543 results

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 […]

Evaluation of the behavior of the preschool one just admitted in the unit of pediatrics and the use of the therapeutic toy

Mariana Coelho Campos, Karen Cristina S. Rodrigues, Marcia Carla Morete Pinto

DOI: 10.1590/s1679-45082010ao1462

ABSTRACTObjective:To evaluate the behavior of children before and after a therapeutic play session.Methods:A quantitative and descriptive study was carried out in a major hospital of the city of Santos, State of São Paulo, involving 30 preschool children recently admitted to a pediatric ward. A behavior scale was applied before and after a therapeutic play session. This scale comprises six categories: moving, gazing, expressing feelings, talking, playing, and not responding to stimuli or requests. Each category is scored from 1 to […]

The impact of motivational interventions for increasing physical activity

Aneci Sobral Rocha, Marcio Marega

DOI: 10.1590/s1679-45082010ao1442

ABSTRACTObjective:To assess whether incentives for practicing regular physical activities in fact help raising the frequency of exercising.Methods:Male and female subjects undergoing two to three assessments in the Check-Up Unit of Hospital Israelita Albert Einstein (HIAE) were evaluated by noting any increase in levels of physical activity, improvements in mean metabolic unit numbers, and the sensitization index. The International Physical Activity Questionnaire was applied to assess the sample.Results:There were 1,879 subjects − 1,559 (83%) males and 320 (17%) females – aged […]

Magnetic resonance imaging findings in adnexial torsion

Ronald Meira Castro Trindade, Ronaldo Hueb Baroni, Michelle Rosemberg, Marianne Siquara de Quadros, Marcelo de Castro Jorge Racy, Adriano Tachibana, [...]

DOI: 10.1590/s1679-45082010rc878

ABSTRACTAdnexial torsion is an unusual event, but a major cause of abdominal pain in women. It is often associated with ovarian tumor or cyst, but can occur in normal ovaries, especially in children. The twisting of adnexial structures may involve the ovary or tube, but frequently affects both. In most cases, it is unilateral, with slight predilection for the right side. In imaging findings, increased ovarian volume and adnexial masses are observed, with reduced or absent vascularization. In cases of […]

En bloc pancreaticoduodenectomy and right hemicolectomy to treat locally advanced right colon cancer: report of three cases

Sergio Renato Pais Costa, Sergio Henrique Couto Horta, Alexandre Cruz Henriques, Jaques Waisberg, Manlio Basílio Speranzini

DOI: 10.1590/s1679-45082010rc786

ABSTRACTAlthough colorectal tumors are fairly common surgical conditions, 5 to 12% of these tumors are locally advanced (T4 tumors) upon diagnosis. In this particular situation, the efficacy of en bloc multivisceral resection has been proven. When right-colon cancer invades the proximal duodenum or even the pancreatic head, a challenging dilemma arises due to complexity of the curative surgical procedure. Therefore, en bloc pancreaticoduodenectomy with right hemicolectomy should be performed to obtain free margins. The present study reports three cases of […]

Communication difficulties and strategies used by the nurses and their team in caring for the hearing impaired

Fernanda da Rocha Britto, Maria Mercedes Fernandez Samperiz

DOI: 10.1590/s1679-45082010ao1339

ABSTRACTObjectives:To identify communication difficulties faced by the nursing staff and to learn the strategies developed for non-oral communication.Methods:This is a descriptive, exploratory, level I study with a quantitative approach. The sample group comprised 37 registered nurses and 63 licensed practical nurses of a private hospital who, after undergoing the ethical-legal procedures, answered a questionnaire to identify difficulties faced and strategies used in the care for hearing-impaired patients.Results:Difficulty in explaining matters of interest to the patient was reported by 66% of […]

Modification of the gasless fetoscopy technique for the treatment of large myelomeningocele: a study in sheep

Denise Araujo Lapa Pedreira, Gregório Lorenzo Acácio, Rogério Chaccur Abou-Jamra, Rita de Cássia Sanches Oliveira, Elia Garcia Caldini, Paulo Hilário Nascimento Saldiva

DOI: 10.1590/s1679-45082010ao1440

ABSTRACTObjective:To change the gasless fetoscopy technique in order to reduce the diameter of entry orifices in the myometrium.Methods:Seven pregnant ewes were submitted to fetoscopy for repairing a large skin defect measuring 4.0 × 3.0 cm, created in the fetal lumbar region at the gestational age of 100 days. The defect was repaired through continuous suture of the skin with approximation of borders. Gasless fetoscopy was used for performing the suture with three orifices to allow entry of the trocar into […]

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