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Search Results: 1 - 10 of 215709 matches for " Selma Freire de Carvalho da;Teixeira "
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Heart Weight and Heart Weight/Body Weight Coefficient in Malnourished Adults
Cunha, Daniel Ferreira da;Cunha, Selma Freire de Carvalho da;Reis, Marlene Ant?nia dos;Teixeira, Vicente de Paula Antunes;
Arquivos Brasileiros de Cardiologia , 2002, DOI: 10.1590/S0066-782X2002000400005
Abstract: objective: to compare the heart weight and the heart weight/body weight coefficient of adults with and without chronic malnutrition. methods: in an initial case series of 210 autopsies performed in adults, we recorded body and heart weights and calculated the heart weight/body weight coefficients (hw/bw x 100). the exclusion criteria were as follows: positive serology for chagas' disease, edema, obesity, heart diseases, hepatopathies, nephropathies, and systemic arterial hypertension. malnutrition was characterized as a body mass index <18.5kg/m2. differences with p<0.05 were considered significant. results: individuals in the malnourished (n=15) and control (n=21) groups were statistically different, respectively, in regard to body mass index (15.9±1.7 versus 21.3±2.5kg/m2), heart weight (267.3±59.8 versus 329.1±50.4g), and the hw/bw coefficient (0.64±0.12 versus 0.57±0.09%). a positive and significant correlation was observed between heart weight and body mass index (r=0.52), and between heart weight and body weight (r=0.65). conclusion: malnourished individuals have lighter hearts and a greater hw/bw coefficient than non-malnourished individuals do. these findings indicate a possible preservation of the myocardium in relation to the intensity of weight loss associated with the probable relative increase in cardiac connective tissue and heart blood vessels.
Frequency of pneumonitis among malnourished autopsied adults
Jammal, Millena Prata;Cunha, Selma Freire de Carvalho da;Teixeira, Vicente de Paula Antunes;Cunha, Daniel Ferreira da;
Revista da Sociedade Brasileira de Medicina Tropical , 2009, DOI: 10.1590/S0037-86822009000400022
Abstract: the objective of this study was to investigate whether malnourished autopsied adults would present higher frequency of pneumonitis than non-malnourished ones would. all of the autopsied adults (n = 175; age > 18 years) with complete records, including weight and height data, were included. pneumonitis was observed more frequently in malnourished individuals (59.1%) than in non-malnourished individuals (41.3%). this study showed that the percentage of pneumonitis among autopsied adults was high, in addition to an increased risk of pneumonitis among these individuals.
Heart Weight and Heart Weight/Body Weight Coefficient in Malnourished Adults
Cunha Daniel Ferreira da,Cunha Selma Freire de Carvalho da,Reis Marlene Ant?nia dos,Teixeira Vicente de Paula Antunes
Arquivos Brasileiros de Cardiologia , 2002,
Abstract:
Freqüência de diabetes mellitus e hiperglicemia em mulheres chagásicas e n o-chagásicas
Santos Vitorino Modesto dos,Cunha Selma Freire de Carvalho da,Teixeira Vicente de Paula Antunes,Monteiro Jaqueline Pontes
Revista da Sociedade Brasileira de Medicina Tropical , 1999,
Abstract: Estudo retrospectivo de 647 mulheres com idade340 anos, atendidas no Hospital-Escola da FMTM, Uberaba-MG. As três sorologias para a doen a de Chagas foram negativas nas controles (n = 285) e positivas nas chagásicas (n = 362), que foram classificadas nas formas indeterminada (n = 125), megas (n = 58) e cardíaca (n = 179). Diabetes mellitus foi definido por duas glicemias em jejum3140mg/dl e hiperglicemia por glicemia em jejum > 110mg/dl. Os grupos foram comparados pelos testes do c2, análise de variancia, "t" de Student, Kruskal-Wallis e Mann-Whitney, considerando-se significativo p < 0,05. chagásicas e controles estavam pareadas quanto à idade, o índice de massa corporal e a cor. Diabetes mellitus foi mais freqüente na forma cardíaca (15,1%), comparada com as controles (7,4%), megas (7,4%) e assintomáticas (5,6%), o mesmo ocorrendo com a hiperglicemia (37,4%, 26,7%, 25,9% e 27,2%, respectivamente), achados que est o de acordo com possível desnerva o parassimpática causada pelo Trypanosoma cruzi e conseqüente predomínio da atividade simpática.
