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Search Results: 1 - 10 of 593957 matches for " Kati Léa Mina "
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Colpossacrofixa o para corre o do prolapso da cúpula vaginal
Zucchi Eliana Viana Monteiro,Kati Léa Mina,Gir?o Manoel Jo?o Batista Castello,Sartori Marair Gracio Ferreira
Revista Brasileira de Ginecologia e Obstetrícia , 2003,
Abstract: OBJETIVO: avaliar o resultado da técnica da colpossacrofixa o (CSF) para tratamento de pacientes que apresentaram prolapso de cúpula vaginal pós-histerectomia e que foram tratadas no período de 1995 a 2000. MéTODOS: foram incluídas, retrospectivamente, 21 pacientes com prolapso de cúpula vaginal pós-histerectomia e corre o prévia de cistocele e retocele. Foram analisados a idade, paridade, peso e índice de massa corpórea (IMC) o intervalo entre a histerectomia e o aparecimento do prolapso. A colpossacrofixa o foi realizada em 15 pacientes, das quais se avaliaram o tempo cirúrgico, perda sangüínea e recidiva. As pacientes submeteram-se a CSF com ou sem interposi o de prótese de material sintético entre a cúpula vaginal e o sacro. RESULTADOS: para 15 das 21 pacientes acompanhadas em nosso servi o, a técnica de CSF foi a de elei o. Em um caso houve dificuldade técnica intra-operatória e optou-se pela corre o a Te Linde. A média de idade das pacientes foi de 63,7 (47 a 95 anos), paridade 4,6 e o IMC 26,9. A CSF foi realizada, em média, 18 anos após histerectomia total abdominal e 3 anos após histerectomia vaginal. O tempo cirúrgico médio foi de 2 horas e 15 minutos, sem necessidade de transfus o sanguínea. N o houve recidiva do prolapso ou dos sintomas pré-operatórios (seguimento de 1 a 5 anos). CONCLUS ES: o tratamento cirúrgico do prolapso de cúpula vaginal pode ser realizado pela via vaginal (colpocleise ou fixa o ao ligamento sacroespinhoso) e pela via abdominal (colpossacrofixa o). Esta última apresenta a vantagem de restaurar o eixo vaginal preservando sua profundidade, o que, além de melhorar o prolapso, permite o restabelecimento das fun es sexuais, intestinal e urinária (principalmente quando associada a colpofixa o - Burch). Assim, quando o diagnóstico e tratamento s o adequados e a equipe cirúrgica tem pleno conhecimento da anatomia pélvica, podemos afirmar que a CSF atinge seu objetivo no tratamento do prolapso de cúpula vaginal, com excelente corre o e mínima morbidade.
Colpossacrofixa??o para corre??o do prolapso da cúpula vaginal
Zucchi, Eliana Viana Monteiro;Kati, Léa Mina;Gir?o, Manoel Jo?o Batista Castello;Sartori, Marair Gracio Ferreira;Baracat, Edmund Chada;Lima, Geraldo Rodrigues de;
Revista Brasileira de Ginecologia e Obstetrícia , 2003, DOI: 10.1590/S0100-72032003001000002
Abstract: purpose: to evaluate patients who presented post-hysterectomy vaginal vault prolapse and were treated surgically by abdominal sacropexy (asp) during the period of 1995-2000 at the s?o paulo hospital (epm-unifesp). methods: we studied retrospectively 21 patients with post-hysterectomy vaginal vault prolapse with previous correction of cystocele and rectocele. an analysis was made taking into account the average age of the patients, number of parturitions, weight, body mass index (bmi), time between the appearance of the prolapse and the hysterectomy, duration of surgery, blood loss and recurrences. the patients underwent surgery using the abdominal sacropexy technique with or without the interposition of a synthetic prosthesis between the vaginal wall and the sacrum. results: of the patients attended in our service, 15 