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Search Results: 1 - 10 of 134413 matches for " Patricia O.; Rodrigues-Palma "
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Electroestimulación del nervio tibial posterior para el tratamiento de la vejiga hiperactiva: Estudio prospectivo y controlado
Bellette,Patricia O.; Rodrigues-Palma,Paulo C.; Hermann,Viviane; Riccetto,Cássio; Bigozzi,Miguel; Olivares,Juan M.;
Actas Urológicas Espa?olas , 2009, DOI: 10.4321/S0210-48062009000100011
Abstract: the aim of this study was to evaluate the efficacy of the posterior tibial nerve stimulation in women with overactivity bladder symptoms and the impact in the quality of life using the overactivity bladder questionnaire (oabq). methods: thirty seven women from female urology outpatient clinic of the hospital das clínicas de campinas (hc/unicamp) were enrolled in this prospective, controlled and randomized clinical trial. the patients were randomly placed in one of two groups: treatment group: patients were submitted to tibial posterior nerve electrical stimulation (n=21) and sham group: patients had electrodes placed without electricity (n = 16). after informed consent the patients underwent a physiotherapeutic evaluation, that included voiding diary and the overactivity bladder questionnaire(oabq). the treatment schedule included eight sessions of electrical stimulation in the posterior tibial nerve, twice a week. results: there were significant changes in symptoms such as frequency and nocturia (p=0,003 e p=0,001). the urgency and quality of life was improved in both group after treatment. conclusion: the posterior tibial nerve electrical stimulation is an effective treatment in overactive bladder.
Frecuencia y pesquisa de síntomas en pacientes crónicos en fases avanzadas en un hospital clínico: ?Existe concordancia entre pacientes y médicos?
Palma,Alejandra; del Río,Ignacia; Bonati,Pilar; Tupper,Laura; Villarroel,Luis; Olivares,Patricia; Nervi,Flavio;
Revista médica de Chile , 2008, DOI: 10.4067/S0034-98872008000500003
Abstract: physicians tend to over or underestimate symptoms reported by patients. therefore standardized symptom scoring systems have been proposed to overcome this drawback. aim: to estimate the prevalence and the diagnostic accuracy of physical and psychological symptoms and delirium in patients admitted to an internal medicine service at a university hospital. material and methods: we studied 58 patients, 45 with metastasic cancer and 13 with other advanced chronic diseases. the following scales were used: the confusion assessment method for the diagnosis of delirium; the edmonton symptom assessment scale (esas) for pain and other physical symptoms; the hospital anxiety and depression scale to assess anxiety and depression. the esas was simultaneously applied to patients without delirium and their doctors to assess the level of diagnostic concordance. results: twenty two percent of patients had delirium. among the 45 patients without delirium, 11 (25%) had at least eight symptoms and 39 (88.6%) had four symptoms. the prevalence of symptoms was very high, ranging from 22 to 78%. pain, restlesness, anorexia and sleep disorders were the most common. the concordance between symptoms reported by patients and those recorded by doctor was very low, with a kappa index between 0.001 and 0.334. conclusions: in our sample of chronic patients, there is a very high frequency of psychological and physical symptoms that are insufficiently recorded by the medical team
Efeito da exposi??o à fuma?a de cigarro durante a prenhez e a lacta??o de ratas e sua prole sobre parametros séricos e morfométricos
Gomes, Patrícia Rodrigues Louren?o;Seraphim, Patricia Monteiro;
Revista Brasileira de Ginecologia e Obstetrícia , 2010, DOI: 10.1590/S0100-72032010001200005
Abstract: purpose: to investigate the effect of cigarette smoke exposure on body and tissue weight gain, serum parameters and milk yield during pregnancy and lactation in rats, and the impact on offspring from birth toil young adulthood. methods: 40 wistar pregnant rats were randomly divided into: cg - not exposed to cigarette smoke and sacrificed at the end of pregnancy; cl - not exposed to cigarette smoke and sacrificed at the end of lactation; fg - exposed to cigarette smoke and sacrificed at the end of pregnancy; fl - exposed to cigarette smoke and sacrificed at the end of lactation. the offspring were separated by gender and divided according to their mothers' groups. tissue weight, body weight and serum parameters were evaluated in rats and offspring. milk yield per pup was calculated. results: body weight was decreased in fl during lactation (cl=267.0±7.2; fl=235.5±7.2 g*, *p<0.05). adipose tissue was not detected in the cl and fl groups, and was reduced in fg compared to cg (cg=3.3±0.3; fg=2.4±0.3 g*, *p<0.05). rats exposed