543 results

Comparison between laparoscopic and subcostal mini-incision for live donor nephrectomy

Hideki Kanashiro, Roberto Iglesias Lopes, Fernando Akira Saito, Anuar Ibrahim Mitre, Francisco Tibor Denes, José Luis Chambô, [...]

DOI: 10.1590/S1679-45082010AO1671

ABSTRACT Objectives: The aim of this study was to compare the results of laparoscopic donor nephrectomy with open donor nephrectomy. Methods: A non-randomized prospective analysis was conducted of living donor kidney transplantations (118 open donor nephrectomies; 57 laparoscopic donor nephrectomies) between January 2005 and December 2007 in the Kidney Transplantation Unit of Hospital das Clínicas of Faculdade de Medicina of the Universidade de São Paulo. Results: Mean donor operative time, mean donor hospital stay, mean postoperative creatinine values, and rates […]

Evaluation of the concentration of malondialdehyde and nitrite in patients with sickle cell anemia treated or not with hydroxyurea

Darcielle Bruna Dias Elias, Rivelilson Mendes de Freitas, Romélia Pinheiro Gonçalves, Hemerson Yuri Ferreira Magalhães, Jacqueline Holanda de Sousa, Silvia Maria Meira Magalhães

DOI: 10.1590/S1679-45082010AO1731

ABSTRACT Objective: To determine the serum levels of malondialdehyde and nitrite in patients with sickle cell anemia treated or not with hydroxyurea in outpatient’s setting. Methods: Of the 65 patients with sickle cell anemia selected for the study, 51 were not treated with hydroxyurea (Group 1), 14 made chronic use of hydroxyurea (Group 2) and 20 individuals had no hemoglobinopathies (Control Group). Results: The Control Group had a lower and more homogeneous concentration of malondialdehyde levels as compared to the […]

An outbreak of norovirus infection in a long-term care facility in Brazil

Fernando Gatti de Menezes, Vanessa Maria da Silva de Poli Correa, Fábio Gazelato de Mello Franco, Miriam Ikeda Ribeiro, Maria Fátima dos Santos Cardoso, Simone Guadagnucci Morillo, [...]

DOI: 10.1590/S1679-45082010AO1779

ABSTRACT Objective: To describe a norovirus outbreak in a Brazilian long-term care facility from July 8 to 29, 2005. Methods: In the first 48 to 72 hours after onset of symptoms in inpatients and employees, the main infection control strategies were staff education, emphasis on hand washing, implementing contact precautions up to 48-72 hours after resolution of symptoms, complete cleaning of the rooms and exclusion of symptomatic employees from work until 48-72 hours after resolution of their symptoms. Epidemiological and […]

Administration of BAY 41-2272 prevents bladder dysfunction in nitric-oxide deficient rats

Carlos Arturo Levi D'Ancona, Fabíola Zakia Taufic Mónica, Ricardo Reges, David Cohen, Fabio Henrique da Silva, Gilberto De Nucci, [...]

DOI: 10.1590/S1679-45082010AO1789

ABSTRACT Objective: to evaluate the protective effects of BAY 41-2272, a soluble guanylate cyclase activator, on changes in cystometric parameters in rats deficient in nitric oxide (NO). Methods: Rats were divided into the following groups: (a) control; (b) DMSO; (c) L-NAME; (d) BAY 41-2272 alone; (e) L-NAME + BAY 41-2272. The NO synthase blocker L-NAME (20 mg/rat/day) was given in drinking water concomitantly or not with BAY 41-2272 (10 mg/kg/day, given by gavage). Results: Chronic L-NAME treatment markedly increased the […]

Correlation between urodynamic tests, history and clinical findings in treatment of women with urinary incontinence

João Bosco Ramos Borges, Telma Guarisi, Ana Carolina Marchesini de Camargo, Pítia Cárita de Godoy Borges

