oalib

Publish in OALib Journal

ISSN: 2333-9721

APC: Only $99

Submit

Any time

2020 ( 2 )

2019 ( 173 )

2018 ( 319 )

2017 ( 333 )

Custom range...

Search Results: 1 - 10 of 187217 matches for " PAULO DE TARSO ROTH;MEDEIROS "
All listed articles are free for downloading (OA Articles)
Page 1 /187217
Display every page Item
Asma aguda em adultos na sala de emergência: o manejo clínico na primeira hora
DALCIN PAULO DE TARSO ROTH,MEDEIROS ALAN CASTOLDI,SIQUEIRA MARCELO KURZ,MALLMANN FELIPE
Jornal de Pneumologia , 2000,
Abstract: Asma é doen a com alta prevalência em nosso meio e ao redor do mundo. Embora novas op es terapêuticas tenham sido recentemente desenvolvidas, parece haver aumento mundial na sua morbidade e mortalidade. Em muitas institui es, as exacerba es asmáticas ainda constituem emergência médica muito comum. As evidências têm demonstrado que a primeira hora no manejo da asma aguda na sala de emergência concentra decis es cruciais que podem determinar o desfecho desta situa o clínica. Nesta revis o n o-sistemática, os autores enfocaram a primeira hora da avalia o e tratamento do paciente com asma aguda na sala de emergência, descrevendo uma estratégia apropriada para o seu manejo. S o consideradas as seguintes etapas: diagnóstico, avalia o da gravidade, tratamento farmacológico, avalia o das complica es e decis o sobre onde se realizará o tratamento adicional. Espera-se que estas recomenda es contribuam para que o médico clínico tome a decis o apropriada na primeira hora do manejo da asma aguda.
Asma aguda em adultos na sala de emergência: o manejo clínico na primeira hora
DALCIN, PAULO DE TARSO ROTH;MEDEIROS, ALAN CASTOLDI;SIQUEIRA, MARCELO KURZ;MALLMANN, FELIPE;LACERDA, MARIANE;GAZZANA, MARCELO BASSO;BARRETO, SéRGIO SALDANHA MENNA;
Jornal de Pneumologia , 2000, DOI: 10.1590/S0102-35862000000600005
Abstract: asthma is a disease with high prevalence in our country and around the world. although new therapeutic approaches have been recently developed, there appears to be a worldwide increase in morbidity and mortality from asthma. in many institutions, asthma exacerbation is still a common medical emergency. clinical evidence demonstrates that the first hour of management of acute asthma in the emergency room entails crucial decisions that could be determinant in the clinical outcome. in this non-systematic review, the authors focus on the first hour assessment and treatment of patients with acute asthma and outline an appropriate strategy for their management. diagnosis, severity assessment, pharmacological treatment, complications, and the decision regarding the place where additional treatment will take place will be considered. it is reasonable to expect that these recommendations will help physicians make appropriate decisions about the first hour care of acute asthma in the emergency room.
Resposta dos autores Authors' reply
Paulo de Tarso Roth Dalcin
Jornal Brasileiro de Pneumologia , 2009, DOI: 10.1590/s1806-37132009000300017
Abstract:
Manejo da asma aguda em adultos na sala de emergência: evidências atuais
Dalcin, Paulo de Tarso Roth;Perin, Christiano;
Revista da Associa??o Médica Brasileira , 2009, DOI: 10.1590/S0104-42302009000100021
Abstract: asthma is a disease with high prevalence in our country and worldwide. although new therapeutic approaches have been developed recently, there seems to be a global increase in morbidity and mortality from asthma. in many institutions, asthma exacerbation is still a common medical emergency. clinical evidence demonstrates that management of acute asthma in the emergency room entails crucial decisions that could determine the clinical outcome. in this review, the authors focus on assessment and treatment of patients with acute asthma and outline an appropriate management strategy. diagnosis, severity assessment, treatment, complications, decision about where additional treatment will take place and orientations on discharge from the emergency will be considered. it is expected that these recommendations will help physicians to make the appropriate decisions about care of acute asthma in the emergency room.
Fibrose cística no adulto: aspectos diagnósticos e terapêuticos
Dalcin, Paulo de Tarso Roth;Abreu e Silva, Fernando Ant?nio de;
Jornal Brasileiro de Pneumologia , 2008,
Abstract: once considered a childhood disease, cystic fibrosis is now also a disease of adults. increased longevity has resulted in the aging of the cystic fibrosis population. the consequent age-related medical problems among adults with cystic fibrosis have increased medical care needs. these needs are being met by a growing number of non-pediatric pulmonologists and other non-pediatric specialists. the objective of this review was to summarize the current knowledge about diagnosis and treatment in adult cystic fibrosis. in most cases, the diagnosis is suggested by manifestations of chronic sinopulmonary disease and exocrine pancreatic insufficiency. the diagnosis is confirmed by a positive sweat test result. adult patients may, however, present pancreatic sufficiency and atypical clinical features, sometimes in combination with normal or borderline sweat test results. in such cases, identifying cystic fibrosis mutations and measuring nasal potential difference can have diagnostic utility. the standard therapeutic approach to pulmonary disease includes the use of antibiotics, airway clearance, exercise, mucolytics, bronchodilators, oxygen therapy, anti-inflammatory agents and nutritional support. appropriate application of these therapies results in most cystic fibrosis patients surviving into adulthood with an acceptable quality of life.
