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Search Results: 1 - 10 of 372490 matches for " Krasnalhia Lívia Soares de;Rocha "
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Nefrotoxicidade por lítio
Oliveira, Jobson Lopes de;Silva Júnior, Geraldo Bezerra da;Abreu, Krasnalhia Lívia Soares de;Rocha, Natália de Albuquerque;Franco, Luiz Fernando Leonavicius G;Araújo, S?nia Maria Holanda Almeida;Daher, Elizabeth de Francesco;
Revista da Associa??o Médica Brasileira , 2010, DOI: 10.1590/S0104-42302010000500025
Abstract: lithium is widely used in the therapy of bipolar disorder. its toxicity includes urinary concentration deficit and natriuresis, renal tubular acidosis, tubulointerstitial nephritis which complicates with chronic kidney disease and hypercalcemia. the most common adverse effect is diabetes insipidus, which occurs in 20-40% of patients some weeks after initiation of treatment. such chronic nephropathy correlates with duration of lithium use. early detection of renal dysfunction should be achieved by rigorous monitoring of patients and collaboration between the psychiatrist and nephrologist. recent experimental and clinical studies are now clarifying the mechanisms by which lithium induces renal abnormalities. the aim of this work is to review the pathogenesis, clinical presentation, histopathologic aspects and treatment of lithium nephrotoxicity.
Fatores de risco para óbito em pacientes idosos gravemente enfermos
Alves, Gisele Collyer;Silva Júnior, Geraldo Bezerra da;Lima, Rafael Siqueira Athayde;Sobral, Juliana Barbosa;Mota, Rosa Maria Salani;Abreu, Krasnalhia Lívia Soares de;Rocha, Natália Albuquerque;Nogueira, Charlys Barbosa;Daher, Elizabeth De Francesco;
Revista Brasileira de Terapia Intensiva , 2010, DOI: 10.1590/S0103-507X2010000200007
Abstract: background: the elderly population is increasing all over the world. the need of intensive care by the elderly is also increasing. there is a lack of studies investigating the risk factors for death among critically ill elderly patients. this study aims to investigate the factors associated with death in a population of critically ill elderly patients admitted to an intensive care unit in brazil. methods: this is a retrospective cohort study including all elderly patients (>60 years) admitted to an intensive care unit in fortaleza, brazil, from january to december 2007. a comparison between survivors and nonsurvivors was done and the risk factors for death were investigated through univariate and multivariate analysis. results: a total of 84 patients were included, with an average age of 73 ± 7.6 years; 59% were female. mortality was 62.8%. the main cause of death was multiple organ dysfunction (42.3%), followed by septic shock (36.5%) and cardiogenic shock (9.7%). complications during intensive care unit icu stay associated with death were respiratory failure (or=61, p<0.001), acute kidney injury (or=23, p<0.001), sepsis (or=12, p<0.001), metabolic acidosis (or=17, p<0.001), anemia (or=8.6, p<0.005), coagulation disturbance (or=5.9, p<0.001) and atrial fibrillation (or=4.8, p<0.041). independent risk factors for death were age (or=1.15, p<0.005), coma (or=7.51, p<0.003), hypotension (or=21.75, p=0.003), respiratory failure (or=9.93, p<0.0001) and acute kidney injury (or=16.28, p<0.014). conclusion: mortality is high among critically ill elderly patients. factors associated with death were age, coma, hypotension, respiratory failure and acute kidney injury.
Insuficiência renal aguda associada à leptospirose
Daher, Elizabeth De Francesco;Abreu, Krasnalhia Lívia Soares de;Silva Junior, Geraldo Bezerra da;
Jornal Brasileiro de Nefrologia , 2010, DOI: 10.1590/S0101-28002010000400010
Abstract: leptospirosis is the most important zoonosis in the world. patients are typically young men. several factors are involved in acute kidney injury (aki) in leptospirosis, including direct nephrotoxic action of the leptospira, hyperbilirubinemia, rhabdomyolysis and hypovolemia. the major histological findings are acute interstitial nephritis and acute tubular necrosis. leptospirosis-induced aki is usually nonoliguric and hypokalemic. tubular function abnormalities precede a decline in the glomerular filtration rate, which could explain the high frequency of hypokalemia. antibiotic treatment is efficient in the early and late and/or severe phases. for critically ill leptospirosis patients, the following measures are recommended: early and daily hemodialysis; low volume infusion (due to the risk of pulmonary hemorrhage); and lung-protective strategies. mortality in leptospirosis-associated aki is around 22%.
