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Search Results: 1 - 10 of 1809 matches for " Emanuel Celice Castilho "
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Divertículo faringoesofagiano: avalia o dos resultados do tratamento Pharyngoesophageal diverticulum: evaluation of treatment results
Maria Aparecida Coelho de Arruda Henry,Mauro Masson Lerco,José Vicente Tagliarini,Emanuel Celice Castilho
Revista do Colégio Brasileiro de Cirurgi?es , 2013,
Abstract: OBJETIVO: Avaliar a evolu o pós-operatória de pacientes com divertículo faringoesofagiano submetidos aos tratamentos cirúrgico e endoscópico. MéTODOS: Foram analisados de maneira retrospectiva 36 pacientes com divertículo faringo-esofagiano atendidos no Hospital das Clínicas da Faculdade de Medicina de Botucatu - UNESP. Os pacientes foram distribuídos em dois grupos, na dependência do tratamento: grupo 1 (n=24) - diverticulectomia associada á miotomia do cricofaríngeo, através de cervicotomia esquerda; grupo 2 (n=12) - diverticulostomia endoscópica usando grampeador linear. RESULTADOS: A mortalidade operatória foi nula em ambos os grupos. Complica es precoces: grupo 1 - dois pacientes desenvolveram fistula cervical e outros dois, rouquid o; grupo 2 - sem complica es. Complica es tardias: grupo 1 - sem complica es: grupo 2: recidiva da disfagia em quatro pacientes (p=0,01). O seguimento médio foi 33 meses para o grupo 1 e 28 meses para o grupo 2. CONCLUS O: Os dois procedimentos foram eficazes na remiss o da disfagia. O tratamento cirúrgico apresentou superioridade em rela o ao endoscópico, com resolu o da disfagia com um único procedimento. O tratamento endoscópico deve ser reservado para os mais idosos e portadores de comorbidades. OBJECTIVE: To evaluate the postoperative outcome of patients with pharyngoesophageal diverticulum submitted to surgical and endoscopic treatments. METHODS: We retrospectively analyzed 36 patients with pharyngo-esophageal diverticulum treated at the Hospital of the Medical School of Botucatu - UNESP. Patients were divided into two groups, depending on the treatment: group 1 (n = 24): diverticulectomy associated myotomy through a left cervicotomy; group 2 (n = 12): endoscopic diverticulostomy with linear stapler. RESULTS: Operative mortality was zero in both groups. Early complications: group 1- two patients developed cervical fistula and two, hoarseness; group 2 - none. Late complications: group 1 - none; group 2: recurrence of dysphagia in four patients (p = .01). Mean follow-up was 33 months for group 1 and 28 months for group 2. CONCLUSION: Both procedures were effective in remission of dysphagia. Surgical treatment showed superiority to endoscopy, with resolution of dysphagia with a single procedure. Endoscopic treatment should be reserved for the elderly and those with comorbidities.
Efeitos da press o limite (25 cmH2O) e mínima de “selo” do balonete de tubos traqueais sobre a mucosa traqueal do c o
Castilho Emanuel Celice,Braz José Reinaldo Cerqueira,Cataneo Antonio José Maria,Martins Regina Helena Garcia
Revista Brasileira de Anestesiologia , 2003,
Abstract: JUSTIFICATIVA E OBJETIVOS: As les es da mucosa traqueal em contato com o balonete do tubo traqueal s o proporcionais à press o exercida pelo balonete e ao tempo de exposi o. O objetivo foi estudar as eventuais les es da mucosa do segmento traqueal em contato com o balonete do tubo traqueal insuflado com volume de ar suficiente para se obter press o de “selo” ou com a press o limite de 25 cmH2O, abaixo da press o crítica de 30 cm de água para produ o de les o da mucosa traqueal. MéTODO: Dezesseis c es foram submetidos à anestesia venosa e ventila o artificial. Os c es foram distribuídos aleatoriamente em dois grupos de acordo com a press o no balonete do tubo traqueal (Portex Blue-Line, Inglaterra): Gselo (n = 8) balonete com press o mínima de “selo” para impedir vazamento de ar durante a respira o artificial; G25 (n = 8) balonete insuflado até obten o da press o de 25 cmH2O. A medida da press o do balonete foi realizada por meio de man metro digital no início (controle) e após 60, 120 e 180 minutos. Após o sacrifício dos c es, foram feitas biópsias nas áreas da mucosa traqueal adjacentes ao balonete e ao tubo traqueal para análise à microscopia eletr nica de varredura (MEV). RESULTADOS: A press o média do balonete em G25 manteve-se entre 24,8 e 25 cmH2O e em Gselo entre 11,9 e 12,5 cmH2O durante o experimento. As altera es à MEV foram pequenas e n o significantemente diferentes nos grupos (p > 0,30), mas ocorreram les es mais intensas nas áreas de contato da mucosa traqueal com o balonete do tubo traqueal, nos dois grupos, em rela o às áreas da mucosa adjacentes ou n o ao tubo traqueal (p < 0,05). CONCLUS ES: No c o, nas condi es experimentais empregadas, a insufla o do balonete de tubo traqueal em volume de ar suficiente para determinar press o limite de 25 cmH2O ou de “selo” para impedir vazamento de ar determina les es mínimas da mucosa traqueal em contato com o balonete e sem diferen a significante entre elas.
