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51.
Rodrigues Murilo W. Cardillo José A. Messias André Siqueira Rubens C. Scott Ingrid U. Jorge Rodrigo 《Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie》2020,258(3):479-490
Graefe's Archive for Clinical and Experimental Ophthalmology - To evaluate 24-week visual acuity and anatomic outcomes of two “pro re nata” (prn) treatment strategies (intravitreal... 相似文献
52.
Osaki Midori H. Osaki Tammy H. Garcia Denny M. Osaki Teissy Gameiro Gustavo R. Belfort Rubens Cruz Antonio Augusto V. 《Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie》2020,258(3):669-674
Graefe's Archive for Clinical and Experimental Ophthalmology - To assess spontaneous blinking and anomalous eyelid movements in patients with hemifacial spasm with an emphasis on interocular... 相似文献
53.
Lucieni Oliveira Conterno Silvana Martins Dias Toni Rubiana Gon?alves Konkiewitz Elaine Salla Guedes Rubens Tofano de Barros Marcos Gradim Tiveron 《Brazilian Journal Of Cardiovascular Surgery》2014,29(2):167-176
Objective
this study aimed to determine the incidence of nosocomial infections, the risk factors and the impact of these infections on mortality among patients undergoing to cardiac surgery.Methods
Retrospective cohort study of 2060 consecutive patients from 2006 to 2012 at the Santa Casa de Misericórdia de Marília.Results
351 nosocomial infections were diagnosed (17%), 227 non-surgical infections and 124 surgical wound infections. Major infections were mediastinitis (2.0%), urinary tract infection (2.8%), pneumonia (2.3%), and bloodstream infection (1.7%). The in-hospital mortality was 6.4%. Independent variables associated with non-surgical infections were age > 60 years (OR 1.59, 95% CI 1.09 to 2.31), ICU stay > 2 days (OR 5, 49, 95% CI 2.98 to 10, 09), mechanical ventilation > 2 days (OR11, 93, 95% CI 6.1 to 23.08), use of urinary catheter > 3 days (OR 4.85 95% CI 2.95 -7.99). Non-surgical nosocomial infections were more frequent in patients with surgical wound infection (32.3% versus 7.2%, OR 6.1, 95% CI 4.03 to 9.24). Independent variables associated with mortality were age greater than 60 years (OR 2.0; 95% CI 1.4 to3.0), use of vasoactive drugs (OR 3.4, 95% CI 1.9 to 6, 0), insulin use (OR 1.8; 95% CI 1.2 to 2.8), surgical reintervention (OR 4.4; 95% CI 2.1 to 9.0) pneumonia (OR 4.3; 95% CI 2.1 to 8.9) and bloodstream infection (OR = 4.7, 95% CI 2.0 to 11.2).Conclusion
Non-surgical hospital infections are common in patients undergoing cardiac surgery; they increase the chance of surgical wound infection and mortality. 相似文献54.
Rubens Tofano de Barros Sebasti?o Marcos Ribeiro de Carvalho Marcos Augusto de Moraes Silva Juliana Bassalobre Carvalho Borges 《Brazilian Journal Of Cardiovascular Surgery》2014,29(1):37-44
Objective
To evaluate patients'' quality of life aspects after pacemaker implantation, relating it to gender, age, and implantation timespan.Methods
A total of 107 clinically stable patients of both genders (49.5% women and 50.5% men) over 18 years old (average 69.3±12.6 years) and presenting an implantation timespan of three to 12 months (average 6.36±2.99 months) were evaluated. The evaluation included personal, clinical, and implant data as well as quality of life questionnaires (AQUAREL and SF-36). Statistical analysis was conducted using the t test and Pearson correlation, with a 5% significance level.Results
The lowest SF-36 score referred to physical aspects, and the highest score referred to social aspects. In AQUAREL, the lowest score referred to dyspnea, and the highest referred to discomfort. There was a significant association between gender and quality of life in SF-36 (physical functioning and emotional aspects) and in AQUAREL (dyspnea). A negative correlation was observed between age and quality of life (functional capacity in SF-36, and discomfort in AQUAREL) in relation to implantation timespan, a correlation with vitality from SF-36.Conclusion
Lower quality of life scores were found in physical aspects and dyspnea; and higher scores in social aspects and discomfort. Men presented higher quality of life scores related to physical functioning, emotional aspects and dyspnea. As age increases, quality of life worsens regarding functional capacity and discomfort; and the longer the pacemaker implantation timespan, the worse quality of life when it comes to vitality. Gender, age, and implantation timespan influence quality of life; thus, these variables must be considered in strategies for improving quality of life of patients with pacemakers. 相似文献55.