to cigarette smoke had higher blood glucose levels (cg=113±17, cl=86±16, fg=177±21*, fl=178±23 mg/dl*, *p<0.05 cg versus fg e cl versus fl), cl and fl groups presented lower hdl-cholesterol with no change in total cholesterol. finally, rats exposed to cigarette smoke had lower milk yield compared to unexposed rats (cl=6.7±0.4, fl=5.4±0.3 g*, *p<0.05). in offspring from the fg and fl groups, there was a decrease of body weight from birth to young adulthood, with no changes in gastrocnemius, liver or heart weights in any group, and adipose tissue was no detected in female offspring. there was an increase in blood glucose in offspring of both sexes from rats exposed to cigarette smoke (males: pcg=107±10.5, pcl=115±8.6, pfg=148±16.8*, pfl=172±11.2**; females: pcg=109±27.2, pcl=104±9.7, pfg=134±20.0*, pfl=126±13.3**; p<0.05 *pcg versus pfg and **pcl versus pfl). conclusions: exposure to cigarette smoke provokes impairment of morphometric and serum param
Feeding habits of the genet Genetta genetta in an Iberian continental wetland
Maite Sánchez,Patricia Rodrigues,Vicente Ortu?o,Juan Herrero
Hystrix : the Italian Journal of Mammalogy , 2009, DOI: 10.4404/hystrix-19.2-4423
Abstract: This study quantified the diet of the genet Genetta genetta in an Iberian continental wetland, the Galachos Nature Reserve, northern Spain, based on the frequency with which items appeared in five monthly-surveyed latrines during 2004-2005. Prey types were identified de visu using identification keys and expert advice. the genet was confirmed as an opportunistic and generalist predator, its diet including mammals (95.0%), plants (68.3%) and arthropods (60.0%) as main prey. With the exception of a newly available prey species, the alien crayfish Procambarus clarkii, the genet probably consumed arthropods because of chance encounters rather than active search. The consumption of fruits and small mammals varied seasonally. Riassunto Alimentazione della genetta Genetta genetta in un'area umida continentale della penisola iberica La dieta della genetta è stata investigata in un'area umida interna della Spagna settentrionale, la riserva Naturale dei Galachos. La frequenza di ciascuna categoria alimentare è stata espressa come numero di occorrenze mansili in cinque latrine monitorate per il periodo 2004-2005. Le categorie sono state identificate de visu tramite chiavi per il riconoscimento o l'intervento di singoli esperti. I risultati confermano il comportamento alimentare generalista e opportunista della genetta. La dieta ha incluso principalmente mammiferi (95%), vegetali (68.3%) e artropodi (60%). Questi ultimi, con l'eccezione del gambero Procambarus clarkii, introdotto e di recente presenza, sono probabilmente utilizzati in modo opportunistico, piuttosto che in seguito a ricerca attiva. L'uso dei frutti e dei micromammiferi varia stagionalmente.
Prevalence of lymphedema in women undergoing treatment for breast cancer in a referral center in southeastern Brazil
Daniella MF Paiva, Vivian O Rodrigues, Marcelle G Cesca, Pamella V Palma, Isabel CG Leite
BMC Women's Health , 2013, DOI: 10.1186/1472-6874-13-6
Abstract: We performed a cross-sectional study that evaluated 250 women who were being treated for breast cancer. Pre-screening of the sample by analysis of medical records was performed to select women who met the inclusion criteria as follows: women who had an operation more than 6 months ago; absence of active disease, locoregional or distant; the absence of functional change in the affected limb before surgery, which could lead to swelling of the limb; and simulating or masking symptoms of lymphedema, such as bursitis, tendonitis, and work-related musculoskeletal disorders. Women with bilateral breast cancer, absence of axillary intervention (partial or complete axillary dissection and/or SLN biopsy), active disease in the region, or lympho-venous alteration of the limb before surgery were excluded. Data were collected from the medical records of the selected cases, and they subsequently underwent an interview and a physical assessment.The prevalence of lymphedema was 44.8%. There were medical records on the presence of this condition in 5.4% of cases. With regard to shoulder joint mobility, restrictions on abduction movements, internal and external rotation, and anterior shoulder adduction were significantly associated with lymphedema. Variables, including the presence of seroma, vascular changes, time elapsed after surgery, episodes of redness in the extremities, and cuticle removal from the hand with pliers were considered as major associated factors for lymphedema (p<0.05).The prevalence of 44.8% for lymphedema found in this study is considered to be relevant because it is a morbidity that produces psychological, physical, and functional damage in patients with this condition. The planning of health programs and services appropriate for the immediate postoperative treatment of women with breast cancer, and increasing the awareness of health professionals regarding the early diagnosis of lymphedema, can help minimize the morbidity of this disease.Breast cancer is consi
