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991.
Andrs Ricardo Prez‐Riera Raimundo Barbosa‐Barros Rodrigo Daminello‐Raimundo Luiz Carlos de Abreu Kjell Nikus 《Annals of noninvasive electrocardiology》2019,24(3)
Ebstein's anomaly is a congenital heart disease where the most important anatomic feature is the inferior displacement of the tricuspid valve leaflets. Vectorcardiographic features are mainly forgotten and electrocardiographic features may be unrecognized by cardiologists handling adult patients. 相似文献
992.
Andrs Ricardo Prez‐Riera Raimundo Barbosa‐Barros Rodrigo Daminello‐Raimundo Luiz Carlos de Abreu Marcos Clio de Almeida Jani Rankinen Fabio Baeub Soler Kjell Nikus 《Annals of noninvasive electrocardiology》2019,24(4)
The criteria for left bundle branch block have gained growing interest in the last few years. In this overview, we discuss diagnostic and prognostic aspects of different criteria. It was already shown that stricter criteria, including longer QRS duration and slurring/notching of the QRS, better identify responders to cardiac resynchronization therapy. We also include aspects of ST/T concordance and discordance and vectorcardiography, which could further improve in the fine‐tuning of the left bundle branch criteria. 相似文献
993.
Michael Mian Norbert Pescosta Stefania Badiali Paola Cristina Cappelletto Luigi Marcheselli Stefano Luminari Francesca Patriarca Renato Zambello Anna Pascarella Giuseppe Tagariello Alessandra Marabese Patrizia Mondello Atto Billio Sergio Cortelazzo 《British journal of haematology》2019,185(5):944-947
994.
Uenis Tannuri Maria M. Santos Ana Cristina A. Tannuri Nelson E. Gibelli Airton Moreira Francisco C. Carnevale Ali A. Ayoub João G. Maksoud-Filho Wagner C. Andrade Manoel C.P. Velhote Marcos M. Silva Maria L. Pinho-Apezzato Helena T. Miyatani Raimundo R.N. Guimarães 《Journal of pediatric surgery》2011,46(7):1379-1384
Background/purpose
The introduction of the piggyback technique for reconstruction of the liver outflow in reduced-size liver transplants for pediatric patients has increased the incidence of hepatic venous outflow block (HVOB). Here, we proposed a new technique for hepatic venous reconstruction in pediatric living-donor liver transplantation.Methods
Three techniques were used: direct anastomosis of the orifice of the donor hepatic veins and the orifice of the recipient hepatic veins (group 1); triangular anastomosis after creating a wide triangular orifice in the recipient inferior vena cava at the confluence of all the hepatic veins (group 2); and a new technique, which is a wide longitudinal anastomosis performed at the anterior wall of the inferior vena cava (group 3).Results
In groups 1 and 2, the incidences of HVOB were 27.7% and 5.7%, respectively. In group 3, no patient presented HVOB (P = .001). No difference was noted between groups 2 and 3.Conclusions
Hepatic venous reconstruction in pediatric living-donor liver transplantation must be preferentially performed by using a wide longitudinal incision at the anterior wall of the recipient inferior vena cava. As an alternative technique, triangulation of the recipient inferior vena cava, including the orifices of the 3 hepatic veins, may be used. 相似文献995.
dos Santos KT Saliba NA Moimaz SA Arcieri RM Carvalho Mde L 《Ciência & saúde coletiva》2011,16(Z1):1023-1028
This study analyses the status and work reality of Community Health Agents, with the purpose of contributing to the improvement of the Brazilian Health System (SUS) in small cities. It was discussed aspects related to their participation in the team of the Family Health Program (PSF) and their interaction with the community. It was observed a lack of motivation and experience, which compromises the quality of Agents performance in the community. It is known that these findings are reflex and consequence of an established context. It is necessary the team rethink their practice, specially the managers, having always as a fundament the principles that guide the SUS and PSF. 相似文献
996.
