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Esplenectomia e ligadura da veia gástrica esquerda na esquistossomose mans?nica: efeitos sobre press?o das varizes do es?fago e indicadores endoscópicos de risco de sangramento por varizes esofagogástricas
Evangelista-Neto, Jo?o;Pereira, Fernanda Fernandez;Fran?a, Suênia Tavares;Amaral, Fernando José;Brandt, Carlos Teixeira;Fonseca-Neto, Olival Cirilo Lucena da;Lacerda, Cláudio Moura;
ABCD. Arquivos Brasileiros de Cirurgia Digestiva (S?o Paulo) , 2012, DOI: 10.1590/S0102-67202012000100010
Abstract: background: a significant number of patients with schistosomiasis develop the hepatosplenic form, with portal hypertension, in which bleeding caused by rupture of esophagogastric varices emerged as the leading cause of morbidity and mortality. aim: to investigate the effects of splenectomy and ligature of the left gastric vein on risk factors for bleeding of esophagogastric varices in patients with schistosomiasis mansoni, hepatosplenic form, with a history of upper gastrointestinal bleeding. methods: the main risk factors of bleeding from esophagogastric varices were studied in 34 patients. the following parameters were investigated: 1) esophageal variceal pressure, measured by the endoscopic pneumatic balloon technique; 2) size, fundamental color, extension and red signs of esophageal varices, gastric varices and gastropathy of portal hypertension. the evaluations were performed in the preoperative period, immediate postoperative period (between the sixth and eighth postoperative days) and the sixth month of follow-up. results: the variceal pressure has fallen from 22.3+/-2.6 mmhg before surgery to 16.0+/-3.0 mmhg in the immediate postoperative period (p<0.001), reaching 13.3+/- 2.6 mmhg in the sixth month of follow-up. a significant reduction of the frequency of the parameters associated with a greater risk of hemorrhage was observed between the preoperative period and six-month follow-up, when the proportion of large esophageal varices (p<0.05), varices extending to the upper esophagus (p<0.05), bluish varices (p<0.01), varices with red signs (p<0.01) and gastropathy (p<0.05) decreased. conclusion: in patients with hepatosplenic schistosomiasis with a previous history of variceal hemorrhage, splenectomy and gastric vein ligation was effective in reducing the main hemorrhagic risk factors until the sixth month of follow-up, indicating a good way to control the bleeding episodes.
Foreword
Evangelista L. R.,Figueiredo Neto A. M.
Brazilian Journal of Physics , 2002,
Abstract:
Assessment of the mandibular symphysis of Caucasian Brazilian adults with well-balanced faces and normal occlusion: the influence of gender and facial type
Arruda, Karine Evangelista Martins;Valladares Neto, José;Almeida, Guilherme de Araújo;
Dental Press Journal of Orthodontics , 2012, DOI: 10.1590/S2176-94512012000300012
Abstract: objective: this study aimed to establish cephalometric reference values for mandibular symphysis in adults. dentoalveolar, skeletal and soft tissue variables were measured considering the influence of gender and facial type. methods: the sample consisted of sixty cephalometric radiographs of white brazilian adult patients, with a mean age of 27 years and 6 months, who had not undergone orthodontic treatment and who presented well-balanced faces and normal occlusion. the sample was standardized according to gender (30 males and 30 females) and facial type (20 were dolichofacial, 20 mesofacial and 20 brachyfacial). results: the results showed that male and female symphyses are similar, except for symphyseal height, which was greater in males. in terms of facial type, the dolichofacial group presented narrower symphysis in dentoalveolar and basal areas, with a more accentuated lingual dentoalveolar inclination. conclusion: the brachyfacial group showed broader symphysis in the dentoalveolar and basal areas and a greater buccal dentoalveolar inclination. the projection of the chin was 6.67 mm below the subnasal vertical line and there was no significant difference between the genders or facial types.
