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Search Results: 1 - 10 of 54161 matches for " Leopoldo Muniz da;Bezerra "
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Enteroparasitoses in Patients with Rheumatoid Arthritis  [PDF]
Ana Paula Monteiro Gomides, Alex Luiz de Oliveira Pires, Cleandro Pires Albuquerque, Talita Yokoy de Souza, Luciana Muniz, Caliandra Maria Bezerra Luna Lima, Leopoldo Luiz Santos-Neto, Licia Maria Henrique da Mota
Advances in Infectious Diseases (AID) , 2017, DOI: 10.4236/aid.2017.74015
Abstract: Background: Patients with rheumatic diseases have profound alterations in the immune system as a result of underlying diseases and the treatments used, which increases the risk of occurrence and severity of infections, including enteroparasitosis. The current treatment for rheumatoid arthritis involves immunosuppressive therapies powerfully needed for screening infectious processes. The prevalence of parasitic infections in rheumatoid arthritis patients is not currently documented in literature. The objective of the current study was to determine the prevalence of parasitic diseases in a population with RA. Methods: We collected demographic and socioeconomic data from 67 patients at the Hospital Universitário de Brasília from July 2015 to April 2016. All patients underwent a parasitological examination of their stool and multiple variables were analyzed using Poisson regression method. Results: The mean age of patients was 53.9 years. They were predominantly in women (94%) and caucasian (47.8%). The mean disease duration was 9.2 years and most patients had the disease in remission or light activity. The prevalence of parasitic infections in these patients was 11.9%, all cases being that of protozoa of the following species: Endolimax nana, Entamoeba histolytica and Entamoeba coli. The final multivariate analysis indicated that the presence of disease had a significant statistical relationship between the presence of enteroparasitosis and rheumatoid arthritis with no fatigue by VAS (p = 0.0488) and best current health index by VAS (p = 0.0012). Conclusion: This study indicates that the prevalence of enteroparasitoses in a population with Rheumatoid Arthritis was 11.9% and all cases were found of protozoa.
Estudo comparativo de anticorpos IgG e IgE antileishmania como marcadores de infec o e doen a em indivíduos de área endêmica de leishmaniose visceral, em S o Luis, MA
Nascimento Maria do Desterro Soares Brand?o,Bezerra Geusa Felipa de Barros,Bandeira Neto Abderval Pinto,Silva Leopoldo Muniz da
Revista da Sociedade Brasileira de Medicina Tropical , 2006,
Abstract: Estudo comparativo de anticorpos IgG e IgE antileishmania como marcadores de infec o e doen a em área endêmica de leishmaniose visceral na ilha de S o Luis, MA no período de maio de 1999 a maio de 2000. A casuística foi composta de 1.016 menores de 16 anos. Destes, foram randomizados 85 para dosagem de IgE antileishmania pelo ELISA. A prevalência de soropositividade por IgG foi de 17,1% (174 menores) e 0,4% da popula o evoluiu para leishmaniose visceral doen a. A positividade para IgE antileishmania, foi de 43,5% dos 85 indivíduos estudados. Dos 7 casos de calazar no passado analisados, observou-se que todos apresentavam positividade para IgG e 4 (57,14%) permaneciam positivos para IgE, mesmo 7 anos após a cura. Os 3 menores com leishmaniose visceral doen a, apresentaram positividade para IgG e IgE antileishmania. A detec o de IgE antileishmania demonstrou ser marcador de infec o para Leishmania chagasi em área endêmica, n o sendo entretanto, marcador de doen a.