Rouquid?o após intuba??o traqueal
Martins, Regina Helena Garcia;Braz, José Reinaldo Cerqueira;Dias, Norimar Hernandes;Castilho, Emanuel Celice;Braz, Leandro Gobbo;Navarro, Lais Helena Camacho;
Revista Brasileira de Anestesiologia , 2006, DOI: 10.1590/S0034-70942006000200011
Abstract: background and objectives: to describe the main causes of hoarseness after undergoing tracheal intubation. contents: hoarseness is one of the most common postoperatory symptoms after tracheal intubation and the effects vary in terms of duration, depending on the factors that caused it and on how severe the damage to the laryngeal structures. this study performed a brief check-up of the anatomical structures of the larynx, describing the main traumatic lesions in the region following tracheal intubation. it also emphasized the importance of caring for the larynx, as well as undergoing early diagnosis and treatment. conclusions: traumatic lesions of the laryngeal structures that occur during intubation are the most common causes of hoarseness. as such, it is important to perform an early diagnosis and adopt preventive measures.
Efeitos da press?o limite (25 cmH2O) e mínima de “selo” do balonete de tubos traqueais sobre a mucosa traqueal do c?o
Castilho, Emanuel Celice;Braz, José Reinaldo Cerqueira;Cataneo, Antonio José Maria;Martins, Regina Helena Garcia;Gregório, Elisa Aparecida;Monteiro, Eduardo Raposo;
Revista Brasileira de Anestesiologia , 2003, DOI: 10.1590/S0034-70942003000600006
Abstract: background and objectives: injuries of tracheal mucosa in contact with tracheal tube cuff is a function of cuff pressure and exposure time. this study aimed at analyzing injuries of tracheal mucosa in contact with tracheal tube cuff inflated to reach “seal” pressure or limit 25 cmh2o pressure, below critical 30 cmh2o, to prevent tracheal damage. methods: this study involved 16 dogs submitted to intravenous anesthesia and artificial ventilation. dogs were randomly distributed into two experimental groups according to tracheal tube cuff pressure (portex blue line, uk): gseal (n = 8) cuff with minimum “seal” pressure to prevent air leakage during artificial ventilation; g25 (n=8) cuff inflated to 25 cmh2o. cuff pressure was measured with a digital manometer at the beginning of the experiment (control) and 60, 120 and 180 minutes later. animals were sacrificed and tracheal mucosa areas adjacent to the tracheal tube cuff were biopsed by scanning electronic microscopy (sem). results: mean cuff pressure was maintained between 24.8 and 25 cmh2o in g25 and between 11.9 and 12.5 cmh2o in gseal. sem changes were mild and not significantly different between groups (p > 0.30), with more severe injuries to tracheal areas in contact with the cuff as compared to areas adjacent or not to tracheal tube (p < 0.05). conclusions: in dogs under our experimental conditions, tracheal tube cuff inflation to 25 cmh2o limit or to “seal” pressure to prevent air leakage has determined minor injuries to the tracheal mucosa in contact with tracheal tube cuff, without significant differences between groups.
Fenda cervical mediana
Tagliarini, José V.;Castilho, Emanuel C.;Montovani, Jair C.;
Revista Brasileira de Otorrinolaringologia , 2004, DOI: 10.1590/S0034-72992004000500021
Abstract: the midline cervical cleft is an unusual congenital anomaly of the ventral neck and fewer than 100 cases have been reported overall and the first described by bailey in 1924. this anomaly is report in association with median cleft of lower lip, cleft mandible and tongue, and hypoplasia of other midline neck structures. its considered an anomaly originated from the two first branchial arches. the treatment of this cleft is a vertical complete excision and a closure with multiple z-plasty. many authors recommend avoid linear closure and prefer multiple z-plasty for evicted fibrosis and local retraction. in this paper we report 2 case of this anomaly and the literature is reviewed.
