58 results

The cerebrospinal fluid in multiple sclerosis: far beyond the bands

Renan Barros Domingues, Gustavo Bruniera Peres Fernandes, Fernando Brunale Vilela de Moura Leite, Charles Peter Tilbery, Rodrigo Barbosa Thomaz, Gisele Sampaio Silva, [...]

DOI: 10.1590/S1679-45082017RW3706

ABSTRACT The cerebrospinal fluid analysis has been employed for supporting multiple sclerosis diagnosis and ruling out the differential diagnoses. The most classical findings reflect the inflammatory nature of the disease, including mild pleocytosis, mild protein increase, intrathecal synthesis of immunoglobulin G, and, most typically, the presence of oligoclonal bands. In recent years, new biomarkers have emerged in the context of multiple sclerosis. The search for new biomarkers reflect the need of a better evaluation of disease activity, disease progression, and […]

Vascular access: the impact of ultrasonography

Carlos Eduardo Saldanha de Almeida

DOI: 10.1590/s1679-45082016rw3129

ABSTRACTVascular punctures are often necessary in critically ill patients. They are secure, but not free of complications. Ultrasonography enhances safety of the procedure by decreasing puncture attempts, complications and costs. This study reviews important publications and the puncture technique using ultrasound, bringing part of the experience of the intensive care unit of the Hospital Israelita Albert Einstein, São Paulo (SP), Brazil, and discussing issues that should be considered in future studies.

Primary graft dysfunction of the liver: definitions, diagnostic criteria and risk factors

Douglas Bastos Neves, Marcela Balbo Rusi, Luiz Gustavo Guedes Diaz, Paolo Salvalaggio

DOI: 10.1590/s1679-45082016rw3585

ABSTRACTPrimary graft dysfunction is a multifactorial syndrome with great impact on liver transplantation outcomes. This review article was based on studies published between January 1980 and June 2015 and retrieved from PubMed database using the following search terms: “primary graft dysfunction”, “early allograft dysfunction”, “primary non-function” and “liver transplantation”. Graft dysfunction describes different grades of graft ischemia-reperfusion injury and can manifest as early allograft dysfunction or primary graft non-function, its most severe form. Donor-, surgery- and recipient-related factors have been […]

Effectiveness of psychosocial interventions in eating disorders: an overview of Cochrane systematic reviews

Marcelle Barrueco Costa, Tamara Melnik

DOI: 10.1590/S1679-45082016RW3120

ABSTRACTEating disorders are psychiatric conditions originated from and perpetuated by individual, family and sociocultural factors. The psychosocial approach to treatment and prevention of relapse is crucial. To present an overview of the scientific evidence on effectiveness of psychosocial interventions in treatment of eating disorders. All systematic reviews published by the Cochrane Database of Systematic Reviews – Cochrane Library on the topic were included. Afterwards, as from the least recent date of these reviews (2001), an additional search was conducted at […]

Intra-abdominal pressure: an integrative review

Rafaela Milanesi, Rita Catalina Aquino Caregnato

DOI: 10.1590/S1679-45082016RW3088

ABSTRACTThere is a growing request for measuring intra-abdominal pressure in critically ill patients with acute abdominal pain to be clarified. Summarizing the research results on measurement of vesical intra-abdominal pressure and analyzing the level of evidence were the purposes of this integrative literature review, carried out based on the databases LILACS, MEDLINE and PubMed, from 2005 to July 2012. Twenty articles were identified, in that, 12 literature reviews, 4 descriptive and exploratory studies, 2 expert opinions, one prospective cohort study […]

Femoral quadriceps neuromuscular electrical stimulation after total knee arthroplasty: a systematic review

Helena Bruna Bettoni Volpato, Paulo Szego, Mario Lenza, Silvia Lefone Milan, Claudia Talerman, Mario Ferretti

DOI: 10.1590/S1679-45082015RW3140

ABSTRACTThe purpose of this study was to evaluate the effects of neuromuscular electrical stimulation in patients submitted to total knee arthroplasty. This was a systematic review with no language or publication status restriction. Our search was made in Cochrane Library, MEDLINE, Embase and LILACS. Randomized or quasi-randomized clinical trials evaluating neuromuscular electrical stimulation after total knee arthroplasty were included. Four studies with moderate risk of bias and low statistical power were included, totalizing 376 participants. There was no statistically significant […]

Impact of late radiation effects on cancer survivor children: an integrative review

Cibeli Fernandes Coura, Patrícia Cláudia Modesto

DOI: 10.1590/S1679-45082015RW3102

We aimed to identify the late effects of radiation exposure in pediatric cancer survivors. An integrated literature review was performed in the databases MEDLINE and LILACS and SciELO. Included were articles in Portuguese and English, published over the past 10 years, using the following keywords: “neoplasias/neoplasms” AND “radioterapia/radiotherapy” AND “radiação/radiation”. After analysis, 14 articles – published in nine well-known journals – met the inclusion criteria. The publications were divided into two categories: “Late endocrine effects” and “Late non-endocrine effects”. Considering […]

An update of neurological manifestations of vasculitides and connective tissue diseases: a literature review

Anastasia Bougea, Evangelos Anagnostou, Nikolaos Spandideas, Nikolaos Triantafyllou, Evangelia Kararizou

DOI: 10.1590/S1679-45082015RW3308

Vasculitides comprise a heterogeneous group of autoimmune disorders, occurring as primary or secondary to a broad variety of systemic infectious, malignant or connective tissue diseases. The latter occur more often but their pathogenic mechanisms have not been fully established. Frequent and varied central and peripheral nervous system complications occur in vasculitides and connective tissue diseases. In many cases, the neurological disorders have an atypical clinical course or even an early onset, and the healthcare professionals should be aware of them. […]

Breastfeeding and protection against diarrhea: an integrative review of literature

Floriacy Stabnow Santos, Felipe César Stabnow Santos, Leonardo Hunaldo dos Santos, Adriana Moraes Leite, Débora Falleiros de Mello

DOI: 10.1590/S1679-45082015RW3107

ObjectiveTo identify, in national and international journals, the studies conducted in Brazil related to breast feeding and reducing cases of diarrhea in children under 2 years of age, featuring health interventions more used.MethodsDescriptive study, based on an integrative review of literature from PubMed and LILACS data published between January 1992 and August 2011. The keywords “breastfeeding AND diarrhea” was searched in Portuguese, English and Spanish in PubMed and LILACS. The guiding question was: “What was knowledge produced about breast feeding […]

Complications in adolescent pregnancy: systematic review of the literature

Walter Fernandes de Azevedo, Michele Baffi Diniz, Eduardo Sérgio Valério Borges da Fonseca, Lícia Maria Ricarte de Azevedo, Carla Braz Evangelista

DOI: 10.1590/S1679-45082015RW3127

Sexual activity during adolescence can lead to unwanted pregnancy, which in turn can result in serious maternal and fetal complications. The present study aimed to evaluate the complications related to adolescent pregnancy, through a systematic review using the Medical Subject Headings: “pregnancy complication” AND “adolescent” OR “pregnancy in adolescence”. Only full original articles in English or Portuguese with a clearly described methodology, were included. No qualitative studies, reviews or meta-analyses, editorials, case series, or case reports were included. The sample […]

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