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Search Results: 1 - 10 of 204985 matches for " Rone Ant?nio Alves de;Carvalho Jr. "
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Drenagem endoscópica transmural de pseudocisto pancreático: resultados a longo prazo
Abreu, Rone Antnio Alves de;Carvalho Jr., Joaquim Alves;Vaz, Filinto Anibal Alagia;Ota, Luiz Hirotoshi;Speranzini, Manlio Basílio;
Arquivos de Gastroenterologia , 2007, DOI: 10.1590/S0004-28032007000100007
Abstract: background: pancreatic pseudocysts are relatively common complications of pancreatitis in adults. objective: to evaluate the long-term results from transmural endoscopic drainage and thus to establish its role in managing pancreatic pseudocyst. methods: fourteen patients with pancreatic pseudocyst were studied. their main complaint was pain in the upper levels of the abdomen. they presented palpable abdominal mass and underwent cystogastrostomy (n = 12) and cystoduodenostomy (n = 2), with clinical follow-up using abdominal computed tomography for up to 51 months. retrograde endoscopic cholangiopancreatography was attempted in all cases to study the pancreatic duct and classify the cysts. results: there were 10 cases (71.5%) of chronic pancreatitis that had become acute through alcohol abuse and 4 (28.5%) that had become acute through biliary disorders. both types of endoscopic drainage (cystogastrostomy and cystoduodenostomy) were effective. there was no change in the therapeutic management proposed. migration of the orthesis into the pseudocyst at the time of insertion (two cases) was the principal complication, and these could be removed during the same operation, by means of a dormia basket, with the aid of fluoroscopy. there has so far not been any mortality or relapse. the mean hospital stay was 3 days. conclusion: transmural endoscopic drainage was an efficacious form of therapy, presenting a low complication rate and no mortality, and only requiring a short stay in hospital.
Tumor epidermóide intramedular: relato de caso
Rocha Júnior, Marco Antnio;Carvalho, Gervásio Teles C. de;Faria, Marcelo Penholate;Faglioni Jr., Wilson;Souza, Atos Alves de;
Arquivos de Neuro-Psiquiatria , 2003, DOI: 10.1590/S0004-282X2003000500031
Abstract: a rare case of an epidermoid intramedullary spinal cord tumor, extending from the second to the fourth thoracic vertebra is reported, in a 15 years old girl, surgically treated successfully. the clinical feature, the ethiopatogeny and a literature review will be discussed.
Feasibility analysis of loop colostomy closure in patients under local anesthesia
Abreu, Rone Antnio Alves de;Speranzini, Manlio B.;Fernandes, Luís C.;Matos, Delcio;
Acta Cirurgica Brasileira , 2006, DOI: 10.1590/S0102-86502006000500002
Abstract: purpose: to verify prospectively the practicability of performing loop colostomy closure under local anesthesia and sedation. methods: in this study, 21 patients underwent this operation. lidocaine 2% and bupivacaine 0.5% were utilized. pain was evaluated during the operation, on the first postoperative day and at hospital discharge. intraoperative events, postoperative complications and the acceptability of this procedure were analyzed. results: the mean duration of the operation was 133 minutes (range: 85 to 290 minutes). the mean postoperative hospitalization was four days (range: one to twelve days). no patients died. complications occurred in two patients (9.4%): abdominal wall hematoma and operative wound infection. with regard to pain severity, scores of less than or equal to three were indicated in the intraoperative evaluation by 80% of the patients (17/21) and on the first postoperative day by 85% (18/21). at hospital discharge, 95.2% of the patients (20/21) said they were in favor of the local anesthesia technique. conclusion: loop colostomy closure under local anesthesia and sedation is feasible, safe and acceptable to patients.
Cisto de úraco em adultos simulando abd?men agudo
Vieira Júnior, Emanuel da Silva;Abreu, Rone Antnio Alves de;Speranzini, Manlio Basilio;
Revista do Colégio Brasileiro de Cirurgi?es , 2007, DOI: 10.1590/S0100-69912007000100015
Abstract: urachus anomalies are generally asymptomatic, but when infected can simulate acute abdomen. this anomaly has to be deemed when abdominal tenderness is associated with inflammation signs in parumbilical or hypogastric regions. ultrasonography has great sensibility to settle down the diagnosis as observed from our three cases. ultrasonography images with air suggest intestinal fistula in most cases with sigmoid or ileum as shown here.
