41 research outputs found
InfecçÔes em dispositivos neurológicos implantåveis em crianças e adolescentes
OBJETIVO: Determinar a freqĂŒĂȘncia, as causas, o sĂtio especĂfico e as manifestaçÔes clĂnicas e laboratoriais das infecçÔes em crianças e adolescentes apĂłs a implantação de dispositivos neurolĂłgicos (DVP) no Hospital Governador JoĂŁo Alves Filho (Aracaju SE).
MĂTODO: Estudo prospectivo, observacional, nĂŁo controlado de 50 pacientes, submetidos a DVP (58 procedimentos), no perĂodo de janeiro de 2003 a outubro de 2004.
RESULTADOS: Observaram-se taxas de infecção por procedimento de 27,6%, taxas de infecção de Ăndice cirĂșrgico zero, 1 e 2 de 25,7% e 30,4%, respectivamente (NNIS-CDC). A infecção de sĂtio cirĂșrgico foi a principal complicação com 50% das infecçÔes.
CONCLUSĂO: Taxa de infecção por procedimento, paciente e Ăndice de risco cirĂșrgico mostraram-se elevadas. NĂŁo houve significĂąncia estatĂstica com relação Ă idade, etiologia da hidrocefalia, ao tipo de procedimento (derivação primĂĄria e reinserção), tempo de internação prĂ©-operatĂłria, duração da cirurgia, antibioticoprofilaxia, cateter SNC prĂ©vio e Ăndice de risco cirĂșrgico. _________________________________________________________________________________________ ABSTRACT: OBJECTIVE: To determine frequency, etiology, site and clinical and laboratory findings of ventriculoperitoneal shunt (VPS) infections in children and adolescents with hydrocephalus managed in Hospital Governador JoĂŁo Alves Filho, Aracaju SE, Brazil.
METHOD: A non-controlled prospective observational study comprising 50 patients that underwent VPS (58 procedures) from January/2003 to October/2004.
RESULTS: Infection rate per procedure was 27.6%; surgical risk index (NNISS-CDC) 0 and 1-2 were 25.7% and 30.4% respectively; surgical site infection was the main complication with 50% of the cases.
CONCLUSION: Infection rates per procedure, per patient, and per surgical risk index were high. No statistical differences were found related to the following: age, etiology of hydrocephalus, type of procedure, pre-operative length of stay, duration of procedure, antibiotic prophylaxis, previous central nervous system catheter, and surgical risk index
Crescimento e produção de coqueiro AnĂŁo verde fertigado com nitrogĂȘnio e potĂĄssio
Saude mental na estrategia saude da familia : revisao da literatura brasileira = Mental health in the Family Health Strategy : a review of Brazilian literature
The Family Health Strategy establishes the principles of the Brazilian Primary Health Care and shares important goals with the Psychiatric Reform. The principles of territory-centered care and longitudinal care should enhance innovative actions of mental health promotion, prevention and rehabilitation. The aim of this review was to analyze the main themes approached by the Brazilian scientific literature concerning mental health in the Family Health Strategy. We read the titles of 267 articles published between 1999 and 2009. We followed specific criteria to select 38 articles for thematic analysis. The main themes were the demands in mental health, the perceptions and practices of health personnel and the role of the psychologist in Primary Care. The publications identified several problems: stereotypical views about mental disorders, the dominance of the hospitalization rationale, and the absence of clinical reports, strategies, qualified support to families and integrated health actions. The qualitative meta-analysis indicated questions that may strengthen the debate on the topic, the reflection on further research and on professional practice in the interface between Mental Health and Family Health
Esquistossomose hepatoesplĂȘnica cirĂșrgica: histopatologia hepatica e endoscopia digestiva alta em crianças comparadas a adultos
2âČ-Fluoropolynucleotide-Directed Reverse Transcriptase Reactions. Effect of Homologous Polynucleotides
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Androgen Deprivation Therapy Is Associated With Prolongation of QTc Interval in Men With Prostate Cancer
Abstract Context Androgen deprivation therapy (ADT) for prostate cancer (PCa) is associated with increased cardiovascular mortality and sudden cardiac death, with some events occurring early after initiation of ADT. Testosterone levels are inversely associated with corrected QT (QTc) interval duration; therefore, prolongation of QTc duration could be responsible for some of these events during ADT. Objective: To evaluate changes in QTc duration during ADT. Design and Interventions A 6-month prospective cohort study that enrolled men with PCa about to undergo ADT (ADT group) and a control group of men who previously underwent prostatectomy for PCa and never received ADT (non-ADT group). Patients At study entry, all participants were eugonadal and had no history of cardiac arrhythmias or complete bundle branch block. Outcomes Difference in change in QTc duration from baseline on a 12-lead electrocardiogram at 6, 12, and 24 weeks after initiation of ADT compared with electrocardiograms performed at the same intervals in the non-ADT group. PR, QRS, and QT interval durations were also evaluated. Results: Seventy-one participants formed the analytical sample (33 ADT and 38 non-ADT). ADT was associated with prolongation of the QTc by 7.4 ms compared with the non-ADT group [95% confidence interval (CI) 0.08 to 14.7 ms; P = 0.048]. ADT was also associated with shortening of the QRS interval by 2.4 ms (95% CI â4.64 to â0.23; P = 0.031). Electrolytes did not change. Conclusions: Men undergoing ADT for PCa experienced prolongation of the QTc. These findings might explain the increased risk of sudden cardiac death seen in these patients