536 results

Comparison of methods of measurement of the finger flexor muscles’ strength through dynamometry and modified manual sphygmomanometer

Paulo Roberto Garcia Lucareli, Mário de Oliveira Lima, Fernanda Pupio Silva Lima, Rafaela Okano Gimenes, Juliane Gomes de Almeida Lucareli, Silvio Antonio Garbelotti Junior, [...]

DOI: 10.1590/s1679-45082010ao1388

ABSTRACTObjective:To evaluate the reproducibility of the modified sphygmomanometer compared to hand dynamometer to measure muscle strength of the flexor muscles of fingers.Methods:We assessed 40 healthy volunteers of both genders, aged between 20 and 55 years, who underwent the muscle strength test in the finger flexor muscles on both hands using two instruments for which the comparison was made between them.Results:After statistical analysis by the paired Student’s t test, there was no significant difference between the values obtained in modified sphygmomanometer […]

Bone mineral density and body composition in adolescents with failure to thrive

Thiago Sacchetto de Andrade, Luiz Anderson Lopes, Marcelo de Medeiros Pinheiro, Vera Lucia Szejnfeld, José Augusto de Aguiar Carrazedo Taddei

DOI: 10.1590/s1679-45082010ao1361

ABSTRACTObjectiveTo evaluate bone mineral mass in adolescents with failure to thrive in relation to body composition.MethodsA case control study involving 126 adolescents (15 to 19 years), in final puberty maturation being 76 eutrophic and 50 with failure to thrive (genetic or constitutional delay of growth), of matching ages, gender and pubertal maturation. The weight, height and calculated Z score for height/age and body mass index; bone mineral content, bone mineral density and adjusted bone mineral density were established for total […]

Humanization according to cancer patients with extended hospitalization periods

Natália Tatiani Gonçalves Brito, Rachel de Carvalho

DOI: 10.1590/s1679-45082010ao1369

ABSTRACTObjective:To identify the concept of humanization and raise aspects that contribute towards and that hinder humanization of hospital care, according to the opinion of oncology patients.Methods:This is a descriptive-exploratory survey, with a qualitative-quantitative approach. The sample was made up of 10 patients hospitalized for more than 30 days at the Oncology Unit of Hospital Israelita Albert Einstein, who, after satisfying ethical and legal procedures, were interviewed and answered three questions in reference to humanization in oncology.Results:The factors that contributed more […]

Comparative analysis of radical prostatectomy techniques using perineal or suprapubic approach in the treatment of localized prostate cancer

Gelbert Luiz Chamon do Carmo Amorim, Geraldo Magela Gomes da Cruz, Denny Fabrício Magalhães Veloso, José David Kartabil, José Carlos Vieira, Paulo Roberto Alves

DOI: 10.1590/s1679-45082010ao1592

ABSTRACTObjective:To compare the results of radical prostatectomy by perineal and suprapubic approaches as to operative time, procedure costs, and surgical site complications.Methods:The medical records of localized prostate cancer patients (PSA ≤ 10 ng/ml and Gleason score ≤ 6) were analyzed. Fifty-five patients were submitted to radical prostatectomy by perineal approach and 54 via suprapubic approach.Results:There were statistical differences between groups as to operative time (p < 0.05); for perineal approach it was in average 114 minutes (SD ± 0.03) and [...]

Denver II: evaluation of the development of children treated in the outpatient clinic of Project Einstein in the Community of Paraisópolis

Márcia Wanderley de Moraes, Ana Paula Rodrigues Weber, Marcela de Castro e Oliveira Santos, Fabiane de Amorim Almeida

DOI: 10.1590/s1679-45082010ao1620

ABSTRACTObjectives:To evaluate the neuropsychomotor development of children treated in an outpatient clinic, using the Denver Developmental Screening Test II (DDST-R).Methods:This was an exploratory descriptive research using a quantitative approach, conducted in the outpatient clinic of the Project Einstein in the Community of Paraisopolis (PECP), São Paulo, Brazil. The sample consisted of 35 children, from birth to 6 years of age, most of them from 1 to 3 years old (19; 54.3%). They underwent the Denver II Test, which assesses four […]

