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Search Results: 1 - 10 of 236136 matches for " Eduardo José de Mello "
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Cancer de pulm?o ocupacional
Algranti, Eduardo;Buschinelli, José Tarcísio Penteado;De Capitani, Eduardo Mello;
Jornal Brasileiro de Pneumologia , 2010, DOI: 10.1590/S1806-37132010000600017
Abstract: lung cancer is a multifactorial disease. hereditary, genetic, and environmental factors interact in its genesis. the principal risk factor for lung cancer is smoking. however, the workplace provides an environment in which there is a risk of exposure to carcinogens. the international agency for research on cancer currently lists 19 substances/work situations/occupations that have been proven to be associated with lung cancer (group 1). thorough occupational history taking is not widely practiced in patients with lung cancer, which has a negative impact on the investigation of causality and, consequently, on the identification of cases of occupational cancer. the objectives of this review were to list the agents that are recognized as causes of lung cancer, to discuss the contribution of occupation to the development of the disease, to cite national studies on the subject, and to propose a list of procedures that are essential to the appropriate investigation of causality between lung cancer and occupation.
Lead poisoning due to gunshot bullet in contact with cerebrospinal fluid: case report
Madureira, Paulo Roberto de;De Capitani, Eduardo Mello;Vieira, Ronan José;Sakuma, Alice Momoyo;Toledo, Adriana Safioti;Mello, Suely Moreira;
Sao Paulo Medical Journal , 2009, DOI: 10.1590/S1516-31802009000100011
Abstract: context: lead poisoning due to retained gunshot bullets is a well-known clinical problem that is fairly frequently described in the literature. the risk factors for this occurrence relate mainly to whether the lead bullet is in contact with the joint fluid or cerebrospinal fluid (csf). the treatment for these cases entails chelation therapy while symptoms are shown and definitive surgical removal of the bullet as a potential source of lead. the aim of this paper is to describe a clinical case of lead poisoning due to a retained gunshot bullet in contact with csf. case report: a 42-year-old male was hit by gunshot bullets during a holdup, and one of them was retained in the spinal cord. six years later, he developed intense low back pain and underwent laminectomy. nine years later, he then underwent arthrodesis on l5-s1, but he developed intense abdominal pain after the surgical procedure. for five years, he was treated with calcium versenate in five-day cycles, with a good response. the chelation therapy cycles showed great efficacy during symptomatic periods, thus reducing the symptoms and signs of poisoning and promoting great amounts of lead excretion, thereby reducing the total lead burden responsible for the symptoms. fortunately, over the last four years, the symptoms have improved and the urine levels of aminolevulinic acid (ala) have declined, to reach complete normalization. this shows that a healing process is probably taking place on the spinal wound, thereby isolating the bullet fragments from csf contact.
Altera??es da press?o de pico inspiratório e do volume corrente fornecidos por reanimadores manuais com bal?o auto-inflável em fun??o do fluxo de entrada de oxigênio utilizado
Godoy, Armando Carlos Franco de;Vieira, Ronan José;De Capitani, Eduardo Mello;
Jornal Brasileiro de Pneumologia , 2008, DOI: 10.1590/S1806-37132008001000010
Abstract: objective: to assess possible alterations in the tidal volume and peak inspiratory pressure delivered by seven models of manually operated self-inflating resuscitation bags as a function of the oxygen supply rate used. methods: the resuscitation bags tested were the following: oxigel, models a and b; ce reanimadores; protecsolutions; missouri; axmed; and narcosul. for the measurements, a wall oxygen flow meter, a flow meter/respirometer, a resuscitation bag, a sensor (tracer 5 unit), and a test lung were connected. in addition, the tracer 5 unit was connected to a notebook computer. oxygen supply rates of 1, 5, 10, and 15 l/min were used. results: the tidal volume delivered by the oxigel model a resuscitation bag when receiving oxygen at a rate of 15 l/min was approximately 99% greater than that delivered when receiving oxygen at a rate of 1 l/min. similarly, peak inspiratory pressure was approximately 155% greater. under the same conditions, the tidal volume delivered by the narcosul resuscitation bag was 48% greater, and peak inspiratory pressure was 105% greater. the remaining resuscitation bags tested showed no significant alterations in the tidal volume or peak inspiratory pressure delivered. conclusions: under the resistance and compliance conditions used, the resuscitation bags in which the oxygen inflow is directly to the interior of the bag had the patient valve stuck at the inspiratory position when receiving oxygen at a rate > 5 l/min, significantly increasing the tidal volume and peak inspiratory pressure delivered. this did not occur with the resuscitation bags in which the oxygen inflow is directed to the exterior of the bag.
