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Search Results: 1 - 10 of 854477 matches for " Angelo A V de;Moisés "
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Alunos de um programa de pós-gradua??o em cardiologia: s?o os resultados de quase 30 anos adequados?
Brock, Luana;Cunha, Edileuza;Tavares, José Roberto;Gon?alves Jr, Iran;Paola, Angelo A V de;Moisés, Valdir;Carvalho, Antonio Carlos;
Arquivos Brasileiros de Cardiologia , 2010, DOI: 10.1590/S0066-782X2010005000015
Abstract: background: stricto sensu post-graduation in brazil was implemented in 1965 to increase university professors' teaching quality and to prepare full, independent researchers. the brazilian share in isi publications has increased significantly since then, but little information is available on postgraduate quality. objective: to review 29 years of the postgraduate programs in cardiology at the federal university of s?o paulo and to analyze master and doctorate graduates' characteristics regarding their origin, publications and subsequent career. methods: we developed a questionnaire to evaluate 168 postgraduates who produced 196 theses (116 master's and 80 doctorate) over the period 1975-2004 and contacted 95.9% of them. information on publications were obtained through the usual science databases. results: 30% of graduates came from the north-northeast-central west regions and only 50% returned to their original area. mean age at admission was 32.5 and 34.9 years old for master and doctorate students, respectively; average program duration was, respectively, 39.0 and 43.2 months and approximately 50% went through it without any grants. thesis publications throughout these 29 years averaged 36.5% for master's and 61.9% for doctorate, but any publishing afterwards occurred in 70.2 and 90.6% of the cases. the average impact factor of the published theses was 1.3 for master's degree and 3.1 for doctorate programs with 65.5% and 87.5% of qualis a, respectively. currently, there are graduates in 17 states of the country and 12 have became full professors. conclusion: although the stricto sensu program, especially the master's degree program, has many areas that need improvement, they seem to be contributing to improve professional quality and the number of brazilian indexed publications.
Echocardiographic Assessment of the Pulmonary Venous Flow: An Indicator of Increased Pulmonary Flow in Congenital Cardiac Malformations
Rivera, Ivan Romero;Moisés, Valdir Ambrósio;Paola, Angelo Amato V. de;Carvalho, Antonio Carlos;
Arquivos Brasileiros de Cardiologia , 2002, DOI: 10.1590/S0066-782X2002000600001
Abstract: objective: to identify the left inferior pulmonary vein as an indirect marker of increased pulmonary flow in congenital heart diseases.methods: we carried out a prospective consecutive study on 40 patients divided into 2 groups as follows: g1 - 20 patients diagnosed with congenital heart disease and increased pulmonary flow; g2 (control group) - 20 patients who were either healthy or had congenital heart disease with decreased or normal pulmonary flow. we obtained the velocity-time integral of the left inferior pulmonary vein flow, excluding the "reverse a" wave, with pulsed doppler echocardiography.results: in g1, 19 out of the 20 patients had well-identified dilation of the left inferior pulmonary vein. no g2 patient had dilation of the left inferior pulmonary vein. dilation of the left inferior pulmonary vein in conditions of increased pulmonary flow had sensitivity of 95%, specificity of 100%, positive predictive value of 100%, and negative predictive value of 95% (1 false-negative case). the integral of time and velocity of the pulmonary venous flow obtained with pulsed doppler echocardiography was greater in the g1 patients (g1=25.0±4.6 cm versus g2=14.8±2.1 cm, p=0.0001).conclusion: the identification of dilation of the left inferior pulmonary vein suggests the presence of congenital heart disease with increased pulmonary flow. this may be used as an indirect sign of increased flow, mainly in malformations of difficult diagnosis, such as atrial septal defects of the venous sinus or coronary sinus type.
Mildly symptomatic chronic mitral regurgitation. Analysis of left ventricular systolic function and mitral regurgitant fraction under pharmacological influence: echocardiographic study
Rivera, Ivan Romero;Moisés, Valdir Ambrósio;Carvalho, Antonio Carlos;Paola, Angelo Amato V. de;
Arquivos Brasileiros de Cardiologia , 2003, DOI: 10.1590/S0066-782X2003000200003
Abstract: objective: to study echocardiographic parameters of left ventricular systolic function and valvar regurgitation under pharmacological influence in mildly symptomatic patients with chronic mitral regurgitation (mr). methods: we carried out a double-blind placebo controlled study in 12 patients with mr, mean aged 12.5 years old, who were randomized in 4 phases: a) digoxin; b) enalapril; c) digoxin + enalapril; d) placebo. the medication was administered for 30 days in each phase, and the following variables were analyzed: shortening and ejection fractions, wall stress index of left ventricle, left ventricular meridional end-systolic wall stress, doppler-derived mean rate of left ventricular pressure rise (mean dp/dt), stroke volume and mr jet area. the clinical variables analysed were heart rate and systemic arterial pressure. results: no significant variation was observed in the clinical variables analysed. the shortening and ejection fraction, the mean dp/dt and stroke volume significantly increased and the wall stress index of left ventricle, the meridional left ventricular end systolic wall stress and the mitral regurgitation jet area decreased in the phases with medication as compared with that in the placebo phase. conclusion: the parameters of left ventricular systolic function improved significantly and the degree of mr decreased with the isolated administration of digoxin or enalapril in mildly symptomatic patients with chronic mr. the combination of the drugs, however, did not show better results.
