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Search Results: 1 - 10 of 239648 matches for " Araújo Carlos Alberto Almeida de "
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Fenótipos clínicos de asma grave
Alves, Roseliane de Souza Araújo;Vianna, Flávia de Almeida Filardo;Pereira, Carlos Alberto de Castro;
Jornal Brasileiro de Pneumologia , 2008, DOI: 10.1590/S1806-37132008000900003
Abstract: objective: to characterize clinical phenotypes of severe asthma. methods: a total of 111 patients were retrospectively evaluated at a specialized outpatient clinic. a systematic protocol for patient evaluation and follow-up was applied. treatment compliance and control of the disease at the end of follow-up were defined by clinical and functional data. patients who did not meet asthma control criteria after six months despite compliance with treatment and correct use of medication were characterized as treatment-resistant. phenotypes were determined by factorial analysis and compared using various tests. results: at the end of follow-up, 88 patients were considered treatment compliant and 23 were considered noncompliant. factorial analysis of the compliant patients identified four phenotypes: phenotype 1 (28 patients) comprised patients who were treatment-resistant, more often presenting nocturnal symptoms and exacerbations, as well as more often using rescue bronchodilators; phenotype 2 (48 patients) comprised patients with persistent airflow limitation, lower ratios of forced expiratory volume in one second/forced vital capacity at baseline, more advanced age and longer duration of symptoms; phenotype 3 (42 patients) comprised patients with allergic rhinosinusitis who were nonsmokers and presented predominantly reversible airflow obstruction; and phenotype 4 (15 patients) comprised cases with a history of aspirin intolerance to acetylsalicylic acid associated with near-fatal asthma. conclusions: a significant number of patients with severe asthma are noncompliant with treatment. although many patients with severe asthma have persistent airflow obstruction, the most relevant clinical phenotype comprises patients who are resistant to the typical treatment.
Influência do corticóide na cicatriza o da anastomose traqueal sob tens o em c es
Araújo Carlos Alberto Almeida de,Aguiar José Lamartine de Andrade,Lima Francisco Pignataro,Azevêdo ítalo Medeiros de
Acta Cirurgica Brasileira , 2003,
Les?o complexa da traqueia: corre??o com retalho pediculado de músculo intercostal
Ferreira, Hylas Paiva da Costa;Araújo, Carlos Alberto Almeida de;Cavalcante, Jeancarlo Fernandes;Lima, Ronnie Peterson de Melo;
Jornal Brasileiro de Pneumologia , 2009, DOI: 10.1590/S1806-37132009001200014
Abstract: esophageal reconstruction is one of the most complex types of gastrointestinal surgery, principally when it is performed using minimally invasive techniques. the procedure is associated with various complications, such as anastomotic dehiscence, chylothorax, esophageal necrosis and fistulae. we report the case of a patient diagnosed with epidermoid carcinoma in the distal third of the esophagus. the patient was submitted to esophagectomy by video-assisted thoracoscopy and laparoscopy. during the operation, the left main bronchus was injured, and this required immediate surgical correction. in the postoperative period, the patient presented with acute respiratory failure and profuse air leak through the thoracic drains and through the cervical surgical wound. the patient underwent a second surgical procedure, during which a large lesion was discovered in the membranous wall of the trachea. the lesion was corrected with an intercostal muscle pedicle flap.
Actinomicose pulmonar na forma pseudotumoral: uma apresenta??o rara
Ferreira, Hylas Paiva da Costa;Araújo, Carlos Alberto Almeida de;Cavalcanti, Jeancarlo Fernandes;Miranda, Roberta Lacerda Almeida de;Ramalho, Rachel de Alcantara Oliveira;
Jornal Brasileiro de Pneumologia , 2011, DOI: 10.1590/S1806-37132011000500018
Abstract: some lung diseases are true diagnostic challenges due to their various clinical presentations. actinomycosis is one such disease, potentially affecting various organs and systems. we report the case of a patient with pulmonary actinomycosis as a pseudotumor, which is usually only diagnosed by thoracotomy or thoracoscopy.