Feasibility analysis of loop colostomy closure in patients under local anesthesia
Abreu Rone Antnio Alves de,Speranzini Manlio B.,Fernandes Luís C.,Matos Delcio
Acta Cirurgica Brasileira , 2006,
Abstract: PURPOSE: To verify prospectively the practicability of performing loop colostomy closure under local anesthesia and sedation. METHODS: In this study, 21 patients underwent this operation. Lidocaine 2% and bupivacaine 0.5% were utilized. Pain was evaluated during the operation, on the first postoperative day and at hospital discharge. Intraoperative events, postoperative complications and the acceptability of this procedure were analyzed. RESULTS: The mean duration of the operation was 133 minutes (range: 85 to 290 minutes). The mean postoperative hospitalization was four days (range: one to twelve days). No patients died. Complications occurred in two patients (9.4%): abdominal wall hematoma and operative wound infection. With regard to pain severity, scores of less than or equal to three were indicated in the intraoperative evaluation by 80% of the patients (17/21) and on the first postoperative day by 85% (18/21). At hospital discharge, 95.2% of the patients (20/21) said they were in favor of the local anesthesia technique. CONCLUSION: Loop colostomy closure under local anesthesia and sedation is feasible, safe and acceptable to patients.
A família Arecaceae (palmeiras) no município de Lavras, MG
Joyce de Almeida Alves,Douglas Antnio de Carvalho
CERNE , 2010,
Abstract: This work identified the species of Arecaceae that occur in the County of Lavras, MG and elaborated a dichotomousanalytical key for the species found. The survey was carried out in two stages: (1) survey the main squares and gardens (municipaland privately owned); (2) survey of the species close to the margins of the Lavras County federal, state and municipal highways. Thepalm trees found were photographed and identified in loco or through herbarium survey and related literature. Thirty nine specieswere found, 5 of which are native, distributed in 25 genera. The genera with the higher numbers of species were Syagrus (6), Dypsis(3) and Roystonea (3), making up 31.58% of the species. The native species Acrocomia aculeata and Syagrus romanzoffiana occurin most edges of the travelled roads. In the survey done in the main squares and gardens, the species of the genus Dypsis, Syagrusromanzoffina, Phoenix roebelenii and Caryota urens stood out.
How can we get to know local governance of sports? – A case study in a Lagged region
PEDRO GUEDES DE CARVALHO,ANTóNIO ALBINO ALVES
Journal of Physical Education and Sport , 2011,
Abstract: This paper aims to produce some new knowledge on local sport in a lagged region of Portugal – Guarda.Considering sport as a relevant social phenomenon while it allocates public funding and has important mediaimpact, we need to know better how the sport institutions and clubs develop and finance their projects in order toproduce better collective actions. In this paper we study Guarda County and understood how its 26’s entities(Local municipality and School Sport Team, 7 federated sport associations, 5 schools and 13 volunteer privateclubs) organize and finance sports activities. After a reflective characterization of the public expenditure and costcalculus of some sport activities we concluded some of the most relevant clubs in number of practitioners are notthe most costly activities. The Municipality plays a determinant role in the sport structure but other entities valuemore the Public School Team for sport development. Soccer continues to play a central role in those entities livesbut Judo, Handball, Volleyball and Athletics are raising their prestige.
Randomized clinical trial comparing spinal anesthesia with local anesthesia with sedation for loop colostomy closure
Abreu, Rone Antnio Alves de;Vaz, Filinto Anibal Alagia;Laurino, Ricardo;Speranzini, Manlio Basilio;Fernandes, Luís Cesar;Matos, Delcio;
Arquivos de Gastroenterologia , 2010, DOI: 10.1590/S0004-28032010000300011
Abstract: context: recent studies have shown that local anesthesia for loop colostomy closure is as safe as spinal anesthesia for this procedure. objectives: randomized clinical trial to compare the results from these two techniques. methods: fifty patients were randomized for loop colostomy closure using spinal anesthesia (n = 25) and using local anesthesia (n = 25). preoperatively, the bowel was evaluated by means of colonoscopy, and bowel preparation was performed with 10% oral mannitol solution and physiological saline solution for lavage through the distal colostomy orifice. all patients were given prophylactic antibiotics (cefoxitin). pain, analgesia, reestablishment of peristaltism or peristalsis, diet reintroduction, length of hospitalization and rehospitalization were analyzed postoperatively. results: surgery duration and local complications were greater in the spinal anesthesia group. conversion to general anesthesia occurred only with spinal anesthesia. there was no difference in intraoperative pain between the groups, but postoperative pain, reestablishment of peristaltism or peristalsis, diet reintroduction and length of hospitalization were lower with local anesthesia. conclusions: local anesthesia plus sedation offers a safer and more effective method than spinal anesthesia for loop colostomy closure.