Percep o dos familiares de pacientes internados em Unidade de Terapia Intensiva em rela o à atua o da Fisioterapia e à identifica o de suas necessidades Perception of relatives of patients admitted in Intensive Care Units with regard to the practice of Physical Therapy and identification of their needs
Abel Brasileiro de Almeida Neto,Daiana Teresinha Oliveira Evangelista,Fabiana Cristina Tsuda,Marina de Jesus Piccinin
Fisioterapia e Pesquisa , 2012,
Abstract: Trata-se de um estudo descritivo e de abordagem qualitativa, que teve como objetivo verificar o conhecimento dos familiares de pacientes internados na Unidade de Terapia Intensiva do Hospital de Clínicas da Universidade Estadual de Campinas com rela o à atua o da Fisioterapia intensiva neste servi o, bem como identificar suas necessidades. Foram entrevistados 60 familiares, sendo estes questionados a respeito do servi o de Fisioterapia e submetidos ao Inventário de Necessidades e Estressores de Familiares em Terapia Intensiva. Foi observado que a maioria deles desconhecia a atua o da Fisioterapia em tal Unidade, porém os que conheciam atribuíram nota máxima ao servi o. Em rela o às necessidades dos familiares, notou-se que 56,7% julgaram necessário saber fatos concretos a respeito do progresso de seu familiar; 60% gostariam de ter a certeza que seu familiar está recebendo o melhor tratamento e 71,7% gostariam de ter dias e horários de visitas mais flexíveis. Constatou-se a falta de informa es dos entrevistados em rela o à atua o da Fisioterapia na Unidade de Terapia Intensiva. Foram identificadas as necessidades dos familiares, sendo possível, com isto, executar a es de melhoria. Por meio do presente estudo, a Unidade de Terapia Intensiva do Hospital de Clínicas da Universidade Estadual de Campinas identificou as principais necessidades dos familiares, adequou o espa o físico, implementou salas de acolhimento familiar e o curso de especializa o em Fisioterapia Respiratória em Unidade de Terapia Intensiva Adulto, e criou informativos visuais quanto à sua atua o para melhores acolhimento e compreens o dos familiares. This is a descriptive study, with a qualitative approach, that aimed at verifying the knowledge of relatives of patients hospitalized at the Intensive Care Unit of Hospital de Clínicas at Campinas State University about the performance of the intensive physical therapy, as well as at identifying their needs. We interviewed 60 relatives, questioning them about the Physical Therapy service. The Critical Family Need Inventory was also applied. We observed that most relatives were unaware of the physical therapy team performance at the Intensive Care Unit; however, those who knew about it attributed the highest score to the service. Regarding the relatives' needs, we observed that 56.7% judged necessary to know the facts about the patients' progress; 60% would like to be sure that the patient is receiving the best treatment, and 71.7% would like more flexibility in days and time of visits. It was possible to observe lack of information
A further case of a Prader-Willi syndrome phenotype in a patient with Angelman syndrome molecular defect
De Molfetta, Greice Andreotti;Felix, Temis Maria;Riegel, Mariluce;Ferraz, Victor Evangelista de Faria;Pina Neto, Jo?o Monteiro de;
Arquivos de Neuro-Psiquiatria , 2002, DOI: 10.1590/S0004-282X2002000600024
Abstract: angelman syndrome (as) and prader-willi syndrome (pws) are distinct human neurogenetic disorders; however, a clinical overlap between as and pws has been identified. we report on a further case of a patient showing the pws phenotype with the as molecular defect. despite the pws phenotype, the dna methylation analysis of snrpn revealed an as pattern. cytogenetic and fish analysis showed normal chromosomes 15 and microsatellite analysis showed heterozygous loci inside and outside the 15q11-13 region. the presence of these atypical cases could be more frequent than previously expected and we reinforce that the dna methylation analysis is important for the correct diagnosis of severe mental deficiency, congenital hypotonia and obesity.
Tratamento fungicida de sementes de soja inoculadas com Colletotrichum truncatum
Pereira, Carlos Eduardo;Oliveira, Jo?o Almir;Rosa, Michele Cristina Marques;Oliveira, Gustavo Evangelista;Costa Neto, Jaime;
Ciência Rural , 2009, DOI: 10.1590/S0103-84782009005000215
Abstract: the sanitary and physiological qualities of soybean seeds are determining factors for the establishment of appropriate stands. this research aimed to evaluate the soybean seed performance and plants growth after seed inoculation with colletotrichum truncatum and fungicide treatment by film-coating. the seeds were inoculated whit c. truncatum by water restriction technique and then treated with fungicides and polymer. the used treatments were carbendazin, fludioxonil+mefenoxan, thiabendazole+thiram, thiophanate methyl, caboxin+thiram and untreated seeds. the seeds were treated with and whitout polymer. seed germination, cold test, seedling emergence and seed health test (blotter test) were evaluated. plants grown in pots were evaluated using length of aerial parts, dry matter of roots and aerial parts. the best control of c. truncatum was obtained when the seeds were treated with fludioxonil+mefenoxan and thiabendazole+thiram. these treatments also contributed to improve the physiological performance of the seeds. the soybean seeds vigour and the plants growth were reduced when the seeds are treated whit methyl thiophanate. the film-coating do not affect the physiological potential and the soybean seed health.