Influência do corticóide na cicatriza??o da anastomose traqueal sob tens?o em c?es
Araújo, Carlos Alberto Almeida de;Aguiar, José Lamartine de Andrade;Lima, Francisco Pignataro;Azevêdo, ítalo Medeiros de;Medeiros, Aldo da Cunha;
Acta Cirurgica Brasileira , 2003, DOI: 10.1590/S0102-86502003000700007
Abstract: objective: the aim of this study is to analyze the incidence and intensity of stenosis in the anastomotic area, after tracheal resection and under tension anastomosis, with the use of methyl-prednisolone as a prophylactic agent of the tracheal stenosis. the wound healing with and without the use of corticoid was analyzed as well. methods: the experimental study was done in 20 mongrel dogs weighing 13± 5 kg randomly separated into two groups. in group a (n=10) corticoid was not used and in the group b (n=10) it was used methyl-prednisolone im 10mg/kg. under general anesthesia with orotracheal intubation, three tracheal rings were ressected from each animal. the force for approach the trachea extremities was 300 gf. the animals were killed with a letal dosis of anesthetic and kcl after 30 days, when the trachea was ressected in order to measure the internal diameter of the anastomosis using a digital pachymeter. the histological study of the anastomotic zone was done by the he and masson trichromic coloration and by a digital system to the quantitative analysis of the histologic data. results: in the group a (control) it was detected a greater stenosis index than in the b (corticosteroid) one and the difference was significant (p<0,01). the same group b revealed inflammatory reaction significantly less intense than the control (p<0,01). conclusion: the data allow to conclude that the use of methyl-prednisolone in dogs submmited to tracheal resection and under tension anastomosis, contributed to decrease the intensity and frequence of stenosis of the anastomosis and reduced the inflammatory reaction in the healing tissue.
Compensatory sweating after thoracoscopic sympathectomy: characteristics, prevalence and influence on patient satisfaction
Araújo, Carlos Alberto Almeida de;Azevedo, ítalo Medeiros;Ferreira, Maria Angela Fernandes;Ferreira, Hylas Paiva da Costa;Dantas, Jorge Lúcio Costa de Medeiros;Medeiros, Aldo Cunha;
Jornal Brasileiro de Pneumologia , 2009, DOI: 10.1590/S1806-37132009000300004
Abstract: objective: this prospective study aimed at investigating predictive factors for compensatory sweating after thoracoscopic sympathectomy. methods: from 2000 to 2002, 80 patients (53 females and 27 males) underwent thoracoscopic sympathectomy to treat hyperhidrosis. patient ages ranged from 12 to 56 years, and the mean post-operative follow-up period was 42.51 ± 5.98 months. patient satisfaction with the results was evaluated through the use of a rating scale. the procedure was performed bilaterally: at the t2 level for facial hyperhidrosis; at the t3-t4 level for axillary hyperhidrosis; and at the t3 level for palmar hyperhidrosis. results: post-operatively, 68 patients (85.0%) presented compensatory sweating, which was classified as mild in 23 (33.8%), moderate in 23 (33.8%) and severe in 22 (32.4%). considering the final surgical results, 70 patients (87.5%) were satisfied with the outcome of the operation, whereas 10 patients (12.5%) were dissatisfied. the level of patient satisfaction varied according to gender, age, body mass index (bmi) and extent of denervation. the compensatory sweating was more severe on the abdomen and back than on the legs. conclusions: although compensatory sweating, which is a common adverse effect of sympathectomy, occurred in the majority of cases, the level of patient satisfaction was high. the best candidates for thoracoscopic sympathectomy are young adult women with a bmi < 24.9 kg/m2.
Efeitos da simpaticotomia endoscópica sobre as artérias carótidas e vertebrais na terapêutica cirúrgica da hiperidrose primária
Cavalcante, Jeancarlo F.;Araújo, Carlos Alberto Almeida;Netto, Manoel Ximenes;Costa, Francisco Edênio R. da;Diniz Filho, Francisco de Freitas;Medeiros, Aldo da Cunha;
Acta Cirurgica Brasileira , 2005, DOI: 10.1590/S0102-86502005000700018
Abstract: purposes: analyze, in patients with primary hyperhidrosis (ph) who was undergone to videothoracoscopic sympathicotomy, the degree of vascular denervation after surgical transection of the thoracic sympathetic chain by measuring ultrasonografic parameters in carotid and vertebral arteries. methods: twenty-four patients with ph underwent forty-eight endoscopic thoracic sympathicotomy and were evaluated by duplex eco-doppler measuring systolic peak velocity (spv), diastolic peak velocity (dpv), pulsatility index (pi) and resistivity index (ri) in bilateral common, internal and external carotids, besides bilateral vertebral arteries. the exams were performed before operations and a month later. wilcoxon test was used to analyse the differences between the variables before and after the sympatholisis. results: t3 sympathicotomy segment was the most frequent transection done (95,83%), as only ablation (25%) or in association with t4 (62,50%) or with t2 (8,33%). it was observed increase in ri and pi of the common carotid artery ( p<0,05). the dpv of internal carotid artery decreased in both sides (p<0,05). the spv and the dpv of the right and left vertebral arteries also increased (p<0,05). asymmetric findings were observed so that, arteries of the right side were the most frequently affected. conclusions: hemodynamic changes in vertebral and carotid arteries were observed after sympathicotomy for ph. spv was the most often altered parameter, mostly in the right side arteries, meaning significant asymmetric changes in carotid and vertebral vessels. therefore, the research findings deserve further investigations to observe if they have clinical inferences.