Altera??o da press?o intra-cuff do tubo endotraqueal após mudan?a da posi??o em pacientes sob ventila??o mecanica
Godoy, Armando Carlos Franco de;Vieira, Ronan José;Capitani, Eduardo Mello De;
Jornal Brasileiro de Pneumologia , 2008, DOI: 10.1590/S1806-37132008000500008
Abstract: objective: the purpose of this study was to investigate endotracheal tube cuff pressure (pcuff) alteration in patients under mechanical ventilation after changes in position. methods: all selected patients were initially placed in the 35o semi-fowler position, with pcuff adjusted to 20 mmhg, and randomly divided into two groups. group a, in which patients were moved to the lateral decubitus position, facing away from the ventilator (measurement designated pcuff a1), returned to the initial position (measurement designated pcuff a2), moved to a lateral decubitus position, facing the ventilator (measurement designated pcuff a3) and then returned to the initial position (measurement designated pcuff a4); and group b, in which patients were moved to the lateral decubitus position, facing the ventilator (measurement designated pcuff b1), returned to the initial position (measurement designated pcuff b2), moved to the lateral decubitus position; facing away from the ventilator (measurement designated pcuff b3) and then returned to the initial position (measurement designated pcuff b4). results: the study comprised 70 patients, 31 allocated to group a and 39 allocated to group b. values >22 mmhg were observed in 142(50.7%) of the 280 pcuff measurements taken, and values <18 mmhg were observed in 14 (5%). when moved from the 35o semi-fowler position to the lateral decubitus position, facing away from the ventilator, 58 (82.2%) of the patients presented mean pcuff values in the higher range (>22 mmhg). conclusions: changes in body position can cause significant pcuff variations in patients under mechanical ventilation.
Dermatite de contato por mercúrio elementar com rea??o a distancia
De Capitani, Eduardo Mello;Souza, Elemir Macedo de;Vieira, Ronan José;Madureira, Paulo Roberto;
Anais Brasileiros de Dermatologia , 2009, DOI: 10.1590/S0365-05962009000100011
Abstract: a clinical case of contact dermatitis following direct skin contact with elemental mercury is presented. patient had metal mercury in contact with extensive part of his leg and foot skin resulting in erythematous, edematous, and vesicular dermatitis. lesions evolved to erythematous plaques with small scattered areas of necrosis and drying vesicle lesions. distant lesions appeared in the right forearm, chest and abdomen. urinary mercury 36h after contact was 5.9 μg/l, and one week later 19.6 μg/l, indicating dermal absorption. dermal absorption. dermal effects due to elemental mercury must be expected after direct skin contact.
Lead poisoning after gunshot wound
Madureira, Paulo Roberto de;De Capitani, Eduardo Mello;Vieira, Ronan José;
Sao Paulo Medical Journal , 2000, DOI: 10.1590/S1516-31802000000300006
Abstract: context: despite the absence of symptoms in the majority of patients carrying lead bullet fragments in their bodies, there needs to be an awareness of the possible signs and symptoms of lead intoxication when bullets are lodged in large joints like knees, hips and shoulders. such patients merit closer follow-up, and even surgical procedure for removing the fragments. objective: to describe a patient who developed clinical lead intoxication several years after a gunshot wound. design: case report. case report: a single white 23-year-old male, regular job as a bricklayer, with a history of chronic alcohol abuse, showed up at the emergency department complaining of abdominal pain with colic, weakness, vomiting and diarrhea with black feces. all the symptoms had a duration of two to three weeks, and had been recurrent for the last two years, with calming during interval periods of two to three weeks. abdominal radiograms showed a bullet lodged in the left hip, with a neat bursogram of the whole synovial capsule. a course of chelating treatment using calcium versenate (edtacana2) intravenously was started. after the chelation therapy the patient had recurrence of his symptoms and a radical solution for the chronic mobilization of lead was considered. a hip arthroplasty procedure was performed, leading to complete substitution of the left hip.