used the asp technique and in one case, due to intra-operational difficulties, the te linde correction was used. the average age of the patients was 63.7 (47-95 years), parity of 4.6 and bmi of 26.9. asp was performed on average 18 years after total abdominal hysterectomy and 3 years after vaginal hysterectomy. the average surgical time was 2 h and 15 min, without the need of a blood transfusion. there were no recurrences of the prolapse or preoperative symptoms (follow-up of 1-5 years). conclusions: surgical treatment of the vaginal vault prolapse can be done by vaginal access (colpocleisis or the fixation to the sacrospinal ligament) or abdominal approach (sacropexy). the latter has the advantage of restoring the vaginal axis, preserving its depth, which apart from improving the prolapse, allows the restoration of sexual, intestinal and urinary functions (especially when associated with colpofixation - burch). when diagnosis and treatment are adequate and the surgical team has complete knowledge of the pelvic anatomy, we can affirm that asp reaches its objective in the treatment of vaginal vault prolapse with excellent correction and minimum morbidit
Relating Fish Hg to Variations in Sediment Hg, Climate and Atmospheric Deposition  [PDF]
Mina Nasr, Paul A. Arp
American Journal of Climate Change (AJCC) , 2018, DOI: 10.4236/ajcc.2018.73024
Abstract: This article addresses total fish Hg concentrations (THg) by variations in lake Sediment THg, atmospheric Hg deposition (atmHgdep), and climate, i.e., mean annual precipitation (ppt) and air temperature. The Fish THg data were taken from the 1967-to-2010 Fish Mercury Datalayer (FIMDAC). This compilation was standardized for 12-cm long Yellow Perch in accordance with the USGS National Descriptive Model for Mercury in Fish (NDMMF [1]), and documents Fish THg across 1936 non-contaminated lakes in Canada. About 40% of the standardized Fish THg variations related positively to increasing ppt and Sediment THg, but negatively to increasing mean annual July temperature (TJuly). Only 20% of the Fish THg variations related positively to atmHgdep alone. Increasing TJuly likely influences Fish Hg through increased lake and upslope Hg volatilization, in-fish growth dilution, and temperature-induced demethylization. FIMDAC Fish THg effectively did not change over time while atmHgdep decreased. Similarly, the above Fish Hg trends would likely not change much based on projecting the above observations into the future using current 2070 climate-change projections across Canada and the continental US. Regionally, the projected changes in Fish Hg would mostly increase with increasing ppt. Additional not-yet mapped increases are expected to occur in subarctic regions subject to increasing permafrost decline. Locally, Fish THg would continue to be affected by upwind and upslope pollution sources, and by lake-by-lake changes in water aeration and rates of lake-water inversions.
Is osteoporosis systemic?  [PDF]
Ronald L. Huston, Kenneth L. Weiss, Rutvij Kotecha, Mina Dimov
Advances in Bioscience and Biotechnology (ABB) , 2013, DOI: 10.4236/abb.2013.44069

The title question is investigated by comparing results of a series of bone strength tests of lumbar vertebrae (L1 and L2) and right wrists (distal radii) of nine cadavers. The paper describes the specimen preparation, the testing, and the analysis procedures. The results show that there is a correlation between the strengths of the lumbar and wrist specimens for the individual cadavers, suggesting that bone integrity is indeed systemic.