Acute kidney injury after trauma: Prevalence, clinical characteristics and RIFLE classification
de Abreu Krasnalhia Lívia,Silva Geraldo,Barreto Adller,Melo Fernanda
Indian Journal of Critical Care Medicine , 2010,
Abstract: Background: Acute kidney injury (AKI) is an uncommon but serious complication after trauma. The objective of this study was to evaluate the prevalence, clinical characteristics and outcome of AKI after trauma. Patients and Methods: This was a retrospective study performed from January 2006 to January 2008 in an emergency specialized hospital in Fortaleza city, northeast of Brazil. All patients with AKI admitted in the study period were included. Prevalence of AKI, clinical characteristics and outcome were investigated. Results: Of the 129 patients admitted to the intensive care unit (ICU), 52 had AKI. The mean age was 30.1 ± 19.2 years, and 79.8% were males. The main causes of AKI were sepsis in 27 cases (52%) and hypotension in 18 (34%). Oliguria was observed in 33 cases (63%). Dialysis was required for 19 patients (36.5%). Independent risk factors associated with AKI were abdominal trauma [odds ratio (OR) = 3.66, P = 0.027] and use of furosemide (OR = 4.10, P = 0.026). Patients were classified according to RIFLE criteria as Risk in 12 cases (23%), Injury in 13 (25%), Failure in 24 (46%), Loss in 1 (2%) and End-stage in 2 (4%). Overall in-hospital mortality was 95.3%. The main cause of death was sepsis (24%). Mortality was 100% among patients with AKI. Conclusions: AKI is a fatal complication after trauma, which presented with a high mortality in the studied population. A better comprehension of factors associated with death in trauma-associated AKI is important, and more effective measures of prevention and treatment of AKI in this population are urgently needed.
Obesidade mórbida: quando comer vai muito além do alimento
Lívia Janine L. F. Rocha,Junia de Vilhena,Joana de Vilhena Novaes
Psicologia em Revista , 2009,
Abstract: Com a premissa psicanalítica de que o sujeito se constitui pelo Outro, em uma sociedade em que o mote é a a o e o prazer, buscamos pensar o la o do obeso mórbido com a comida. Uma vez que se objetivou abrir quest es em vez de dar respostas conclusivas, n o deixamos de pensar: como ele se relaciona com seu desejo e com a falta intrínseca a todo sujeito? Como se articula o modo de gozar que o caracteriza? Como lida com seu corpo? é preciso que esse modo de gozar seja modificado? Abordamos, também, a busca pela cirurgia bariátrica, recurso cada vez mais utilizado. Contudo, é preciso n o se buscar solu es ou respostas fora do sujeito, sem acesso às quest es subjetivas envolvidas na obesidade mórbida e na busca pela cirurgia. A obesidade é paradigmática em uma sociedade onde uma das formas de padecer é a compuls o, enquanto a tecnologia permite novas a es sobre o corpo antes impossíveis.
Central giant cell granuloma: case report
Elen de Souza Tolentino,Julierme Ferreira Rocha,Eduardo Dias Ribeiro,Lívia de Souza Tolentino
RSBO , 2010,
Abstract: Introduction:The central giant cell granuloma (CGCG) is a non-neoplastic entity,which may be able to cause considerable osseous destruction.Based on its clinical and radiological features,the diagnosis may be performed as aggressive or non-aggressive lesion, which is a determinant factor to the treatment and also something that will direct the type of treatment instituted. Case report and conclusion: The purpose of this study is to report a case of CGCG in a 22 year-old male, located in the right region of the mandibular body. Initially, the treatment consisted of intralesional corticosteroid injections.Because there was no improvement in this case, aggressive curettage was therefore performed.
Opini?o de escolares e educadores sobre saúde: o ponto de vista da escola pública de uma regi?o periférica do Município de S?o Paulo
Soares, Cássia B.;Salvetti, Marina de G.;ávila, Lívia K. de;
Cadernos de Saúde Pública , 2003, DOI: 10.1590/S0102-311X2003000400036
Abstract: this study focused on prevailing concepts in society concerning adolescents' health problems and needs. based on concerns in the field of collective health in relation to public policies for social protection, the study attempted to grasp the public school perspective concerning these issues. the study's theoretical reference was the social determination of the health-disease process and the view that health needs are translated into demands for changes in the harmful processes resulting from relations in the production process. data were gathered through interviews with pedagogical coordinators and focus groups with adolescents in public schools from the raposo tavares school district (municipality of s?o paulo). the results showed that the participants recognized: (1) the sphere of social determinants at the base of adolescents' health problems and (2) in addition to disease processes, a set of social problems impacting the health-disease process, highlighting drug use and violence. health needs are translated as demands for cross-sector public social policies.
