Volume 9, Number 1 Pt 1, January/March 2011

Low-energy femoral shaft fracture in elderly patient with prolonged use of alendronate

José Ricardo Negreiros Vicente, Daniel Seguel Rebolledo, Marcos Camargo Leonhardt, Mauricio Bernstein

DOI: 10.1590/S1679-45082011AI1406

Fractures in the proximal femur occur in female and male elderly population due to low-energy trauma in osteoporotic bones. In order to prevent these fractures, treatment of osteoporosis has been indicated, particularly using biphosphonates(). Alendronate was the first drug approved by the Food and Drug Administration (FDA), in 1995, to treat osteoporosis(). This drug acts in bone metabolism, inhibiting osteoclasts, inducing their apoptosis(), raising the bone mineral density and reducing the incidence of osteoporotic fractures(). […]

Haiti’s earthquake: a multiprofessional experience

Milton Steinman, Melissa Simon Gumera, Mario Ferretti, Cristiane Isabela de Almeida, Maria Tereza Augusto Ioshimoto, Silvia Gusman, [...]

DOI: 10.1590/S1679-45082011AE1841

INTRODUCTION On January 12, 2010 an earthquake of 7.0 on the Richter scale struck Haiti, the poorest country in America. The quake’s epicenter was in Leogane with extension to almost all the country also hitting Port-au-Prince, the country’s capital. This disaster caused a huge destruction and devastated more than 250,000 of houses and commercial buildings and left more than a million of homeless people. In the aftermath, this catastrophe caused 230,000 deaths and more than 30,000 wounded people (). () […]

Impact of a program to promote health and quality of life of elderly

Silvia Affini Borsoi Tamai, Sergio Márcio Pacheco Paschoal, Julio Litvoc, Adriana Nunes Machado, Pedro Kallas Curiati, Luis Felipe Prada, [...]

DOI: 10.1590/S1679-45082011AO1759

ABSTRACT Objective: To evaluate the effect on quality of life of elderly people enrolled in GAMIA – Multidisciplinary Care Group to Outpatient Elderly Subjects (Grupo de Assistência Multidisciplinar ao Idoso Ambulatorial) of the Geriatric Department, Hospital das Clinicas, Faculdade de Medicina, Universidade de Sao Paulo. Methods: Between 2000 and 2002, 83 elderly participants of GAMIA were assessed by the World Health Organization Quality of Life scale (WHOQOL-bref) at the beginning and the end of the program. Functionality was assessed by […]

Impact of screening and monitoring of capillary blood glucose in the detection of hyperglycemia and hypoglycemia in non-critical inpatients

Rogerio Silicani Ribeiro, Ricardo Botticini Peres, Magda Tiemi Yamamoto, Ana Paula Novaes, Claudia Regina Laselva, Adriana Caschera Leme Faulhaber, [...]

DOI: 10.1590/S1679-45082011AO1840

ABSTRACT Objective: To evaluate the impact of screening hyper and hypoglycemia measured by capillary glycemia and standard monitorization of hyperglycemic patients hospitalized in regular care units of Hospital Israelita Albert Einstein. Methods: The capillary glycemia was measured by the Precision PCx (Abbott) glucosimeter, using the PrecisionWeb (Abbott) software. The detection of hyper and hypoglycemia during the months of May/June were compared to those of March/April in 2009 and to the frequency of the diagnosis of diabetes in 2007. Results: There […]

Potentially inappropriate medication prescribed to elderly outpatients at a general medicine unit

Christine Grützmann Faustino, Milton de Arruda Martins, Wilson Jacob Filho

DOI: 10.1590/S1679-45082011AO1844

ABSTRACT Objective: To establish the prevalence of potentially inappropriate medications prescribed for elderly patients, to identify the most commonly involved drugs, and to investigate whether age, sex and number of medications were related with the prescription of these drugs. Methods: Prescriptions for 1,800 elderly patients (≥ 60 years) were gathered from a database. These prescriptions were written by general physicians at a tertiary level university hospital in the city of Sao Paulo, Brazil, from February to May 2008. Only one […]