Rese a de "Reflexiones en torno a la distribución del ingreso, el crecimiento y el gasto público" de Jorge Iván González, Clara Ramírez Gómez y Alfredo Sarmiento Gómez
Mina Rosero, Lucía
Revista de Economía Institucional , 2004,
Endoscopic resection of inflammatory gastric fibroid polyp: A case report
Grgov Sa?a,Kati? Vuka,Hattori Takanori
Srpski Arhiv za Celokupno Lekarstvo , 2009, DOI: 10.2298/sarh0910545g
Abstract: Introduction An inflammatory fibroid polyp is a rare condition with frequent localization in the antrum of the stomach. Because of the localization in the bottom parts of the mucosa and submucosa, a histological diagnosis is difficult to establish at endoscopic biopsies. So, a correct diagnosis is histologically possible after surgical excision which is a common manner of treatment. Many authors have shown that endoscopic removal of an inflammatory fibroid polyp is possible. Case outline We are presenting a case of complete endoscopic resection of an inflammatory fibroid polyp of the stomach antrum in a 72-year-old patient. He complained of nausea, vomiting and loss of appetite. The polyp endoscopically looked like flat elevation with central umbilication, 16 mm in diameter and it was localized praepylorically. Pathohistologically, areas of severe epithelial dysplasia were verified at endoscopic biopsies which suggested early gastric cancer. Helicobacter pylori (H. pylori) infection was verified histologically and with rapid urease test. The patient was treated with triple eradication H. pylori therapy. Two months after the therapy, we decided to perform endoscopic resection of the polyp. We applied a suction technique of mucosal resection by which the polyp was completely resected. After complete endoscopic removal, the final diagnosis of an inflammatory fibroid polyp localised in the submucosa and mucosa of the antrum of the stomach was histologically made. On follow-ups, after 3, 6 and 12 months, there were no endoscopic and histological signs of either inflammatory fibroid polyp relapse, or recurrence of H. pylori infection. The patient had no dyspeptic symptoms. Conclusion We recommend an endoscopic method of resection as a therapy of choice for an inflammatory fibroid polyp of the stomach.
Susceptibility of coagulase positive staphylococci isolated from cow's mammary gland to antibacterial drugs
Savi?-Raji? Nata?a,Kati? Vera
Veterinarski Glasnik , 2009, DOI: 10.2298/vetgl0906299s
Abstract: Coagulase positive staphylococci are one of the most common causes of chronic udder infection. Indiscriminate use of antimicrobial drugs and their presence in the environment where animals live has led to coagulase positive staphylococci strains resistant to antimicrobial means. Proper and timely treatment of sub-clinical mastitis, based on the most effective use of antimicrobial drugs, is the key to good health of the milk herd. The aim was to determine the antimicrobial efficacy of selected assets in relation to coagulase positive staphylococci isolated from samples of milk taken from individual udder quarters of cows in cases of udder infection from three farms with different mastitis prevalence. From a total of 9245 samples of milk taken from individual udder quarters of cows from three farms, 852 strains isolated were coagulase positive staphylococci. Coagulase positive staphylococci were isolated on blood agar and identified on the basis of macro-morphological characteristics and the coagulase and catalase test. The sensitivity of the coagulase positive staphylococci was tested by the Kirby Bauer agar diffusion method with the following antimicrobials: penicillin 6μg, amoxicillin / sulbactam (20 +10μg), cloxacillin 25 μg, cefalexin 30 μg, ceftiofur 30μg, linkomycin 15μg, 30 μg gentamycin and tetracycline 30 μg. Sensitivity testing of coagulase positive staphylococci, isolated in cases of intramammary cow infections, established a high degree of sensitivity in vitro towards penicilinasa resistant drugs (amoxicillin-sublactam, cloxacilin), cephalosporins of the first and third generations and linkomycin. The highest levels of resistance to penicillin (70.4%) were found on a farm with a moderate prevalence of udder infection, then on the farm with the highest prevalence of intramammary infections (60.2%) and the lowest on the farm with controlled levels of resistance of infection (43.7%). .
Arjunolic acid in the ethanolic extract of Combretum leprosum root and its use as a potential multi-functional phytomedicine and drug for neurodegenerative disorders: anti-inflammatory and anticholinesterasic activities
Facundo, Valdir A.;Rios, Katiúscia A.;Medeiros, Ciléia M.;Milit?o, Júlio S. L. T.;Miranda, Ana Luisa P.;Epifanio, Rosangela de A.;Carvalho, Meriane P.;Andrade, Aline T.;Pinto, Angelo C.;Rezende, Claudia M.;
Journal of the Brazilian Chemical Society , 2005, DOI: 10.1590/S0103-50532005000800002
Abstract: combretum leprosum mart. & eicher (combretaceae) leaves and roots ethanolic extracts were investigated by hrgc-ms and showed mono- and oligosaccharides, fatty acids and triterpenes as major compounds after derivatization with bstfa/ tmcs. arjunolic acid (1) was quantified on dried roots ethanolic extract (65%) by external standard. anti-inflammatory, antinociceptive and anticholinesterasic (ache and buche) activities were observed for roots ethanolic extract of c. leprosum and arjunolic acid, suggesting both as promising targets for the development of innovative multi-functional medicines for alzheimer desease treatment.