Fibrose cística no adulto: aspectos diagnósticos e terapêuticos Cystic fibrosis in adults: diagnostic and therapeutic aspects
Paulo de Tarso Roth Dalcin,Fernando Ant?nio de Abreu e Silva
Jornal Brasileiro de Pneumologia , 2008,
Abstract: A fibrose cística, que já foi considerada uma doen a da infancia, é agora também uma doen a do adulto. O aumento da longevidade resultou em mais problemas médicos relacionados com a idade e com a própria doen a. O crescente número de adultos com fibrose cística resultou em aumento da necessidade de cuidados médicos. Essa necessidade tem sido suprida por um crescente número de pneumologistas de adultos e outros especialistas. O objetivo dessa revis o é sumarizar o conhecimento corrente sobre o diagnóstico e tratamento no adulto com fibrose cística. Na maioria dos casos, o diagnóstico é sugerido por manifesta es de doen a sinopulmonar cr nica e insuficiência pancreática exócrina, e, ent o, confirmado por um teste do suor positivo. Pacientes adultos podem, entretanto, apresentar suficiência pancreática e características clínicas atípicas, às vezes, associadas com teste do suor normal ou limítrofe. Em tais casos, a possibilidade de realizar pesquisa de muta es para fibrose cística e de medir a diferen a de potencial nasal pode ser de utilidade diagnóstica. A abordagem terapêutica padr o para a doen a pulmonar inclui: antibióticos, higiene das vias aéreas, exercício, mucolíticos, broncodilatadores, oxigênio, agentes anti-inflamatórios e suporte nutricional. A utiliza o adequada dessas terapias resulta em mais pacientes com fibrose cística sobrevivendo na vida adulta com uma aceitável qualidade de vida. Once considered a childhood disease, cystic fibrosis is now also a disease of adults. Increased longevity has resulted in the aging of the cystic fibrosis population. The consequent age-related medical problems among adults with cystic fibrosis have increased medical care needs. These needs are being met by a growing number of non-pediatric pulmonologists and other non-pediatric specialists. The objective of this review was to summarize the current knowledge about diagnosis and treatment in adult cystic fibrosis. In most cases, the diagnosis is suggested by manifestations of chronic sinopulmonary disease and exocrine pancreatic insufficiency. The diagnosis is confirmed by a positive sweat test result. Adult patients may, however, present pancreatic sufficiency and atypical clinical features, sometimes in combination with normal or borderline sweat test results. In such cases, identifying cystic fibrosis mutations and measuring nasal potential difference can have diagnostic utility. The standard therapeutic approach to pulmonary disease includes the use of antibiotics, airway clearance, exercise, mucolytics, bronchodilators, oxygen therapy, anti-inflammatory
Factors associated with delayed diagnosis of tuberculosis in hospitalized patients in a high TB and HIV burden setting: a cross-sectional study
Denise Rossato Silva, Alice Müller, Paulo de Tarso Roth Dalcin
BMC Infectious Diseases , 2012, DOI: 10.1186/1471-2334-12-57
Abstract: We conducted a cross-sectional study in a general, tertiary care, university-affiliated hospital. Adult patients with TB that were hospitalized were identified retrospectively, and risk factors for delayed diagnosis were collected.The median delay until diagnosis was 6 days (IQR: 2-12 days). One hundred and sixty six (54.4%) patients were diagnosed ≤ 6 days, and 139 (45.6%) > 6 days after admission. The main factors associated with diagnostic delay (> 6 days) were extra-pulmonary TB and negative sputum smear.Although hospitalization permits a rapid management of the patient and favors a faster diagnosis, we found an unacceptable time delay before the diagnosis of pulmonary TB was made. Future studies should focus on attempt to explain the reasons of diagnostic retard in the patients with the characteristics related to delay in this study.Tuberculosis (TB) is a major public health issue worldwide, particularly in low- and middle-income countries. It is estimated that one third of the world population is infected with Mycobacterium tuberculosis [1]. Brazil is ranked 19th among the 22 high-burden countries that collectively account for 80% of TB cases globally, with an incidence of 37.9 cases/100,000 inhabitants/year