Estudo comparativo de anticorpos IgG e IgE antileishmania como marcadores de infec??o e doen?a em indivíduos de área endêmica de leishmaniose visceral, em S?o Luis, MA
Nascimento, Maria do Desterro Soares Brand?o;Bezerra, Geusa Felipa de Barros;Bandeira Neto, Abderval Pinto;Silva, Leopoldo Muniz da;Bezerra, José de Macêdo;Viana, Gra?a Maria de Castro;
Revista da Sociedade Brasileira de Medicina Tropical , 2006, DOI: 10.1590/S0037-86822006000100007
Abstract: comparative study regarding igg and ige anti-leishmania as markers of infection and illness among residents of a visceral leishmaniasis visceral leishmaniasis endemic area, s?o luis, ma in the period from may 1999 to may 2000. all the 1,016 individuals younger than 16 years old were tested for the presence of igg by elisa. a total of 174 (17,1%) children revealed a positive igg test and 4 children showed symptoms of classical visceral leishmaniasis during the time of the survey: 85 ige anti-leishmania elisa tests with positivity of 43,5% were realized. in this sample, all 7 children with past-visceral leishmaniasis in the sample were igg positive and 4 (57,1%) were ige positive, even after a 7 year post treatment period. three children with current visceral leishmaniasis were evaluated, and all of them were positive for both tests. the detection of antileishman ige antibodies presented as a good marker for infection by leishmania chagasi in endemic areas but not as a disease marker.
Prevalência de infec??o por Leishmania chagasi utilizando os métodos de ELISA (rK39 e CRUDE) e intradermorrea??o de Montenegro em área endêmica do Maranh?o, Brasil
Nascimento, Maria do Desterro Soares Brand?o;Souza, Edilberto Costa;Silva, Leopoldo Muniz da;Leal, Plinio da Cunha;Cantanhede, Karleno de Lima;Bezerra, Geusa Felipa de Barros;Viana, Gra?a Maria de Castro;
Cadernos de Saúde Pública , 2005, DOI: 10.1590/S0102-311X2005000600028
Abstract: a prospective study was undertaken in 1,520 children less than 15 years of age in s?o josé de ribamar, maranh?o, brazil, from june 1994 to january 1995, to evaluate the prevalence and characteristics (socioeconomic, environmental, and behavioral) associated with infection by leishmania chagasi. montenegro skin test (mst) and enzyme-linked immunosorbent assay (elisa-rk39 and crude) test were used to detect infection. the statistical analysis used the c2 test with yates correction and a p value less than 0.05 was considered statistically significant. prevalence of infection was 61.7% as measured by mst, 19.4% according to elisa (rk39), and 19.7% by elisa (crude). association was detected between leishmaniasis in the family, water supply, application of insecticide, and infection by l. chagasi using mst. no association with infection by l. chagasi was detected using elisa rk39 or crude. more effective control measures are needed to reduce prevalence and to detect asymptomatic cases in this high percentage of infected children.
Two-Hour Creatinine Clearance and Glomerular Filtration Rate Estimated from Serum Cystatin C and Creatinine in the Elderly to Preoperative Period  [PDF]
Leopoldo Muniz da Silva, Pedro Thadeu Galv?o Vianna, Mariana Takaku, Glênio Bittencourt Mizubuti, Yara Marcondes Machado Castiglia
Open Journal of Nephrology (OJNeph) , 2013, DOI: 10.4236/ojneph.2013.34032

Introduction: The utility of estimates of glomerular filtration rate based on creatinine and cystatin C serum levels to assess renal function in older surgical patients remains to be determined. Objective: To determine whether 2h-creatinine clearance (CrCl-2h) can be an adequate substitute for glomerular filtration rate estimates obtained by measuring serum cystatin C and creatinine in the elderly at preoperation. Methods: A total of 102 consecutive elder patients undergoing pre-anesthesia evaluation for routine surgeries were included. Study subjects were allocated into three groups: Group 1 (G1)—hypertensive diabetic patients, Group 2 (G2)—hypertensive patients, and Group 3 (G3)—non-hypertensive and non-diabetic patients. Two-hour urine collection was performed and CrCl-2h adjusted for ultrasonic residual bladder volume was estimated. GFR was estimated based on creatinine and cystatin C serum levels. Bland-Altman analysis was used to compare methods. Results: The mean difference between the evaluated methods and CrCl-2h was <15 mL·min-1·1.73 m-2 for Cys-GFR, and >20 mL·min-1·1.73 m

Renal function after laparoscopic cholecystectomy and analgesia with tramadol and dipyrone or ketorolac  [PDF]
Tiago Pechutti Medeiros, Pedro Thadeu Galv?o Vianna, Leopoldo Muniz da Silva, Lídia Raquel de Carvalho, Gilberto Elias Wady, Leandro Gobbo Braz, Yara Marcondes Machado Castiglia
Health (Health) , 2013, DOI: 10.4236/health.2013.511A1005