Maria Letícia Pereira de Camargo,Edson Seizo Mori,Eduardo José de Mello,Shinitiro Oda
Ciência Florestal , 2000,
Abstract: O presente estudo empregou o procedimento de envelhecimento artificial, submetendo sementes por 96 horas à 42° C e 100% de UR para compará-las com sementes estocadas por 5, 10 e 15 anos e utilizou eletroforese de isoenzimas e atividade de peroxidase por método colorimétrico. Houve um decréscimo significante na germina o das sementes envelhecidas artificialmente, quando comparadas com as sementes estocadas. A atividade da peroxidase foi baixa, porém houve uma curva ascendente que acompanhou a idade das sementes. Observou-se um aumento nas atividades da malato desidrogenase e a-esterase 2 e 3 e uma diminui o acentuada para a-esterase 1 e baixa para a fosfatase ácida. Os resultados acompanharam o aumento do tempo de estocagem das sementes e do estresse que ocorre por causa das condi es de temperatura e umidade empregadas no processo de envelhecimento artificial.
Amostragem para diagnose do estado nutricional de mangueiras
Rozane, Danilo Eduardo;Natale, William;Prado, Renato de Mello;Barbosa, José Carlos;
Revista Brasileira de Fruticultura , 2007, DOI: 10.1590/S0100-29452007000200035
Abstract: of all the processes used in foliar evaluation, sampling is currently still the most subject to error. to corroborate this, the present study aimed to determine the size of foliar samples and error variation of samples collected from mango tree leaves. the study used a completely randomized design with six repetitions and four different treatments which consisted of a leaf from each of the cardinal points from 5, 10, 20 and 40 different trees. mean variation, mean standard error, mean confidence interval and error percentage compared to mean values were calculated based on level of nutrients. results were calculated by using the semi-amplitude of the interval of confidence expressed as mean percentages. obtained results led to the conclusion that the chemical evaluation of macro-nutrients from 10 mango plants would be sufficient for assessment. however, for assessment of micro-nutrients, the sampling of 20 plants would be necessary, and, when considering fe, a total of 30 plants should be used.
Cancer de coto gátrico em ratos: papel da associa??o de Helicobacter pylori e refluxo êntero-gástrico
Mello, Eduardo Linhares Riello de;Arcuri, Roberto Alfonso;Bravo Neto, Guilherme Pinto;Sim?es, José Humberto;
Revista do Colégio Brasileiro de Cirurgi?es , 2003, DOI: 10.1590/S0100-69912003000600009
Abstract: background: gastric carcinogenesis is still under investigation. our objective is to evaluate a possible relationship between h.pylori and entero-gastric reflux in the genesis of epithelial neoplasias after billroth ii gastrectomy in rats. methods: twenty male wistar rats were divided into two groups. group i rats underwent laparotomy and group ii had a billroth ii gastrectomy performed. after nine months, survivors were killed and their stomachs analysed for quantification of h.pylori and for pre-neoplastic and neoplastic changes of the epithelium. results: group ii animals had a significant higher percentage of colonization by h.pylori and their epithelium had more pathological changes that ranged from a higher number of mitotic cells to invasive carcinoma. conclusion: the percentage of glandular involvement by h.pylori increases with entero-gastric reflux after partial gastrectomy and is associated to the development of gastric stump cancer in rats.
Tratamento cirúrgico da metástase de feocromocitoma
Kanomata, Fábio;Mello, Eduardo Linhares Riello de;Correa, José Humberto Sim?es;
Revista do Colégio Brasileiro de Cirurgi?es , 2001, DOI: 10.1590/S0100-69912001000500015
Abstract: the authors describe a case of a 52 years-old woman who presented recurrent and metastatic pheochromocytoma from a primary lesion ressected from the right adrenal, who was treated by surgical ressection with good results.
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