pid	publication identifier
publication_year	publication year of publication
sponsor	sponsor
aff_country	country code of the author's affiliation
aff_institution	author affiliation institution
volume	article volume
issue	article issue
elocation	elocation
doi	DOI number
issn	journal ISSN
in	SciELO colection code (e.g. scl - Brasil, col - Colômbia)
use_license	article usage license code

SciELO - Scientific Electronic Library Online
Rua Dr. Diogo de Faria, 1087 – 9º andar – Vila Clementino 04037-003 São Paulo/SP - Brasil
Email: scielo@scielo.org

All the contents of this site www.scielo.br, except where otherwise noted, is licensed under a Creative Commons Attribution License.
more »