Background: Laparoscopic cholecystectomy (LC) reduces surgical trauma and hospital stay, but requires effective and safe postoperative analgesia. This prospective and double-blind study investigated the effects of analgesia with tramadol combined with either dipyrone or ketorolac on the postoperative renal function of patients submitted to LC. Methods: Pre-and post-operatively (PO), estimated glomerular filtration rates (GFR), obtained by two formulas dependent on blood Cr and one on blood cystatin C values, and tubular enzymuria—alkaline phosphatase (AP), γ-glutamiltransferase (γ-GT)— were determined in well hydrated patients who underwent LC and analgesia with tramadol combined with either dipyrone (Dipyrone, n = 63) or ketorolac (Ketorolac, n = 63). Upon discharge from the post-anesthetic care unit (PACU), pain (through Verbal Numerical Scale—VNS) and need for rescue analgesia with morphine were evaluated. Results: There was hemodilution PO, which made GFR profile analysis more difficult—those dependent on Cr increased and statistically correlated, but those dependent on cystatin C did not change. There was a significant PO increase in AP in the Dipyrone and Ketorolac groups, and in the product of the both enzymes in the Ketorolac group. Upon PACU discharge, the Dipyrone group showed signifi

cantly higher VNS scores than the Ketorolac group. All patients received morphine PO, and the total dose needed for pain control differed between groups, but without statistical significance. Conclusions: The association of tramadol with dipyrone or ketorolac in well hydrated patients submitted to LC had similar analgesic effectiveness in the PACU. Postoperatively, the effect on GFR may have been masked by hemodilution, and enzymuria was discreetly enhanced when ketorolac was used.

Six-Minute Walk Test in Patients with Rheumatoid Arthritis  [PDF]
Sandor Balsamo, Ana Paula Monteiro Gomides, Licia Maria Henrique da Mota, Frederico Santos de Santana, Raphaela Franco Miranda, Talita Yokoy, Luciana Muniz, Leopoldo Luiz Santos-Neto
Open Journal of Rheumatology and Autoimmune Diseases (OJRA) , 2019, DOI: 10.4236/ojra.2019.91002
Abstract: Background: The 6-minute walk test (6TC) was initially used as an instrument for assessing physical and cardiorespiratory capacity, but is currently being used to monitor treatments, and compare physical interventions and prognostic evaluation. Although already recognized as a research method in several specialties, 6TC has not been used in rheumatology. Patients with rheumatoid arthritis (RA) may have impaired functional capacity as well as increased cardiovascular mortality. An adequate functional evaluation of these patients is necessary and the 6TC may be useful in this sense. Objective: The aim of this study was to perform the 6-minute walk test in RA patients and to compare the performance with a control group. Method: A cross-sectional study was carried out in which the sample consisted of 85 women, 46 patients with rheumatoid arthritis and 39 healthy controls. A descriptive analysis of the data was performed. One-Way ANOVA methodology was used to compare the patient and control groups followed by the graphic analysis. Results: The distance walked on the 6TC by RA patients was on average 522.2 meters. In the distance control group found in the 6TC was on average 628.8 meters, the difference being statistically significant. Conclusion: In this study the distance covered in 6TC by women with RA was lower than that of healthy women of the same age.
Agita??o no despertar da anestesia em crian?as: aspectos atuais
Silva, Leopoldo Muniz da;Braz, Leandro Gobbo;Módolo, Norma Sueli Pinheiro;
Jornal de Pediatria , 2008, DOI: 10.1590/S0021-75572008000200004
Abstract: objective: postoperative agitation in children is a well-documented clinical phenomenon with incidence ranging from 10% to 67%. there is no definitive explanation for this agitation. possible causes include rapid awakening in unfamiliar settings, pain (wounds, sore throat, bladder distension, etc.), stress during induction, hypoxemia, airway obstruction, noisy environment, anesthesia duration, child's personality, premedication and type of anesthesia. the purpose of this paper is to discuss the possible causes of postoperative agitation in children, providing a foundation for better methods of identifying and preventing this problem. sources: medline and pubmed were searched using the following words: emergence, agitation, incidence, etiology, diagnosis, treatment, children, pediatric, anesthesia. summary of the findings: this study includes a review of potential agitation trigger factors and a proposal for a standardized diagnostic score system, in addition to measures to improve prevention and treatment. conclusion: no single factor can identified as the cause of postoperative agitation, which should therefore be considered a syndrome made up of biological, pharmacological, psychological and social components, and which anesthesiologists and pediatric intensive care specialists should be prepared to identify, prevent and intervene appropriately as necessary.
