Volume 10, Number 4, October/December 2012

Oxybutynin treatment for hyperhidrosis: a comparative analysis between genders

Nelson Wolosker, Mariana Krutman, Taiz Pereira Donozo Almeida Campdell, Paulo Kauffman, Jose Ribas Milanez de Campos, Pedro Puech-Leão

DOI: 10.1590/S1679-45082012000400002

Objective:To assess the results of palmar and axillary hyperhidrosis treatment in males and females using low doses of oxybutynin.METHODS:A retrospective analysis was conducted in 395 women and 170 men followed up in our service with complaint of palmar and axillary hyperhidrosis.RESULTS:A total of 70% of patients in both groups presented partial or great improvement in the level of hyperhidrosis after treatment. The best results were obtained in the female group, in which 40% classified their improvement as “great”. Approximately 70% […]

Physical exercise during pregnancy and its influence in the type of birth

Lílian Cristina da Silveira, Conceição Aparecida de Mattos Segre

DOI: 10.1590/S1679-45082012000400003

Objective:To verify if medium intensity exercise performed during pregnancy can influence in the type of delivery, and to observe compliance to an exercise program among primiparous women with different levels of schooling.METHODS:A study carried out at the Centro de Incentivo ao Aleitamento Materno, in São Sebastiao (SP), between April 7, 2008, and April 14, 2009. A prospective study involving 66 primiparous women who were divided into two groups: an Exercise Group, engaged in regular physical activity during pregnancy, and the […]

Quality of life and prevalence of osteoarticular pain in patients submitted to bariatric surgery

Rute Grans, Cyntia Francesca Warth, José Francisco de Mattos Farah, Debora Pastore Bassitt

DOI: 10.1590/S1679-45082012000400004

Objective:To analyze quality of life and observe the prevalence of musculoskeletal pain in patients submitted to bariatric surgery.METHODS:A prospective, observational and comparative study with 26 individuals aged 18 to 60 years, 25 women, which included two evaluations, one preoperative and the other approximately 42 months after surgery. The Medical Outcomes Study 36-Item Short Form Health Survey (SF-36) and the Human Body Diagram with Visual Analogue Scale were employed.RESULTS:The individual samples showed grade III obesity, with a predominance of postoperative overweight, […]

Stages of health behavior change and factors associated with physical activity in patients with intermittent claudication

Jacilene Guedes de Oliveira, João Paulo dos Anjos Souza Barbosa, Breno Quintella Farah, Marcel da Rocha Chehuen, Gabriel Grizzo Cucato, Nelson Wolosker, [...]

DOI: 10.1590/S1679-45082012000400005

Objective:To analyze, in people with intermittent claudication, the frequency of individuals who are in each of stages of health behavior change to practice physical activity, and analyze the association of these stages with the walking capacity.METHODS:We recruited 150 patients with intermittent claudication treated at a tertiary center, being included those >30-year-old-individuals and who had ankle-arm index

Mortality associated with periodic limb movements during sleep in amyotrophic lateral sclerosis patients

Alexander Joseph Moszczynski, Anu Tandon, Fernando Morgadinho Santos Coelho, Lorne Zinman, Brian Murray

DOI: 10.1590/S1679-45082012000400006

Objective:To describe the prevalence and severity of periodic limb movements during sleep in amyotrophic lateral sclerosis patients and to explore this fact as a predictor of severity of the condition with respect to mortality.METHODS:In this case-control study, questionnaire and polysomnographic data were analyzed from 35 amyotrophic lateral sclerosis patients. Controls were matched by age, genre, and body mass index. A Kaplan-Meier curve was used to compare the survival time of patients with periodic limb movements of sleep index below or […]

Neuropsychological aspects of 10-year-old children

Ellen Osborn, Liliane Desgualdo Pereira

DOI: 10.1590/S1679-45082012000400007

Objective:To characterize neuropsychological aspects of 10-yearold children.METHOD:Out of 30 children, 26 cognitively normal 10-year-old public school students answered tests extracted from Luria-Nebraska Neuropsychological Battery: Children’s Revision. The study was transversal. Descriptive and inferential statistical analysis were carried out.RESULTS:Most of the 10-year-old children retold a story (69.2%), understood it making correct inference (84.6%) and reproduced it adequately in writing (76.9%) – 14.9% was the average number of incorrectly written words and 0.179 was the errors per written word coefficient. Besides, 53.8% […]

Ertapebem disk performance to predict Klebsiella pneumoniae carbapenemase produced by Gram-negative bacilli isolated in a São Paulo city public hospital

Lais Pinto de Almeida, Fabiana Puerro de Carvalho, Alexandre Gimenes Marques, Andrea dos Santos Pereira, Renata Puzzo Bortoleto, Marinês Dalla Valle Martino

DOI: 10.1590/S1679-45082012000400008

Objective:To evaluate ertapenem disk performance to predict Klebsiella pneumonie carbapenemase production by Gram-negative bacilli.METHODS:All Gram-negative bacilli isolated between January 2010 and June 2011 were tested by disk diffusion (OxoidTM) for sensitivity to ertapenem, meropenem and imipenem. Resistant or intermediate sensitivity strains (diameter

Reduced frequency of cardiopulmonary arrests by rapid response teams

Paulo David Scatena Gonçales, Joyce Assis Polessi, Lital Moro Bass, Gisele de Paula Dias Santos, Paula Kiyomi Onaga Yokota, Claudia Regina Laselva, [...]

DOI: 10.1590/S1679-45082012000400009

Objective:To evaluate the impact of the implementation of a rapid response team on the rate of cardiorespiratory arrests in mortality associated with cardiorespiratory arrests and on in-hospital mortality in a high complexity general hospital.METHODS:A retrospective analysis of cardiorespiratory arrests and in-hospital mortality events before and after implementation of a rapid response team. The period analyzed covered 19 months before intervention by the team (August 2005 to February 2007) and 19 months after the intervention (March 2007 to September 2008).RESULTS:During the […]

Use of the pectoralis major fasciocutaneous flap in the treatment of post sternotomy dehiscence: a new approach

Jaime Anger, Pedro Silvio Farsky, Antonio Flavio Sanches Almeida, Renato Tambellini Arnoni, Daniel Chagas Dantas

DOI: 10.1590/S1679-45082012000400010

Objective:To describe a new surgical technique for the treatment dehiscence after median thoracotomy transsternal using fasciocutaneous flap composed of the pectoralis major fascia.METHODS:Between January 2009 and December 2010, from 1,573 patients submitted to coronary artery bypass graft, 21 developed wound dehiscence after sternotomy and were treated with bilateral pectoralis major muscle fasciocutaneous flap, including partial portion of the rectus abdominis fascia. Patients were followed for a minimum of 90 days postoperatively.RESULTS:All patients had favorable outcome following 90 days, not having […]

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