3 results

Impact of telemedicine in hospital culture and its consequences on quality of care and safety

Milton Steinman, Renata Albaladejo Morbeck, Philippe Vieira Pires, Carlos Alberto Cordeiro Abreu Filho, Ana Helena Vicente Andrade, Jose Claudio Cyrineu Terra, [...]

DOI: 10.1590/S1679-45082015GS2893

ABSTRACTObjectiveTo describe the impact of the telemedicine application on the clinical process of care and its different effects on hospital culture and healthcare practice.Methods The concept of telemedicine through real time audio-visual coverage was implemented at two different hospitals in São Paulo: a secondary and public hospital, Hospital Municipal Dr. Moysés Deutsch, and a tertiary and private hospital, Hospital Israelita Albert Einstein.Results Data were obtained from 257 teleconsultations records over a 12-month period and were compared to a similar period […]

Most small bowel cancers are revealed by a complication

Ionut Negoi, Sorin Paun, Sorin Hostiuc, Bodgan Stoica, Ioan Tanase, Ruxandra Irina Negoi, [...]

DOI: 10.1590/S1679-45082015AO3380

ABSTRACTObjective To characterize the pattern of primary small bowel cancers in a tertiary East-European hospital.Methods A retrospective study of patients with small bowel cancers admitted to a tertiary emergency center, over the past 15 years.Results There were 57 patients with small bowel cancer, representing 0.039% of admissions and 0.059% of laparotomies. There were 37 (64.9%) men, mean age of 58 years; and 72 years for females. Out of 57 patients, 48 (84.2%) were admitted due to an emergency situation: obstruction […]

Coral reef aorta, emergency surgical: case report and literature review

Sergio Quilici Belczak, Igor Rafael Sincos, Ricardo Aun, Kaline Viana Costa, Etianne Andrade Araujo

DOI: 10.1590/S1679-45082014RC2772

Coral reef aorta is described as an uncommon entity characterized by the presence of coarse calcifications, which are developed in the visceral aorta. These calcifications grow toward the lumen of the artery and can result in significant stenosis, so that causing malperfusion of the lower limbs, visceral ischemia or hypertension secondary to renal involvement. We report here a case of a 54-year-old patient with coral reef aorta and symptomatic. The clinical presentation of the patient required the surgical approach. A […]