Patient perceptions about anesthesia and anesthesiologists before and after surgical procedures
Leite, Fernanda;Silva, Leopoldo Muniz da;Biancolin, Sckarlet Ernandes;Dias, Adriano;Castiglia, Yara Marcondes Machado;
Sao Paulo Medical Journal , 2011, DOI: 10.1590/S1516-31802011000400005
Abstract: context and objective: anesthesiologist-patient relationships are established preoperatively and intraoperatively. these are opportunities for providing correct information about anesthesia/anesthesiologists, thereby improving outcomes. the aim here was to evaluate patients' perceptions about anesthesiologists before anesthesia and to identify whether the anesthetic care would change such perceptions. design and setting: prospective cross-sectional study using data obtained in 2007-2008, at a tertiary university hospital. methods: 518 patients aged 16 years or over were interviewed before and after anesthesia exposure. a questionnaire was used to determine patient characteristics and perceptions of anesthesia/anesthesiologists. results: the patients were 16-89 years of age and 59.8% had attended elementary school. 79.1% said that anesthesiologists were specialized physicians. anesthesiologists' roles were associated with loss of consciousness (35.5% pre-anesthesia; 43.5% post-anesthesia), pain relief (29.7% pre-anesthesia, 31.7% post-anesthesia), vital sign monitoring (17.6% pre-anesthesia, 35% post-anesthesia; p < 0.05); and drug administration (10.8% pre-anesthesia, 43.9% post-anesthesia; p < 0.05). the level of confidence in the physician was rated high (82.2% and 89.8% pre- and post-anesthesia, respectively; p < 0.05) or intermediate (5.8% and 6.6% pre- and post-anesthesia, respectively; p < 0.05). the care provided by anesthesiologists was classified as: elucidating (52.8%), encouraging (52.6%), neutral (10.2%) and careless (0.8%). conclusion: patients' perceptions of anesthesiologists' roles were fairly good, but improvements in this relationship still need to be pursued, to achieve better outcomes. anesthetic care was important in providing information, confidence and reassurance among patients, regarding their perceptions. anesthesiologists should not miss opportunities to provide excellent professional care for patients, thereby improving anesthesia outcome
Cuidados de enfermagem ao paciente com sistema de drenagem pleural fechada
Simone Maria Muniz da Silva Bezerra,Jemima da Veiga Gonzales de Lima, Hilda Silva Carrilho Barbosa
Revista de Enfermagem UFPE On Line , 2007,
Abstract: The thoracic pipes are inserted in the pleural space in order to drain air or liquid. By the fact of that the pleural pressure is in general negative, at least during a part of the respiratory cycle, the closed system of pleural draining was developed to prevent that atmospheric air penetrates in the pleural space, but at the same time allows that air and the fluid drain continuously for are of the pleural space. The draining of thorax is a simple procedure, however, a great number of patients has been related complications the system imperfections, in general, had the unfamiliarity of some of its basic principles. Based on this fact, this study aim at observing nurses’ taking care actions to the patients with closed pleural draining; to carry through bibliographical review in specific literature; to cite the complications most frequent presented by the patients with closed pleural draining; to correlate the nurses’ taking care actions to the patients with closed pleural draining and with what is presented in the literature. This is a quantitative study where it was used for data collection the observacional technique and the structuralized interview for 30 nurses distributed in the surgical clinic, intensive therapy unit, pneumologic and thisiology of a public institution reference in pneumology at Pernambuco. It was observed that the majority of the nurses (93%) didn’t receive training in service on thoracic draining, not giving an assistance of integral nursing and consequently not identifying risks, being able to increase hospital costs and the permanence of the customer in the hospital.
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