Cost-effectiveness analysis on spinal anesthesia versus local anesthesia plus sedation for loop colostomy closure
Vaz, Filinto Aníbal Alagia;Abreu, Rone Antnio Alves;Soárez, Patrícia Coelho de;Speranzini, Manlio Basílio;Fernandes, Luís Cesar;Matos, Delcio;
Arquivos de Gastroenterologia , 2010, DOI: 10.1590/S0004-28032010000200008
Abstract: context: studies in the area of health economics are still poorly explored and it is known that the cost savings in this area is becoming more necessary, provided that strict criteria. objective: to perform a cost-effectiveness analysis of spinal anesthesia versus local anesthesia plus sedation for loop colostomy closure. methods: this was a randomized clinical trial with 50 patients undergoing loop colostomy closure either under spinal anesthesia (n = 25) or under local anesthesia plus sedation (n = 25). the duration of the operation, time spent in the post-anesthesia recovery room, pain, postoperative complications, length of hospital stay, laboratory and imaging examinations and need for rehospitalization and reoperation were analyzed. the direct medical costs were analyzed. a decision tree model was constructed. the outcome measures were mean cost and cost per local and systemic postoperative complications avoided. incremental cost-effectiveness ratios were presented. results: duration of operation: 146 ± 111.5 min. vs 105 ± 23.6 min. (p = 0.012); mean time spent in post-anesthesia recovery room: 145 ± 110.8 min. vs 36.8 ± 34.6 min. (p<0.001). immediate postoperative pain was lower with local anesthesia plus sedation (p<0.05). local and systemic complications were fewer with local anesthesia plus sedation (p = 0.209). hospitalization + rehospitalization: 4.5 ± 4.1 days vs 2.9 ± 2.2 days (p<0.0001); mean spending per patient: r$ 5,038.05 vs 2,665.57 (p<0.001). incremental cost-effectiveness ratio: r$ -474.78, indicating that the strategy with local anesthesia plus sedation is cost saving. conclusion: in the present investigation, loop colostomy closure under local anesthesia plus sedation was effective and appeared to be a dominant strategy, compared with the same surgical procedure under spinal anesthesia.
Mesenchymal stem cell enhances chondral defects healing in horses  [PDF]
Ana Lucia Miluzzi Yamada, Armando de Mattos Carvalho, Andrei Moroz, Elenice Deffune, Marcos Jun Watanabe, Carlos Alberto Hussni, Celso Antnio Rodrigues, Ana Liz Garcia Alves
Stem Cell Discovery (SCD) , 2013, DOI: 10.4236/scd.2013.34027
Abstract:

The purpose of this study was to evaluate the effect of intralesional Mesenchymal Stem Cells (MSC) on the treatment of experimentally induced articular chondral defects in horses, emphasizing the benefits of this application in veterinary medicine. Chondral defects were induced in the medial femoral trochlea of both hind limbs of four horses. Thirty days post induction; the horses were divided into two groups. The G1 was submitted to treatment with MSC and the G2 was the control group. Clinical evaluations, synovial fluid analysis and synovial Prostaglandin E2 (PGE2) assessment were performed prior to defects and fortnightly up to 120 and 150 days. Macroscopic, histopathological and histochemical evaluations were performed at the end of the experiment. The treatment with MSC reduced the intraarticular inflammatory process. The G1 showed lower PGE2 concentrations in the synovial fluid and greater percentage of mononuclear cells and lower percentages of lymphocytes and neutrophils. The treatment improved the macro and microscopic aspects of repair tissue. No difference was observed in the scores of lameness between the G1 and G2. The use of MSC in the treatment of chondral defects minimized joint inflammation, as confirmed by synovial fluid analysis. The treatment resulted in an improved repair tissue, verified by macroscopic examination, histochemical and histopathological analysis.

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