HEADACHE IN CHAGASIC WOMEN
SANTOS Vitorino Modesto dos,CUNHA Selma Freire de Carvalho da,TEIXEIRA Vicente de Paula Antunes,MONTEIRO Jaqueline Pontes
Revista do Instituto de Medicina Tropical de S?o Paulo , 1999,
Abstract: The aim of this study was to compare the frequency of headache between Chagasic and Non-chagasic women. The cross-sectional study comprised 647 female 340 years old, Chagasic (n = 362) and Controls (n = 285) at a Brazilian University Hospital. Chagasic were classified as Cardiac (n = 179), Megas (n = 58) or Indeterminate (n = 125) clinical forms. Headache was ascertained according to Headache International Society diagnostic criteria. The age (57.0 ± 11.3 versus 57.3 ± 10.4 years), and the percentage of white women (75.8% versus 77.1%) were similar between Chagasic and Controls, respectively. Headache was more prevalent among Chagasic (32.9%) than Controls (16.1%), mainly in Cardiac form (odds ratio, 2.41; 95% confidence interval, 1.38-4.23), phenomenon possibly related to parasympathetic denervation and cerebral vessels changes.
Doen?as infecciosas como causas de morte em idosos autopsiados
Oliveira, Flávia Aparecida de;Reis, Marlene Ant?nia dos;Castro, Eumênia Costa da Cunha;Cunha, Selma Freire de Carvalho da;Teixeira, Vicente de Paula Antunes;
Revista da Sociedade Brasileira de Medicina Tropical , 2004, DOI: 10.1590/S0037-86822004000100009
Abstract: the population aging in brazil was associated with the alterations in the morbimortality of the population. the aim of this study was to verify the causes of death and other pathological processes in autopsied elderly. the elderly with 60 years or more in the period from 1976 to 1998 represented 394 cases (24.4%). the age median was 69 years ranged from 60 to 120 years, being higher in the women (70.5 versus 68yrs;p<0.05). the male gender (67.5%), white color (69.8%), and the cardiovascular (43.7%) and infectious (31%) causes of death were dominate. in the malnourished (76.2%) it had association of pneumonia and cystitis, (p<0.05). arteriosclerosis (61.9%), and the chagasic (42.1%) and hypertensive cardiopathies (39.1%) were the most frequent processes. therefore, it was observed an overlapping of chronic-degenerative and infectious causes of death. this study shows the necessity to value of follow up of body mass index and of risk factors for the development of illness in aging patients like pneumonia.
Pressure sores among malnourished necropsied adults - preliminary data
Cunha, Daniel Ferreira da;Frota, Ricardo Boggio;Arruda, Maysa Silva;Cunha, Selma Freire de Carvalho da;Teixeira, Vicente de Paula Antunes;
Revista do Hospital das Clínicas , 2000, DOI: 10.1590/S0041-87812000000300002
Abstract: pressure sores are common among bedridden, elderly, or malnourished patients, and may occur in terminal ill patients because of impaired mobility, fecal or urinary incontinence, and decreased healing capacity. the aim of this study was to compare frequency of pressure sores between malnourished and non-malnourished necropsied adults. method: all (n = 201) adults (age 3 18 years) autopsied between 1986 and 1996 at the teaching hospital of triangulo mineiro medical school (uberaba) were eligible for the study. gender, race, weight, height and main diagnoses were recorded. ninety-six cases were excluded because of probable body water retention (congestive heart failure, hepatic insufficiency, nephrotic syndrome) or pressure sores secondary to peripheral vascular ischemia. body mass index (bmi) was used to define malnourished (bmi < 18.5 kg/m2) and non-malnourished (bmi > 18.5kg/m2) groups. results: except for weight (42.5kg; range: 28-57 vs. 60; 36-134.5kg) and bmi (16.9; range: 12.4-18.5 vs. 22.7; range: 18.5-54.6kg/m2), respectively, there were no statistical differences among 43 malnourished and 62 non-malnourished cases in relation to age (54.9 ± 20.4 vs. 52.9 ± 17.9 years), percentage of white persons (74.4 vs. 64.5%), male gender (76.7 vs. 69.3%) and main diagnoses. five malnourished (11.6%) and 7 (11.5%) non-malnourished cases had pressure sores (p=0.89). conclusion: pressure sores were equally common findings in necropsied persons with protein-energy malnutrition, as assessed by body mass index.