Vulnerabilidade de adolescentes no SILOS-Butant?
Soares, Cássia Baldini;ávila, Lívia Keismanas de;Salvetti, Marina de Góes;
Saúde e Sociedade , 1998, DOI: 10.1590/S0104-12901998000200006
Abstract: this study looks at vulnerability of adolescents who live in a s?o paulo city region: silos - butant?. it takes into account that: first, adolescents are social individuals whose development is determined by their life histories, according to their social status and their particular psychological development; second, that the social-illness process is socially determined and, therefore, adolescents' vulnerability to health problems is articulated with the work and life conditions of their families. the objective of this study is to characterize the social settings that allow and facilitate specific health problems of the adolescents. focusing the local health system (silos) of butanta - health assistance area of the university hospital - it was possible to establish a methodological trajectory to analyze secondary data from the districts of this area. the analysis shows that the district of raposo tavares -among all the disctricts of the area - is one of the territories that deserves to be under new investigations and health intervention especially for two reasons. first, it presents a larger number of gh-3 families (deficient way of life and work) and a smaller number of gh-1 families (adequate way of life and work) among the districts of the focused area. second: it was the district that received the worse punctuation in the exclusion/inclusion map of s?o paulo city.
Opini o de escolares e educadores sobre saúde: o ponto de vista da escola pública de uma regi o periférica do Município de S o Paulo
Soares Cássia B.,Salvetti Marina de G.,ávila Lívia K. de
Cadernos de Saúde Pública , 2003,
Abstract: Este estudo tomou como objeto as concep es vigentes na sociedade sobre os problemas e necessidades de saúde dos adolescentes. Com base nas preocupa es da saúde coletiva com as políticas públicas de prote o social, objetivou apreender a opini o da escola pública sobre esses temas. Referenciou-se na teoria da determina o social do processo saúde-doen a e na vis o de que as necessidades de saúde se traduzem em demandas de transforma o dos processos nocivos conseqüentes às rela es de produ o. A apreens o dos dados foi realizada mediante entrevistas com Coordenadores Pedagógicos e grupos focais com adolescentes das escolas públicas do Distrito de Raposo Tavares (Município de S o Paulo). Os resultados mostraram que os participantes reconheceram: (1) a esfera dos determinantes sociais na base dos problemas de saúde dos adolescentes; (2) além dos processos mórbidos, um conjunto de problemas sociais que repercutem sobre o processo saúde-doen a, destacando o uso de drogas e a violência. As necessidades de saúde se traduziram em demandas por políticas sociais públicas intersetoriais.
Variables Associated with Cirrhosis Diagnosis in Patients with Chronic Hepatitis C: A Case-Control Study  [PDF]
Gilmar Amorim de Sousa, Iris do Céu Clara Costa, Dyego Leandro Bezerra de Souza, Fabia Barbosa de Andrade, Lívia Medeiros Soares Celani, Ranna Santos Pessoa, Marlon César de Souza Filho, Daniel Fernandes Mello de Oliveira, Luana Lopes de Medeiros, Lucila Samara Dantas de Oliveira, Maria Flávia Monteiro
Health (Health) , 2015, DOI: 10.4236/health.2015.712176
Abstract: The diagnosis of liver cirrhosis in patients with chronic hepatitis C has not always been easy, since the gold standard method is the liver biopsy, which is an invasive procedure with interobserver accuracy problems and there have been reports of complications including records of deaths due to hemoperitoneum. Cirrhosis changes the prognosis of the subject with hepatitis C and requires a different clinical management. This study aimed to identify clinical and laboratory variables associated with the diagnosis of cirrhosis in the ultrasonography of patients infected with hepatitis C. In a case-control study, we evaluated 70 cirrhotic patients with chronic hepatitis C compared to a control group of 70 non-cirrhotic people with positive HCV. The results showed, through logistic regression analysis, that the variables blood donor and professional athlete, adjusted for alcohol consumption, showed OR 0.24 and 0.18, with p values of 0.044 and 0.035, respectively. We conclude that the diagnosis of cirrhosis in patients with chronic hepatitis C remains challenging, but the patients with the condition of blood donor or professional athlete prove to be less likely to cirrhosis in ultrasonography in the initial consultation.
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