A new surgical approach for treating dilated cardiomyopathy with mitral regurgitation
Buffolo, Enio;Paula, Ivan Antonio Machado de;Palma, Honório;Branco, Jo?o Nelson Rodrigues;
Arquivos Brasileiros de Cardiologia , 2000, DOI: 10.1590/S0066-782X2000000200003
Abstract: objective: to evaluate the early outcome of mitral valve prostheses implantation and left ventricular remodeling in 23 patients with end-stage cardiomyopathy and secondary mitral regurgitation (nyha class iii and iv). methods: mitral valvular prosthesis implantation with preservation of papillary muscles and chordae tendinae, and plasty of anteriun cuspid for remodeling of the left ventricle. results: the surgery was performed in 23 patients, preoperative ejection fraction (echocardiography) varied from 13% to 44% (median: 30%). in 13 patients associated procedures were performed: myocardial revascularization (9), left ventricle plicature repair (3) and aortic prosthese implantation (1). early deaths (2) occurred on the 4th po day (cardiogenic shock) and on the 20th po day (upper gastrointestinal bleeding), and a late death in the second month po (ventricular arrhythmia). improvement occurred in nyha class in 82.6% of the patients (p<0.0001), with a survival rate of 86.9% (mean of 8.9 months of follow-up). conclusion: this technique offers a promising therapeutic alternative for the treatment of patients in refractory heart failure with cardiomyopathy and secondary mitral regurgitation.
Complica??es da aorta pós-cirurgia bariátrica
Gaia, Diego Felipe;Palma, José Honório;Branco, Jo?o Nelson Rodrigues;Buffolo, Enio;
Revista Brasileira de Cirurgia Cardiovascular , 2008, DOI: 10.1590/S0102-76382008000300021
Abstract: obesity and its correlated comorbidities are nowadays considered a public health concern. in the last few years, a myriad of strategies searched an effective procedure to reduce weight and decreases related comorbidities. among these strategies, the bariatric procedures have been achieved a significantly increase, being able to promote an expressive and lasting weight reduction. diverse early and late complications are described and related to restrictive and malabsortive bariatric procedures. in this report we describe two cases of cardiovascular complications (aortic dissection and aneurysm) in the late postoperative period of the bariatric procedures.
A new surgical approach for treating dilated cardiomyopathy with mitral regurgitation
Buffolo Enio,Paula Ivan Antonio Machado de,Palma Honório,Branco Jo?o Nelson Rodrigues
Arquivos Brasileiros de Cardiologia , 2000,
Abstract: OBJECTIVE: To evaluate the early outcome of mitral valve prostheses implantation and left ventricular remodeling in 23 patients with end-stage cardiomyopathy and secondary mitral regurgitation (NYHA class III and IV). METHODS: Mitral valvular prosthesis implantation with preservation of papillary muscles and chordae tendinae, and plasty of anteriun cuspid for remodeling of the left ventricle. RESULTS: The surgery was performed in 23 patients, preoperative ejection fraction (echocardiography) varied from 13% to 44% (median: 30%). In 13 patients associated procedures were performed: myocardial revascularization (9), left ventricle plicature repair (3) and aortic prosthese implantation (1). Early deaths (2) occurred on the 4th PO day (cardiogenic shock) and on the 20th PO day (upper gastrointestinal bleeding), and a late death in the second month PO (ventricular arrhythmia). Improvement occurred in NYHA class in 82.6% of the patients (P<0.0001), with a survival rate of 86.9% (mean of 8.9 months of follow-up). CONCLUSION: This technique offers a promising therapeutic alternative for the treatment of patients in refractory heart failure with cardiomyopathy and secondary mitral regurgitation.
Representaciones Sociales sobre educación de ni?os y ni?as de calle de Santiago y Quito
Guerrero,Patricia; Palma,Evelyn;
Revista Latinoamericana de Ciencias Sociales, Ni?ez y Juventud , 2010,
Abstract: the following paper shows the results of a social representation action-search about inequalities in street children education. the main results shows that street children leaves school because they feel expel due to bad grades and punishment related to their bad adaptation to school regulations. in a neoliberal society where schools are indicated as the only method of social mobility, such expulsion is an expulsion from society and from an opportunity of a decent life.
Abstract
Patricia Mu?oz Palma
Revista Chilena de Cirugía , 2010,
Abstract:
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