130 research outputs found
Recuperação de nascentes no Município de Machadinho - RS, associada a ervais comerciais arborizados.
Nano-fabrication and characterization of silicon meta-surfaces provided with Pancharatnam-Berry effect
Benign blockage: gastric outlet obstruction due to a prolapsing gastric pedunculated polyp. Case report and literature review
NO ABSTRACT AVAILABLEAn 89-year-old woman was admitted to the emergency
department at “Ospedale Civile Umberto I” in Lugo
(Ravenna) for 1 month of vomiting, mild epigastric pain,
and postprandial diarrhea without fever. Main comorbidities
included chronic atrial fbrillation treated with a direct-acting oral anticoagulant, previous MI, hypertension, diabetes,
and hypercholesterolemia, though despite her age the patient
was autonomous in her daily activities. On admission, laboratory tests included normal WBC count, Hgb, and CRP.
Abdominal X-ray demonstrated a stomach flled by ingested
food (Fig. 1a) and difuse air–fuid levels accompanied by
abdominal distension (Fig. 1b). A surgical consultation was
requested; a CT scan was performed confrming gastric distension by ingested food (Fig. 2).
Since gastric outlet obstruction was suspected, the patient
was hospitalized in a medical unit, treated with NPO and
IV fuids. After 2 weeks, a second surgical consultation was
requested due to the recurrence of clinical symptoms with
unchanged laboratory tests. An upper GI series reported
normal gastric and duodenal transit (Fig. 3) while colonoscopy was negative. The patient underwent EGD that showed
a 4-cm pedunculated polyp situated in the gastric antrum;
the polyp prolapsed into the duodenal bulb creating a “ball
valve”-type intermittent obstruction. Biopsy was consistent
with a hyperplastic polyp which was endoscopically resected
(Fig. 4a–c). The fnal histological report confrmed a benign
lesion; the patient was discharged from the hospital without
any further invasive treatment in good general condition
Recuperação e proteção de nascentes em propriedades rurais de Machadinho, RS.
bitstream/item/106898/1/RecuperacaoProtecao0001.pd
F-061 * A COMPARATIVE STUDY AMONG MINIATURIZED ULTRASOUND PROBES FOR PULMONARY NODULES DETECTION IN AN EX VIVO LUNG PERFUSION MODEL
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Cambona 4: desenvolvimento de uma progênie biclonal de erva-mate em Machadinho, RS.
bitstream/item/46075/1/Doc224.pd
Intensive care of the cancer patient: recent achievements and remaining challenges
A few decades have passed since intensive care unit (ICU) beds have been available for critically ill patients with cancer. Although the initial reports showed dismal prognosis, recent data suggest that an increased number of patients with solid and hematological malignancies benefit from intensive care support, with dramatically decreased mortality rates. Advances in the management of the underlying malignancies and support of organ dysfunctions have led to survival gains in patients with life-threatening complications from the malignancy itself, as well as infectious and toxic adverse effects related to the oncological treatments. In this review, we will appraise the prognostic factors and discuss the overall perspective related to the management of critically ill patients with cancer. The prognostic significance of certain factors has changed over time. For example, neutropenia or autologous bone marrow transplantation (BMT) have less adverse prognostic implications than two decades ago. Similarly, because hematologists and oncologists select patients for ICU admission based on the characteristics of the malignancy, the underlying malignancy rarely influences short-term survival after ICU admission. Since the recent data do not clearly support the benefit of ICU support to unselected critically ill allogeneic BMT recipients, more outcome research is needed in this subgroup. Because of the overall increased survival that has been reported in critically ill patients with cancer, we outline an easy-to-use and evidence-based ICU admission triage criteria that may help avoid depriving life support to patients with cancer who can benefit. Lastly, we propose a research agenda to address unanswered questions
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