in 2009 [2]. The city of Porto Alegre, in southern Brazil, has the highest incidence of TB (109.4 cases/100,000 inhabitants/year in 2010) and TB-HIV coinfection (35%) in the country [3].The most essential components of TB control are early diagnosis and adequate treatment. It is estimated that a single infectious person who remains untreated can infect between ten and fifteen people every year, spreading the infection in the community [1,4]. In addition, delay in the diagnosis and treatment of tuberculosis may result in more extensive disease and more complications, increases severity of the disease and is associated with higher risk of mortality [5-7]. According to 2 studies, the main factors associated with diagnostic delay included HIV infection, negati
Tuberculose grave com necessidade de interna??o em UTI
Silva, Denise Rossato;Gazzana, Marcelo Basso;Dalcin, Paulo de Tarso Roth;
Jornal Brasileiro de Pneumologia , 2012, DOI: 10.1590/S1806-37132012000300015
Abstract: tuberculosis is a curable disease that can evolve to severe forms, requiring the treatment of the patients in an icu, especially if there is a delay in the diagnosis or if it affects elderly patients, those on dialysis, or those with hiv infection or other states of immunosuppression, as well as in cases of multidrug resistant disease. knowledge of the radiological presentation of the cases can help diagnose these severe forms, as can the introduction of new tests, such as the early detection of the etiological agent by pcr and chest ct, which favors the early initiation of treatment. in addition, the use of regimens without isoniazid and rifampin, as well as uncertain enteral absorption and low serum concentrations of antituberculosis drugs, can reduce the efficacy of treatment. for such patients, the prognosis is generally poor and mortality rates are high.
Ultrassom pulmonar em pacientes críticos: uma nova ferramenta diagnóstica
Dexheimer Neto, Felippe Leopoldo;Dalcin, Paulo de Tarso Roth;Teixeira, Cassiano;Beltrami, Flávia Gabe;
Jornal Brasileiro de Pneumologia , 2012, DOI: 10.1590/S1806-37132012000200015
Abstract: the evaluation of critically ill patients using lung ultrasound, even if performed by nonspecialists, has recently garnered greater interest. because lung ultrasound is based on the fact that every acute illness reduces lung aeration, it can provide information that complements the physical examination and clinical impression, the main advantage being that it is a bedside tool. the objective of this review was to evaluate the clinical applications of lung ultrasound by searching the pubmed and the brazilian virtual library of health databases. we used the following search terms (in portuguese and english): ultrasound; lung; and critical care. in addition to the most relevant articles, we also reviewed specialized textbooks. the data show that lung ultrasound is useful in the differential diagnosis of pulmonary infiltrates, having good accuracy in identifying consolidations and interstitial syndrome. in addition, lung ultrasound has been widely used in the evaluation and treatment of pleural effusions, as well as in the identification of pneumothorax. this technique can also be useful in the immediate evaluation of patients with dyspnea or acute respiratory failure. other described applications include monitoring treatment response and increasing the safety of invasive procedures. although specific criteria regarding training and certification are still lacking, lung ultrasound is a fast, inexpensive, and widely available tool. this technique should progressively come to be more widely incorporated into the care of critically ill patients.
Posteroanterior chest X-ray for the diagnosis of pneumothorax: methods, usage, and resolution
Denise Rossato Silva, Sandra Jungblut Schuh, Paulo de Tarso Roth Dalcin
Reports in Medical Imaging , 2010, DOI: http://dx.doi.org/10.2147/RMI.S10377
Abstract: steroanterior chest X-ray for the diagnosis of pneumothorax: methods, usage, and resolution Review (8193) Total Article Views Authors: Denise Rossato Silva, Sandra Jungblut Schuh, Paulo de Tarso Roth Dalcin Published Date August 2010 Volume 2010:3 Pages 29 - 34 DOI: http://dx.doi.org/10.2147/RMI.S10377 Denise Rossato Silva, Sandra Jungblut Schuh, Paulo de Tarso Roth Dalcin Universidade Federal do Rio Grande do Sul, Porto Alegre-RS, Brazil Abstract: Most pneumothoraces are demonstrated on fully inspired erect posteroanterior (PA) chest X-ray (CXR). Expiratory films may have a role in the clinical management of patients with a small respiratory reserve in whom pneumothorax is suspected and not demonstrated on the inspiratory film. PA CXR can be used for the diagnosis of spontaneous and -nonspontaneous pneumothoraces. When digital radiography is used, for most authors, a 2.5-lp/mm spatial -resolution is satisfactory to detect a pneumothorax.
Page 1 /187217
Display every page Item


Home
Copyright © 2008-2017 Open Access Library. All rights reserved.