Mother/child bond in mothers of overweight and eutrophic children: depression and socioeconomic factors

Patricia Vieira Spada, Maria Arlete Meil Escrivão, Fernando José de Nóbrega, Yára Juliano

DOI: 10.1590/S1679-45082011AO1790

ABSTRACT Objective: To verify the presence of depression, age, level of schooling, occupation, marital status, number of children and nutritional status (maternal and of the child) in mothers of overweight and eutrophic children and relate the data to mother/child bonding. Methods: A total of 120 mothers of children aged up to 10 years participated; 30 of them were overweight and 30 were eutrophic (low-income bracket); 30 were overweight and 30 eutrophic (high-income bracket). The control group was composed of eutrophic […]

Habituation of the blink reflex in the neonatal period and development of auditory processing

Celina Rech Maggi, Luciane da Costa Pacheco, Tânia Tochetto, Maiara Santos Gonçalves, Fleming Salvador Pedroso

DOI: 10.1590/S1679-45082011AO1498

ABSTRACT Objective: To check the existence of an association between the presence/absence of the blink reflex habituation in the neonatal period and auditory processing development. Methods: The occurrence of blink reflex habituation was studied in 33 neurologically normal neonates, aged between 9 and 25 months, who had their behavioral responses analyzed and classified according to Azevedo (1993). Habituation of the blink reflex was verified using 90-dB sound stimulus. The stage of auditory processing development was evaluated through 41-dB sound stimulus. […]

Role of adipose tissue-derived stem cells in the progression of renal disease

Cassiano Donizetti-Oliveira, Patricia Semedo, Marina Burgos-Silva, Marco Antonio Cenedeze, Denise Maria Avancini Costa Malheiros, Marlene Antônia dos Reis, [...]

DOI: 10.1590/S1679-45082011AO1833

ABSTRACT Objective: To analyze the role of adipose tissue-derived stem cells in reducing the progression of renal fibrosis. Methods: adipose tissue-derived stem cells were isolated from C57Bl/6 mice and characterized by cytometry and differentiation. Renal fibrosis was established after unilateral clamping of the renal pedicle for 1 hour. Four hours after reperfusion, 2.105 adipose tissue-derived stem cells were administered intraperitoneally and the animals were followed for 24 hours during 6 weeks. In another experimental group, 2.105 adipose tissue-derived stem cells […]

Contrasting roles of donor and recipient TGFB1 and IFNG gene polymorphic variants in chronic kidney transplant rejection

Verônica Porto Carreiro de Vasconcellos Coelho, Rafael Ioschpe, Cristina Caldas, Monica Spadafora-Ferreira, João Americo Fonseca, Maria Regina Alves Cardoso, [...]

DOI: 10.1590/S1679-45082011AO1852

ABSTRACT Objective: To assess the long-term impact (minimum of 3 years follow-up) of polymorphisms in cytokine genes in donor:recipient pairs on the results of the transplant. Methods: We compared genetic cytokine polymorphisms and the primary factors of risk for the development of chronic rejection in paired groups of renal transplant patients with and without chronic allograft nephropathy [CAN]. Results: Multivariate analysis indicated that the presence of the high-production TT genotype (codon 10) of the transforming growth factor beta-1 (TGFB1) was […]

Procalcitonin in patients with influenza A (H1N1) infection and acute respiratory failure

Péricles Almeida Delfino Duarte, Carla Sakuma de Oliveira Bredt, Gerson Luís Bredt Jr, Amaury César Jorge, Alisson Venazzi, Leônidas Gustavo Tondo, [...]

DOI: 10.1590/S1679-45082011AO1878

ABSTRACT Objective: To verify serum procalcitonin levels of patients with acute respiratory failure secondary to influenza A (H1N1) upon their admission to the Intensive Care Unit and to compare these results to values found in patients with sepsis and trauma admitted to the same unit. Methods: Analysis of records of patients infected with influenza A (H1N1) and respiratory failure admitted to the General Intensive Care Unit during in a period of 60 days. The values of serum procalcitonin and clinical […]

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