Estenose congênita da abertura piriforme
Tagliarini, José V.;Nakajima, Victor;Castilho, Emanuel C.;
Revista Brasileira de Otorrinolaringologia , 2005, DOI: 10.1590/S0034-72992005000200022
Abstract: the congenital stenosis of pyriform aperture is an unusual cause of neonatal nasal obstruction. it is due to bony overgrowth of the nasal lateral process of the maxilla. initially this narrowest part of nasal airway was considered an isolated deformity; subsequently the congenital stenosis of pyriform aperture was thought to represent a microform of holoprosencephaly. in this report a male neonate had respiratory distress, cyclic cyanosis and apnea after delivery. the patient underwent surgical correction of pyriform stenosis by sublabial access. in the follow up, the patient had good evolution. the report of this deformity shows an important cause of neonatal nasal obstruction and its differential diagnosis with bilateral choanal atresia. congenital stenosis of nasal pyriform aperture can be surgically corrected when necessary.
Reproductive Biology and Herkogamy of Psychotria elata (Rubiaceae), a Distylous Species of the Tropical Rain Forests of Costa Rica  [PDF]
Celice Alexandre Silva, Jorge Arturo Lobo Segura
American Journal of Plant Sciences (AJPS) , 2015, DOI: 10.4236/ajps.2015.63049
Abstract: The floral morphology, breeding system and pollinators of four natural populations of Psychotria elata (Rubiaceae), found in tropical rainforests of Costa Rica, were examined. Anisoplethy and distylous morphology were observed in all studied populations. The number of flowers per inflorescence was significantly higher in the most abundant morph (p < 0.005) and the number of open flowers/inflorescence/day was similar between the morphs (p > 0.05). Reciprocal herkogamy was detected in only one of the morphs in one population. Breakdown of the heteromorphic incompatibility system was observed in the populations Tirimbina and Rara Avis. Pollen production was significantly lower in thrum morphs of Tirimbina. Seedless fruits were formed in two of the four populations. One-seeded fruits were formed in all populations and were predominant in thrum morphs of Tirimbina (9.15%) and Zurqui (75%). According to our visitation records, hummingbirds, butterflies and moths are the main pollinators of P. elata flowers.
Complica??es das vias aéreas relacionadas à intuba??o endotraqueal
Martins, Regina H. G.;Dias, Norimar H.;Braz, José R. C.;Castilho, Emanuel C.;
Revista Brasileira de Otorrinolaringologia , 2004, DOI: 10.1590/S0034-72992004000500015
Abstract: we reviewed the main airway complications associated with endotracheal intubation, presented some results of our researches and alert health professionals for the high incidence of airway injuries. the knowledge of the physiopathology of these injuries will help to proper prophylactic and practice conducts to prevent the airway complications associated with endotracheal intubation.
Cognitive Robotics: For Never Was a Story of More Woe than This  [PDF]
Emanuel Diamant
Journal of Computer and Communications (JCC) , 2014, DOI: 10.4236/jcc.2014.211005
Abstract:

We are now on the verge of the next technical revolution—robots are going to invade our lives. However, to interact with humans or to be incorporated into a human “collective” robots have to be provided with some human-like cognitive abilities. What does it mean?—Nobody knows. But, robotics research communities are trying hard to find out a way to cope with this problem. Meanwhile, despite abundant funding these efforts did not lead to any meaningful result (only in Europe, only in the past ten years, Cognitive Robotics research funding has reached a ceiling of 1.39 billion euros). In the next ten years, a similar budget is going to be spent to tackle the Cognitive Robotics problems in the frame of the Human Brain Project. There is no reason to expect that this time the result will be different. We would like to try to explain why we are so unhappy about this.

Achados endoscópicos em crian?as com estridor
Martins, Regina H.G.;Dias, Norimar H.;Castilho, Emanuel C.;Trindade, Sérgio H.K.;
Revista Brasileira de Otorrinolaringologia , 2006, DOI: 10.1590/S0034-72992006000500011
Abstract: congenital and acquired airway diseases are responsible for upper respiratory distress and stridor in children. in neonatal intensive care units, we have seen increased survival in premature babies, but also a high incidence of airway complications related to intubation, which present as stridor. aim: to review endoscopic findings in children with stridor. study desing: a cross-sectional cohort study. methods: a retrospective analysis was done of 55 cases of children with stridor who underwent endoscopic exams, between january 1997 and december 2003. results: 69% were aged below one year. the main indications for endoscopy were post-extubation stridor (63.63%) and evaluation of neonatal stridor (21.82%). many associated diseases were seen, including lung diseases (60%), neurological condition (45.4%), and gerd (40%). the main endoscopic findings and indications for tracheotomy were subglottic stenosis (27.27%) and airway inflammatory process (21.82%) occurring in children under five years old. congenital disorders were more frequent in children under age one year. conclusion: neonatal stridor has many causes; those related to tracheal intubation are more frequent in hospitals that treat more complex diseases. pediatricians and otorhinolaryngologists should know the main causes of stridor and perform detailed clinical evaluations to determine case severity. the endoscopic examination, must be meticulous.
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