Echocardiographic Assessment of the Pulmonary Venous Flow: An Indicator of Increased Pulmonary Flow in Congenital Cardiac Malformations
Rivera Ivan Romero,Moisés Valdir Ambrósio,Paola Angelo Amato V. de,Carvalho Antonio Carlos
Arquivos Brasileiros de Cardiologia , 2002,
Abstract: OBJECTIVE: To identify the left inferior pulmonary vein as an indirect marker of increased pulmonary flow in congenital heart diseases.METHODS: We carried out a prospective consecutive study on 40 patients divided into 2 groups as follows: G1 - 20 patients diagnosed with congenital heart disease and increased pulmonary flow; G2 (control group) - 20 patients who were either healthy or had congenital heart disease with decreased or normal pulmonary flow. We obtained the velocity-time integral of the left inferior pulmonary vein flow, excluding the "reverse A" wave, with pulsed Doppler echocardiography.RESULTS: In G1, 19 out of the 20 patients had well-identified dilation of the left inferior pulmonary vein. No G2 patient had dilation of the left inferior pulmonary vein. Dilation of the left inferior pulmonary vein in conditions of increased pulmonary flow had sensitivity of 95%, specificity of 100%, positive predictive value of 100%, and negative predictive value of 95% (1 false-negative case). The integral of time and velocity of the pulmonary venous flow obtained with pulsed Doppler echocardiography was greater in the G1 patients (G1=25.0±4.6 cm versus G2=14.8±2.1 cm, p=0.0001).CONCLUSION: The identification of dilation of the left inferior pulmonary vein suggests the presence of congenital heart disease with increased pulmonary flow. This may be used as an indirect sign of increased flow, mainly in malformations of difficult diagnosis, such as atrial septal defects of the venous sinus or coronary sinus type.
Mildly symptomatic chronic mitral regurgitation. Analysis of left ventricular systolic function and mitral regurgitant fraction under pharmacological influence: echocardiographic study
Rivera Ivan Romero,Moisés Valdir Ambrósio,Carvalho Antonio Carlos,Paola Angelo Amato V. de
Arquivos Brasileiros de Cardiologia , 2003,
Abstract: OBJECTIVE: To study echocardiographic parameters of left ventricular systolic function and valvar regurgitation under pharmacological influence in mildly symptomatic patients with chronic mitral regurgitation (MR). METHODS: We carried out a double-blind placebo controlled study in 12 patients with MR, mean aged 12.5 years old, who were randomized in 4 phases: A) digoxin; B) enalapril; C) digoxin + enalapril; D) placebo. The medication was administered for 30 days in each phase, and the following variables were analyzed: shortening and ejection fractions, wall stress index of left ventricle, left ventricular meridional end-systolic wall stress, Doppler-derived mean rate of left ventricular pressure rise (mean dP/dt), stroke volume and MR jet area. The clinical variables analysed were heart rate and systemic arterial pressure. RESULTS: No significant variation was observed in the clinical variables analysed. The shortening and ejection fraction, the mean dP/dt and stroke volume significantly increased and the wall stress index of left ventricle, the meridional left ventricular end systolic wall stress and the mitral regurgitation jet area decreased in the phases with medication as compared with that in the placebo phase. CONCLUSION: The parameters of left ventricular systolic function improved significantly and the degree of MR decreased with the isolated administration of digoxin or enalapril in mildly symptomatic patients with chronic MR. The combination of the drugs, however, did not show better results.
Patología Bucal prevalente en ni?os excepcionales
Pirela de Manzano,M. Altagracia; Salazar V,Carmen Rosa; Manzano F,Moisés A;
Acta Odontológica Venezolana , 1999,
Abstract: the purpose of this investigation was the identification of buco-dental pathologies intrinsic to exceptional children such as: down' s syndrome, deaf-mute, autistic, blind and cerebral palsy, in a sample of 133 children between 3 and 14 years old, selected from the total of 789 children attending the institutes of especial education of maracaibo county, zulia state, venezuela. it was verified in the sample studied the same buco-dental pathologies reported in international studies and other reviews associated with oclusal problems. it was equally verified the relationship between bruxisim and social extraction. it was concluded date it is necessary to execute prevention projects that are able to intercept the increment in buco-dental pathologies in this group of exceptional children.