DOI: 10.1590/S1679-45082010AO1611

ABSTRACT Objective: The aim of this study was to evaluate the role of urodynamic test in diagnosis of urinary incontinence, comparing detailed data of history and physical examination, and some easy- to-apply clinical tests. Methods: A cross-sectional retrospective study was carried out by reviewing the medical charts of 55 patients with complaint of loss of urine, seen at the Urogynecology Service of Women’s Health Outpatient Clinic of Hospital Universitário de Jundiaí, between October 2006 and March 2007. The patients answered […]

Adductor pollicis muscle and hand grip strength: potential methods of nutritional assessment in outpatients with stroke

Débora Rocha Oliveira, Vera Silvia Frangella

DOI: 10.1590/S1679-45082010AO1763

ABSTRACT Objective: To evaluate and compare the effectiveness of different methods used for nutritional assessment of outpatients who had hemiplegic stroke. Methods: A cross-section study with adult and elderly patients of both genders enrolled in a rehabilitation center. The analyzed variables were anthropometric measurements, bioelectrical impedance, hand grip strength and thickness of the adductor pollicis muscle. The Pearson χ2 test was used to check the association between variables with a significance level of α = 5%. Results: When evaluating the […]

Amount of tobacco consumption is associated with superficial bladder cancer progression

Fernando Korkes, César Augusto Braz Juliano, Maria Alice Peluso Bunduky, Ana Carolina Duarte Martins Costa, Marilia Germanos de Castro

DOI: 10.1590/S1679-45082010AO1751

ABSTRACT Objective: To evaluate the association between smoking habits and outcome of patients with superficial bladder cancer. Methods: A retrospective study was performed evaluating 99 patients (67.0 ± 13.2 years, ranging from 31.4-93.4 years, 72.7% males and 27.3% females) treated at our institution with non muscle-invasive bladder cancer, between 1994 and 2000, with a mean follow-up of 49.3 months (range 4.0-177.9 months). Patients were divided according to smoking status, and the main measured outcome was progression to invasive disease. Additional […]

Congenital malformations in newborns of alcoholic mothers

Maria dos Anjos Mesquita, Conceição Aparecida de Mattos Segre

DOI: 10.1590/S1679-45082010AO1880

ABSTRACT Objective: To identify the presence of fetal alcohol syndrome, other alcohol-related congenital defects, and/or neurodevelopment disorders in newborns of mothers who consumed alcohol during gestation. Methods: In a public maternity in the city of São Paulo, 1,964 puerperal women were interviewed and 654 had consumed alcohol at some point during gestation. The newborns were clinically and laboratorially examined in order to identify the occurrence of fetal alcohol syndrome, congenital defects or neurodevelopment disorders related to alcohol. Results: Three children […]

A descriptive study of prostate cancer mortality in the state of São Paulo, from 1980 to 2007

Ary Serpa Neto, Marcos Tobias-Machado, Marcelo Langer Wroclawski, Marco Akerman, Antônio Carlos Lima Pompeo, Auro Del Giglio

DOI: 10.1590/S1679-45082010AO1707

ABSTRACT Objective: Prostate cancer is the second most common neoplasm among men worldwide. This study aimed to examine the trend in mortality rates of prostate cancer among the population in the state of São Paulo, Brazil, from 1980 to 2007. Methods: a descriptive study of temporal series was conducted using mortality data due to prostate cancer between1980 and 2007 in the state of São Paulo. Mortality rates were obtained from the SUS Information System on Mortality (SIM/SUS – DATASUS). The […]

Diagnosis of growing pains in a Brazilian pediatric population: a prospective investigation

Luciana Pereira Almeida de Piano, Ricardo Prado Golmia, Andrea Pimentel Fonseca Golmia, Adriana Maluf Elias Sallum, Lucia Akemi Nukumizu, Damião Guedes Castro, [...]

DOI: 10.1590/S1679-45082010AO1692

ABSTRACT Objective: To establish the clinical aspects of growing pains and to determine, through differential diagnosis, how many patients who referred themselves to a specialized clinic were found to have growing pains. Methods: This study prospectively examined the presence of growing pains in a self-reported population of children and adolescents with signs and symptoms (lower limb pains) of unexplained etiology. Results: A total of 345 children and adolescents were evaluated; 174 (50.4%) were males and 171 (49.6%) were females. Three […]

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