Lack of PPARγ in Myeloid Cells Confers Resistance to Listeria monocytogenes Infection
Zeinab Abdullah, Sergej Geiger, Andrea Nino-Castro, Jan P. B?ttcher, Eugenia Muraliv, Moritz Gaidt, Frank A. Schildberg, Kati Riethausen, Juliane Flossdorf, Wolfgang Krebs, Trinad Chakraborty, Christian Kurts, Joachim L. Schultze, Percy A. Knolle, Luisa Klotz
PLOS ONE , 2012, DOI: 10.1371/journal.pone.0037349
Abstract: The peroxisomal proliferator-activated receptor γ (PPARγ) is a nuclear receptor that controls inflammation and immunity. Innate immune defense against bacterial infection appears to be compromised by PPARγ. The relevance of PPARγ in myeloid cells, that organize anti-bacterial immunity, for the outcome of immune responses against intracellular bacteria such as Listeria monocytogenes in vivo is unknown. We found that Listeria monocytogenes infection of macrophages rapidly led to increased expression of PPARγ. This prompted us to investigate whether PPARγ in myeloid cells influences innate immunity against Listeria monocytogenes infection by using transgenic mice with myeloid-cell specific ablation of PPARγ (LysMCre×PPARγflox/flox). Loss of PPARγ in myeloid cells results in enhanced innate immune defense against Listeria monocytogenes infection both, in vitro and in vivo. This increased resistance against infection was characterized by augmented levels of bactericidal factors and inflammatory cytokines: ROS, NO, IFNγ TNF IL-6 and IL-12. Moreover, myeloid cell-specific loss of PPARγ enhanced chemokine and adhesion molecule expression leading to improved recruitment of inflammatory Ly6Chi monocytes to sites of infection. Importantly, increased resistance against Listeria infection in the absence of PPARγ was not accompanied by enhanced immunopathology. Our results elucidate a yet unknown regulatory network in myeloid cells that is governed by PPARγ and restrains both listeriocidal activity and recruitment of inflammatory monocytes during Listeria infection, which may contribute to bacterial immune escape. Pharmacological interference with PPARγ activity in myeloid cells might represent a novel strategy to overcome intracellular bacterial infection.
School and Community-Based Interventions for Refugee and Asylum Seeking Children: A Systematic Review
Rebecca A. Tyrer, Mina Fazel
PLOS ONE , 2014, DOI: 10.1371/journal.pone.0089359
Abstract: Background Research for effective psychological interventions for refugee and asylum-seeking children has intensified. The need for interventions in environments more easily accessed by children and families is especially relevant for newly arrived populations. This paper reviews the literature on school and community-based interventions aimed at reducing psychological disorders in refugee and asylum-seeking children. Methods and Findings Comprehensive searches were conducted in seven databases and further information was obtained through searching reference lists, grey literature, and contacting experts in the field. Studies were included if they reported on the efficacy of a school or community-based mental health intervention for refugee or asylum-seeking children. Two independent reviewers made the final study selection, extracted data, and reached consensus on study quality. Results were summarized descriptively. The marked heterogeneity of studies excluded conducting a meta-analysis but study effect-sizes were calculated where possible. Twenty one studies met inclusion criteria for the review reporting on interventions for approximately 1800 refugee children. Fourteen studies were carried out in high-income countries in either a school (n = 11) or community (n = 3) setting and seven studies were carried out in refugee camps. Interventions were either primarily focused on the verbal processing of past experiences (n = 9), or on an array of creative art techniques (n = 7) and others used a combination of these interventions (n = 5). While both intervention types reported significant changes in symptomatology, effect sizes ranged from 0.31 to 0.93 and could mainly be calculated for interventions focusing on the verbal processing of past experiences. Conclusions Only a small number of studies fulfilled inclusion criteria and the majority of these were in the school setting. The findings suggest that interventions delivered within the school setting can be successful in helping children overcome difficulties associated with forced migration.
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