Patología Bucal prevalente en ni os excepcionales
M. Altagracia Pirela de Manzano,Carmen Rosa Salazar V,Moisés A Manzano F
Acta Odontológica Venezolana , 1999,
Abstract: Este estudio estableció como propósitos, identificar la patología bucal prevalente en ni os Síndrome de Down, Sordo-Mudo, Ciego, Autista y Paralítico Cerebral y la intervención de variables, tales como: administración de fármacos, consistencia de los alimentos, higiene bucal y extracción social, en la agudización del cuadro clínico bucal diagnosticado y aparición de enfermedades odontológicas no consideradas intrínsecas a las alteraciones mencionadas. Para obtener la información se seleccionó una muestra proporcional y representativa de la población de ni os entre 3 y 14 a os, atendidos en los Institutos de Educación Especial del Municipio Maracaibo, Estado Zulia, Venezuela y se utilizó en la recolección de datos la entrevista estructurada y la hoja de registro de datos clínicos. La entrevista se realizó a los padres y representantes y la hoja de registro recogió los referentes que permitieron diagnosticar el problema buco-dental de los ni os examinados. Los datos agrupados se presentaron en gráficos y tablas de frecuencia para una o más variables y se aplicó el Test Chi Cuadrado para verificar el grado de aproximación entre las frecuencias teóricas y las frecuencias observadas: estableciéndose un nivel de significación = o < de 0.10, Se determinó que la caries dental, la gingivitis, maloclusión, queilitis y hábitos bucales perjudiciales como bruxismo, son patologías que afectan a la generalidad de los individuos que integraron la muestra. Asimismo, en el subgrupo Síndrome de Down, se identificaron las enfermedades buco-dentales que se consideran intrínsecas a la condición, destacando la elevada prevalencia de caries dental, superior a la reportada en la literatura especializada. En cuanto a la significación de las variables exógenas en la agudización del problema buco-dental, se comprobó el rol de la higiene bucal en las características de la encía y la asociación entre el hábito bruxismo y la extracción social de la población estudiada. Se concluyó recomendando algunas acciones que pueden contribuir a modificar la situación de salud bucal de estos grupos. The purpose of this investigation was the identification of buco-dental pathologies intrinsic to exceptional children such as: Down' s Syndrome, deaf-mute, Autistic, Blind and Cerebral Palsy, in a sample of 133 children between 3 and 14 years old, selected from the total of 789 children attending the Institutes of Especial Education of Maracaibo County, Zulia State, Venezuela. It was verified in the sample studied the same buco-dental pathologies reported in international studies and other reviews as
Parecer da Comiss o Técnica designada pelo Departamento de Arritmias e Eletrofisiologia Clínica da Sociedade Brasileira de Cardiologia (DAEC/SBC)
Cruz Fo Fernando E. S.,Lorga Adalberto,Paola Angelo A. V. de,Peres Ayrton K.
Arquivos Brasileiros de Cardiologia , 1998,
Abstract:
Catecholaminergic polymorphic ventricular tachycardia. An important diagnosis in children with syncope and normal heart
Leite, Luiz Roberto;Pereira, Kleber R. Ponzi;Alessi, Sílvio R. B.;Paola, Angelo A. V. de;
Arquivos Brasileiros de Cardiologia , 2001, DOI: 10.1590/S0066-782X2001000100007
Abstract: syncope in children is primarily related to vagal hyperreactivity, but ventricular tachycardia (vt) way rarely be seen. catecholaminergic polymorphic vt is a rare entity that can occur in children without heart disease and with a normal qt interval, which may cause syncope and sudden cardiac death. in this report, we describe the clinical features, treatment, and clinical follow-up of three children with syncope associated with physical effort or emotion and cathecolaminergic polymorphic vt. symptoms were controlled with beta-blockers, but one patient died suddenly in the fourth year of follow-up. despite the rare occurrence, catecholaminergic polymorphic vt is an important cause of syncope and sudden death in children with no identified heart disease and normal qt interval.
Catecholaminergic polymorphic ventricular tachycardia. An important diagnosis in children with syncope and normal heart
Leite Luiz Roberto,Pereira Kleber R. Ponzi,Alessi Sílvio R. B.,Paola Angelo A. V. de
Arquivos Brasileiros de Cardiologia , 2001,
Abstract: Syncope in children is primarily related to vagal hyperreactivity, but ventricular tachycardia (VT) way rarely be seen. Catecholaminergic polymorphic VT is a rare entity that can occur in children without heart disease and with a normal QT interval, which may cause syncope and sudden cardiac death. In this report, we describe the clinical features, treatment, and clinical follow-up of three children with syncope associated with physical effort or emotion and cathecolaminergic polymorphic VT. Symptoms were controlled with beta-blockers, but one patient died suddenly in the fourth year of follow-up. Despite the rare occurrence, catecholaminergic polymorphic VT is an important cause of syncope and sudden death in children with no identified heart disease and normal QT interval.
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