Volume 8, Number 1, January/March 2010

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 […]

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 […]

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 […]

Evaluation of pain in outpatient diagnostic hysteroscopy with gas

Daniela Barreto Fraguglia Quental Diniz, Daniella de Batista Depes, Ana Maria Gomes dos Santos, Simone Denise David, Salete Yatabe, Reginaldo Guedes Coelho Lopes

DOI: 10.1590/s1679-45082010ao1342

ABSTRACTObjective:To evaluate the intensity of pain reported by patients undergoing outpatient diagnostic hysteroscopy.Methods:Exam performed with a 5-mm lens hysteroscope, vaginal speculum, tenaculum and uterine distention with carbon dioxide gas. Before and after the examination, patients were interviewed to define, in a verbal scale from 0 to 10, pain values that they expected to feel and that they experienced after the end, and also if they would repeat it if indicated. Data were analyzed using Statistical Package for the Social Sciences […]

Endometrial hysteroscopic and histological evaluation in menopausal women in continuous use of raloxifene

Vanessa Maria Caetano Soares, Braz Martorelli Filho, Luiz Roberto Araujo Fernandes, Umberto Gazi Lippi

DOI: 10.1590/s1679-45082010ao1227

ABSTRACTObjective:To study the effect of raloxifene on endometrial histopathology of menopausal women.Methods:Thirty-one patients under raloxifene treatment (60 mg/day) for a six-month period and submitted to diagnostic videohysteroscopy at the Climateric Outpatients Clinic, Department of Gynecology and Obstetrics, Hospital do Servidor Público Estadual Francisco Morato de Oliveira, in the city of São Paulo, and at Hospital Guilherme Álvaro, in the city of Santos, from September 10th, 2003 to June 22nd, 2004, were analyzed. Guided endometrial biopsy was performed on all patients […]

Active search of women as an efficacy factor for a breast and cervical cancer screening program in the city of Jundiaí, São Paulo, Brazil

João Bosco Ramos Borges, Renata Guarisi, Andressa de Araújo Lacerda, Juliana Letícia Poli, Pítia Cárita de Godoy Borges, Sirlei Siani Moraes

DOI: 10.1590/s1679-45082010a01454

ABSTRACTObjective:To compare the profile of women looking for gynecological care to the profile of women invited to participate in the program, assessing breast and cervical cancer risk factors in each group and comparing Papanicolaou’s test and mammography results.Methods:Medical records of 46 women participating in a breast and cervical cancer prevention program and 42 medical reports of women that regularly visited the primary healthcare unit from August to December 2006 were examined.Results:The mean interval between the last Papanicolaou’s tests was of […]

Effects of Tai Chi Chuan on cognition of elderly women with mild cognitive impairment

Juliana Yumi Tizon Kasai, Alexandre Leopold Busse, Regina Miksian Magaldi, Maria Angela Soci, Priscilla de Moraes Rosa, José Antônio Esper Curiati, [...]

DOI: 10.1590/s1679-45082010ao1470

ABSTRACTObjective:To detect the effects of Tai Chi Chuan practice on the cognition of elderly subjects with Mild Cognitive Impairment.Methods:This is a pilot study with 26 elderly patients (mean age of 74 years) with Mild Cognitive Impairment. The evaluation instruments were Subjective Memory Complaint Scale (SMC), Rivermead Behavioral Memory Test (RBMT) and Digit Span Forward and Backward (DSF and DSB) from the Wechsler Adult Intelligence Scale (WAIS). One group of 13 patients received two weekly 60-minute classes of Tai Chi Chuan […]

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 […]

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 […]

Exercise-induced ventricular arrhythmias: analysis of predictive factors in a population with sleep disorders

Fatima Dumas Cintra, Marcia Regina Pinho Makdisse, Wercules Antônio Alves de Oliveira, Camila Furtado Rizzi, Francisco Otávio de Oliveira Luiz, Sergio Tufik, [...]

DOI: 10.1590/s1679-45082010ao1469

ABSTRACTObjective:To assess the prevalence of ventricular arrhythmias induced by exercise in a population with sleep disorders and to analyze the triggering factors.Methods:Patients were consecutively selected from the database of the Sleep Clinic of Universidade Federal de São Paulo. All subjects were submitted to basal polysomnography, blood sample collection, physical examination, 12-lead ECG, spirometry, cardiorespiratory exercise study on a treadmill, and echocardiogram. The Control Group was matched for age and gender.Results:A total of 312 patients were analyzed. Exercise-induced ventricular arrhythmia was […]

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