Diagnosis and control of polypharmacy in the elderly
Medeiros-Souza,Patrícia; Santos-Neto,Leopoldo Luiz dos; Kusano,Liana Tieko Evangelista; Pereira,Maurício Gomes;
Revista de Saúde Pública , 2007, DOI: 10.1590/S0034-89102006005000050
Abstract: the article had the purpose of commenting on studies on polypharmacy in the elderly, focusing on diagnosis and control. polypharmacy is defined as the use of a number of medications at the same time and the use of additional drugs to correct drug adverse effects. the fact that the elderly take more medications for the treatment of several diseases makes them more susceptible to the occurrence of adverse reactions. prophylactic actions such as balanced prescriptions are vital to reduce the incidence of these reactions and prevent longer hospital stay, increased costs and aggravation of the elderly health condition.
Coledocoduodenostomia laparoscópica
Melo, Marco Ant?nio Cezário de;Ramos, Roberto Pabst;Lins, Mauro Sérgio Grego;Evangelista Neto, Jo?o;
Revista do Colégio Brasileiro de Cirurgi?es , 2004, DOI: 10.1590/S0100-69912004000600004
Abstract: background: this study reviews short and medium follow up results and complications of the choledochoduodenostomy (cdd) by laparoscopic procedure. methods: prospective study of 20 patients with indication for laparoscopic cdd operated on at digest (private clinic) , for 1991 at 2003. results: of the twenty patients with indication to laparoscopic cdd four had choledocholitiasis with gallstones, eight residual choledocholithiasis, two benign stenosis and six periampullary cancer. two conversions for common bile duct resection were required. from the 18 cdd, all of them had a bile duct diameter greater than 1.5 cm. bile leakage through the drain (maximum duration of four days) in four cases that resolved spontaneously, one wound infection and one sudden death in the 2nd. postoperative day were observed . the six periampullary cancer had medium survival of 7.2 months without itch or jaundice recurrence until the death. conclusion: besides the demonstration of the laparoscopic procedure feasability in the cdd, it was evidenced that positioning with one more trocar was better. it is believed that, the leakage index will decrease with the experience and that cdd is an interesting alternative for the palliative treatment of periampullary cancer.
Benefits from Long-Term Treatment in Irritable Bowel Syndrome
Stefano Evangelista
Gastroenterology Research and Practice , 2012, DOI: 10.1155/2012/936960
Abstract: It is known that irritable bowel syndrome (IBS) is a chronic disease of cyclic nature characterized by recurrent symptoms. IBS patients should receive, as initial therapeutic approach a short course of treatment which, if effective, has the additional value of confirming the diagnosis. Long-term treatment should be reserved to diagnosed IBS patients with recurrent symptoms. Clinical trials with stabilized therapies and new active treatments showed an improvement of the symptoms over placebo that is often time-dependent but with high relapse rates (around 40%–50% when stopping treatment). Relapse is not always immediate after stopping treatment and the recent data from OBIS trial with otilonium bromide or with psychotherapy, showed that due to different chemico-physical characteristics of the drugs or the psychosomatic impact to the disease not all treatment gave the same relapsing rate if compared to placebo. Results of IBS clinical trials with different therapies tailored to the patient needs indicate that a cyclic treatment therapy is advisable to counteract the nature of the disease.
Formar o mestre na universidade: a experiência paulista nos anos de 1930
Evangelista, Olinda;
Educa??o e Pesquisa , 2001, DOI: 10.1590/S1517-97022001000200004
Abstract: this article presents results of a research on teacher university education in brazil in the 1930s. the investigation was carried out gathering information sources from that period, including documents produced by the institution under study, as well as from periodicals, legislation, newspapers, and educational literature, amongst others. from the documental corpus so gathered it was observed that in 1933, in the state of s?o paulo, the first higher education school for the formation of teachers created was the instituto de educa??o (institute of education), stemming from the educational reform of fernando de azevedo. in 1934 it was incorporated to the university of s?o paulo and, together with the school of philosophy, sciences and literature, was responsible for the higher education of teachers. at the institute of education of the university of s?o paulo was established the first generation of university teachers devoted to the education of teachers for the primary and secondary school, a project that had its roots in the intellectual debate that took place especially in the 1920s. although the institute constituted one of the answers to the demand for teacher professionalization and had been a model for other initiatives, it was closed down in 1938. political forces linked to the interventionist government of ademar de barros and to the catholic church put an end in 1938 to the first brazilian experience of higher education for teachers.
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