Mohamed Mabrouk Giulia Montanari Manuela Guerrini Gioia Villa Serena Solfrini Claudia Vicenzi Giuseppe Mignemi Letizia Zannoni Clarissa Frasca Nadine Di Donato Chiara Facchini Simona Del Forno Elisa Geraci Giulia Ferrini Diego Raimondo Stefania Alvisi Renato Seracchioli 《Health and quality of life outcomes》2011,9(1):98
Background
Deep infiltrating endometriosis (DIE) can affect importantly patients' quality of life (QOL). The aim of this study is to evaluate the impact of the laparoscopic management of DIE on QOL after six months from treatment.Methods
It is a prospective cohort study. In a tertiary care university hospital, between April 2008 and December 2009, 100 patients underwent laparoscopic management of DIE and completed preoperatively and 6-months postoperatively a QOL questionnaire, the short form 36 (SF-36).Quality of life was measured through the SF-36 scores. Intra-operative details of disease site, number of lesions, type of intervention, period of hospital stay and peri-operative complications were noted.Results
Six months postoperatively all the women had a significant improvement in every scale of the SF-36 (p < 0,0005). Among patients with intestinal DIE, significant differences in postoperative scores of SF-36 were not detected between patients submitted to nodule shaving and segmental resection (p > 0.05). There was no significant difference in the SF-36 scores at 6 months from surgery between patients who received postoperative medical treatment and patients who did not (p > 0.05).Conclusions
Laparoscopic excision of DIE lesions significantly improves general health and psycho-emotional status at six months from surgery without differences between patients submitted to intestinal segmental resection or intestinal nodule shaving.997.
Amidst the ubiquitous use of steroids, psychiatric side-effects are not uncommon, though the presentation may be curiously diverse. The case of an elderly lady who had 40 mg of methylprednisolone injected in each knee for treatment of suprapatellar bursitis is presented. After 3 days, she reported visual hallucinations, which resolved without treatment 6 days after the steroid injections. We found considerable interest in this case as there were very few reported cases of adverse psychiatric events triggered by intra-articular steroid administration. We follow with a brief review of the incidence, risk factors, presentation, and treatment of steroid-induced psychiatric side-effects. 相似文献
998.
Mónica Viviana Alvarado-Mora Camila Malta Romano Michele Soares Gomes-Gouvêa Maria Fernanda Gutierrez Flair José Carrilho João Renato Rebello Pinho 《Infection, genetics and evolution》2011,11(6):1462-1468
Hepatitis delta virus (HDV) is widely distributed and associated with fulminant hepatitis epidemics in areas with high prevalence of HBV. Several studies performed in the 1980s showed data on HDV infection in South America, but there are no studies on the viral dynamics of this virus. The aim of this study was to conduct an evolutionary analysis of hepatitis delta genotype 3 (HDV/3) prevalent in South America: estimate its nucleotide substitution rate, determine the time of most recent ancestor (TMRCA) and characterize the epidemic history and evolutionary dynamics. Furthermore, we characterized the presence of HBV/HDV infection in seven samples collected from patients who died due to fulminant hepatitis from Amazon region in Colombia and included them in the evolutionary analysis. This is the first study reporting HBV and HDV sequences from the Amazon region of Colombia. Of the seven Colombian patients, five were positive for HBV-DNA and HDV-RNA. Of them, two samples were successfully sequenced for HBV (subgenotypes F3 and F1b) and the five samples HDV positive were classified as HDV/3. By using all HDV/3 available reference sequences with sampling dates (n = 36), we estimated the HDV/3 substitution rate in 1.07 × 10−3 substitutions per site per year (s/s/y), which resulted in a time to the most recent common ancestor (TMRCA) of 85 years. Also, it was determined that HDV/3 spread exponentially from early 1950s to the 1970s in South America. This work discusses for the first time the viral dynamics for the HDV/3 circulating in South America. We suggest that the measures implemented to control HBV transmission resulted in the control of HDV/3 spreading in South America, especially after the important raise in this infection associated with a huge mortality during the 1950s up to the 1970s. The differences found among HDV/3 and the other HDV genotypes concerning its diversity raises the hypothesis of a different origin and/or a different transmission route. 相似文献
999.
Vicennati V Pasqui F Cavazza C Garelli S Casadio E di Dalmazi G Pagotto U Pasquali R 《Nutrition (Burbank, Los Angeles County, Calif.)》2011,27(6):677-680