Assessing knowledge of Medical undergraduate students on palliative care in end-stage disease patients

Sandra Alamino Felix de Moraes, Maisa Carla Kairalla

DOI: 10.1590/s1679-45082010ao1464

ABSTRACTObjective:To assess the knowledge on palliative care of undergraduate medical students of the 9th and 10th semesters at Universidade Nove de Julho.Methods:A self-applied and self-explanatory questionnaire was prepared with 9 objective questions and given to 50 undergraduate medical students of these semesters. The content was related to palliative care, addressing some topics, such as orthothanasia, dysthanasia, euthanasia and clinical cases. The questionnaire was applied from November 2007 to February 2008.Results:As to correct answers, the rates were 84%, 42%, 38% and […]

Adverse drug events leading to emergency department visits in elderly: the role of inappropriate prescription

José Marcelo Farfel, Tarso Augusto Duenhas Accorsi, Marcelo Franken, Sueli Pinto Doudement, Mariane Moran, Mauro Iervolino, [...]

DOI: 10.1590/s1679-45082010ao1473

ABSTRACTObjective:Adverse drug reactions are more incident among the elderly and are frequently associated to inappropriate prescription for this group. The objective of the current study was to investigate the incidence and the characteristics of emergency department visits, related to inappropriate prescription, at the Hospital Israelita Albert Einstein.Methods:Patients aged 60 years or older, admitted to the emergency department at Unidade Avançada Ibirapuera of Hospital Israelita Albert Einstein, were included in the study. Potentially inappropriate medication for the elderly was evaluated using […]

Relation between three-dimensional and two-dimensional echocardiography and biochemical analysis in patients with ST-segment elevation myocardial infarction percutaneously treated

Marcelo Luiz Campos Vieira, Wercules Antônio Oliveira, Alexandre Ferreira Cury, Adriana Cordovil, Ana Clara Tude Rodrigues, Gustavo Alberto Frazatto Naccarato, [...]

DOI: 10.1590/s1679-45082010ao1438

ABSTRACTObjective:The prognosis of patients with acute myocardial infarction depends on multiple features that can demonstrate myocardial injury degree (such as serum markers of cardiac necrosis), and also on adaptive mechanisms relative to the acute event. The aim of the study was to assess the relation between biochemical and echocardiographic findings from three-dimensional echocardiographic (3D Echo) analysis and echocardiographic two-dimensional (2D Echo) left ventricular ejection fraction in patients with ST-segment elevation acute myocardial infarction, submitted to primary percutaneous treatment.Methods:A prospective study […]

Integrative review: what is it? How to do it?

Marcela Tavares de Souza, Michelly Dias da Silva, Rachel de Carvalho

DOI: 10.1590/s1679-45082010rw1134

ABSTRACTIntroduction: The integrative review is the methodology that provides synthesis of knowledge and applicability of results of significant studies to practice.Objective:To present the phases of an integrative review and the relevant aspects to be taken into account when using this methodological resource.Methods:This study was based on bibliographic search and on the experience of the authors when performing an integrative review.Results:Presentation of the six stages of the integrative review process: preparing the guiding question, searching or sampling the literature, data collection, […]

Pilot study in neonates using low-level laser therapy in the immediate postoperative period of myelomeningocele

Nathali Cordeiro Pinto, Fernando Campos Gomes Pinto, Eduardo Joaquim Lopes Alho, Elisabeth Matheus Yoshimura, Vera Lucia Jornada Krebs, Manoel Jacobsen Teixeira, [...]

DOI: 10.1590/s1679-45082010ao1441

ABSTRACTObjective:To analyze the tissue repair behavior after corrective surgical incision in neonates submitted to low-level laser therapy, in an attempt to diminish the incidence of postoperative dehiscence following the surgery for myelomeningocele performed immediately after birth.Methods:It is a prospective pilot study with 13 myelomeningocele patients submitted to surgery at birth who received adjuvant treatment with low-level laser therapy (Group A). Diode laser C.W., λ = 685t nm, p = 21 mW, E = 0.19 J was punctually applied along the […]

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