Estudo morfométrico do miocárdio em adultos com subnutri??o protéico-energética
Cunha, Daniel Ferreira da;Pedrini, Cristiane Helena;Sousa, Júlio Cláudio;Reis, Marlene Ant?nia dos;Ramos, Sidney Gon?alves;Cunha, Selma Freire de Carvalho da;Teixeira, Vicente de Paula Antunes;
Arquivos Brasileiros de Cardiologia , 1998, DOI: 10.1590/S0066-782X1998001100006
Abstract: purpose: to compare cardiac muscle cells width and cardiomyocyte lipofuscin pigment presence between malnourished and non-malnourished necropsied adults. methods: out of 315 necropsy protocols of adults randomly chosen, those with edema, ascitis, systemic arterial hypertension, chronic liver disease, and heart disease were excluded. malnutrition was defined by body mass index (bmi) <17kg/m2. cardiomyocytes morphometry study and lipofuscin pigment counts were performed. results: malnourished (n=8) and controls (n=4), respectively, showed statistical differences in relation to bmi (14.86±1.13 vs 22.02±0.9kg/m2), heart weight/body weight ratio (0.68±0.09 vs 0.54±0.07%), cardiomyocytes width (10.91±0.77 vs 12.90±1.82μm) and lipofuscin pigment presence (39.1 vs 54.4%). conclusion: when compared with controls, necropsied malnourished adults showed decreased myocardial fibers diameters and lower lipofuscin pigment presence. these findings might reflect altered metabolism, and would be associated with harmful clinical effects in terminally ill patients.
HEADACHE IN CHAGASIC WOMEN
SANTOS, Vitorino Modesto dos;CUNHA, Selma Freire de Carvalho da;TEIXEIRA, Vicente de Paula Antunes;MONTEIRO, Jaqueline Pontes;SANTOS, Jenner Arruda Modesto dos;SANTOS, Taciana Arruda Modesto dos;SANTOS, Lister Arruda Modesto dos;CUNHA, Daniel Ferreira da;
Revista do Instituto de Medicina Tropical de S?o Paulo , 1999, DOI: 10.1590/S0036-46651999000200010
Abstract: the aim of this study was to compare the frequency of headache between chagasic and non-chagasic women. the cross-sectional study comprised 647 female 340 years old, chagasic (n = 362) and controls (n = 285) at a brazilian university hospital. chagasic were classified as cardiac (n = 179), megas (n = 58) or indeterminate (n = 125) clinical forms. headache was ascertained according to headache international society diagnostic criteria. the age (57.0 ± 11.3 versus 57.3 ± 10.4 years), and the percentage of white women (75.8% versus 77.1%) were similar between chagasic and controls, respectively. headache was more prevalent among chagasic (32.9%) than controls (16.1%), mainly in cardiac form (odds ratio, 2.41; 95% confidence interval, 1.38-4.23), phenomenon possibly related to parasympathetic denervation and cerebral vessels changes.
Freqüência de diabetes mellitus e hiperglicemia em mulheres chagásicas e n?o-chagásicas
Santos, Vitorino Modesto dos;Cunha, Selma Freire de Carvalho da;Teixeira, Vicente de Paula Antunes;Monteiro, Jaqueline Pontes;Santos, Jenner Arruda Modesto dos;Santos, Taciana Arruda Modesto dos;Santos, Lister Arruda Modesto dos;Cunha, Daniel Ferreira da;
Revista da Sociedade Brasileira de Medicina Tropical , 1999, DOI: 10.1590/S0037-86821999000500004
Abstract: medical records of 3 40 years old female seen at university hospital from june/93 to july/95 were submitted to a cross-sectional study. according to chagas' disease tests, patients were divided into chagasic (n = 362) and controls (n = 285). diabetes mellitus was defined on the basis of two fasting blood glucose levels 3 140mg/dl and hyperglycemia as fasting blood glucose > 110mg/dl. chagasic patients were divided into groups with the cardiac form of the disease (n = 179), with megas (n = 58), and asymptomatic (n = 125). groups were compared by the c2 test, analysis of variance, student's "t" test, and kruskal-wallis and mann-whitney tests. a significant difference was assumed when p < 0.05. chagasic and control groups were matched for age, white color and body mass index. diabetes mellitus was more prevalent in patients with the cardiac form of chagas' disease than in controls, or patients with the megas or the asymptomatic form (15.1%, 7.4%, 7.4%, and 5.6%, respectively); the same was observed for hyperglycemia (37.4%, 26.7%, 25.9%, 27.2%), in agreement with the hypothesis that the reduced parasympathetic activity caused by trypanosoma cruzi leads to relative sympathetic hyperactivity.
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