Carbon and nitrogen stocks of an Arenosol under irrigated fruit orchards in semiarid Brazil
Bernardi, Alberto Carlos de Campos;Machado, Pedro Luiz Oliveira de Almeida;Madari, Beata Emoke;Tavares, Sílvio Roberto de Lucena;Campos, David Vilas Boas de;Crisóstomo, Lindbergue de Araújo;
Scientia Agricola , 2007, DOI: 10.1590/S0103-90162007000200010
Abstract: soil organic matter accumulation provides benefits to soil productivity and reduces atmospheric carbon concentration. however, little is known about the accumulation of c and n by sandy soils under perennial irrigated crops in semiarid regions. the objective of this study was to evaluate the effect of irrigated fruit orchard cultivation on the stocks of soil organic carbon (soc) and total nitrogen (n) of an arenosol/quartzpsament from paraipaba-ce, semiarid brazil. soil samples were taken from irrigated orchards of banana (musa ssp.), cashew (anacardium ocidentale), guava (psidium guajava), bullock's heart (annona reticulata), mango (mangifera indica), and sapote (manilkara zapota) in the wetted-bulb and non-irrigated area between the plant rows. additional samples were collected from adjacent areas under secondary caatinga forest, and under a 2-year-old deforested area. sampling depths were: 0-0.1, 0.1-0.2, and 0.2-0.4 m. the highest contents of soc and n were found in the surface layer. the soil bulk density did not change in depth. the stocks of soc and total n under secondary forest at 0-0.40 m layer were 27.6 and 2.4 mg ha-1, respectively. caatinga forest conversion into fruit orchard cultivation led to a decrease of 5 to 23% and 4 to 21% on soc and n stocks, respectively. compared to other soil uses, sapote and bullock's heart contributed for a lower decrease of soc and n stocks after deforestation. guava, bullock's heart, mango and sapote contributed for improving the soc stratification index.
Percep??o de adolescentes infratoras submetidas à a??o socioeducativa sobre assistência à saúde
Monteiro, Estela Maria Leite Meirelles;Nascimento, Carlos Alberto Domingues do;Almeida Filho, Antonio José de;Araújo, Ana Karina de Andrade;Carmo, Dannilo Rafael Bezerra do;Gomes, Islan Moisalye Barbosa;
Escola Anna Nery , 2011, DOI: 10.1590/S1414-81452011000200015
Abstract: the study aims at assessing the perception of adolescent offenders subjected to socio-educational action on health care provided, identify the perception of adolescents regarding factors that contributed to its institutionalization process; raise awareness of them on their physical and emotional, and meet the expectations of these teenagers in relation to their future. it's a qualitative research with a descriptive nature, using the technique of the collective subject discourse (csd) for presentation of results. the institutionalized adolescents are able to report health care available, while denouncing the need for the continuity of care, with emphasis on the actions of health education. the importance of the inclusion of nurses is evidenced by the planning of public health that meets real needs of this age group, working in health promotion and providing actions to empower the enjoyment of solidarity.
Dimens?es cativas e constru??o da emancipa??o: rela??es morais nas lógicas de sociabilidade de escravos e livres. Sudeste, 1860-1888
Couceiro, Luiz Alberto;Araújo, Carlos Eduardo Moreira de;
Estudos Afro-Asiáticos , 2003, DOI: 10.1590/S0101-546X2003000200004
Abstract: the authors' main objective is to think the work relationships among slaveholders, slaves, peasants, administrators and foremen, in southwest coffee farms, in the last decades of the slavery. thereby, those social relationships are analyzed through the idea of "farm community". one of the most important topic is the conflict between free and slaves in formation of the alliances towards justice and work social rules of the "farm communities", either being interrupts, or being restated in permanent social conflict.
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