Daniel Reis Waisberg Edson Abdala Lucas Souto Nacif Luciana Bertocco Haddad Liliana Ducatti Vinicius Rocha Santos Larissa Nunes Gouveia Carolina Santos Lazari Rodrigo Bronze Martino Rafael Soares Pinheiro Rubens Macedo Arantes Debora Raquel Terrabuio Luiz Marcelo Malbouisson Flavio Henrique Galvao Wellington Andraus Luiz Augusto Carneiro‐D'Albuquerque 《Transplant infectious disease》2021,23(1):e13418
The impact of coronavirus disease‐19 (COVID‐19) in liver recipients remains largely unknown. Most data derive from small retrospective series of patients transplanted years ago. We aimed to report a single‐center case series of five consecutive patients in the early postoperative period of deceased‐donor liver transplantation who developed nosocomial COVID‐19. Two patients presented important respiratory discomfort and eventually died. One was 69 years old and had severe coronary disease. She rapidly worsened after COVID‐19 diagnosis on 9th postoperative day. The other was 67 years old with non‐alcoholic steatohepatitis, who experienced prolonged postoperative course, complicated with cytomegalovirus infection and kidney failure. He was diagnosed on 36th postoperative day and remained on mechanical ventilation for 20 days, ultimately succumbing of secondary bacterial infection. The third, fourth, and fifth patients were diagnosed on 10th, 11th, and 18th postoperative day, respectively, and presented satisfactory clinical evolution. These last two patients were severely immunosuppressed, since one underwent steroid bolus for acute cellular rejection and another also used anti‐thymocyte globulin for treating steroid‐resistant rejection. Our novel experience highlights that COVID‐19 may negatively impact the postoperative course, especially in elder and obese patients with comorbidities, and draws attention to COVID‐19 nosocomial spread in the early postoperative period. 相似文献
56.
Erin P. Hambrick MA Sonia L. Rubens MA Eric M. Vernberg PhD ABPP Anne K. Jacobs PhD Rebecca M. Kanine MA 《The journal of behavioral health services & research》2014,41(2):203-215
Dissemination of Psychological First Aid (PFA) is challenging considering the complex nature of disaster response and the various disaster mental health (DMH) trainings available. To understand challenges to dissemination in community mental health centers (CMHCs), interviews were conducted with nine DMH providers associated with CMHCs. Consensual qualitative analysis was used to analyze data. Interviews were targeted toward understanding organizational infrastructure, DMH training requirements, and training needs. Results clarified challenges to DMH training in CMHCs and factors that may promote buy-in for trainings. For example, resources are limited and thus allocated for state and federal training requirements. Therefore, including PFA in these requirements could promote adoption. Additionally, a variety of training approaches that differ in content, style, and length would be useful. To conclude, a conceptual model for ways to promote buy-in for the PFA Guide is proposed. 相似文献
57.
Charlotte Bradbury Kate Fletcher Yongzhong Sun Carl Heneghan Chris Gardiner Andrea Roalfe Pollyanna Hardy Debbie McCahon Gail Heritage Helen Shackleford FD Richard Hobbs David Fitzmaurice 《British journal of haematology》2020,188(6):962-975
Venous thromboembolism (VTE) is prevalent and impactful, with a risk of death, morbidity and recurrence. Post-thrombotic syndrome (PTS) is a common consequence and associated with impaired quality of life (QoL). The ExACT study was a non-blinded, prospective, multicentred randomised controlled trial comparing extended versus limited duration anticoagulation following a first unprovoked VTE (proximal deep vein thrombosis or pulmonary embolism). Adults were eligible if they had completed ≥3 months anticoagulation (remaining anticoagulated). The primary outcome was time to first recurrent VTE from randomisation. The secondary outcomes included PTS severity, bleeding, QoL and D-dimers. Two-hundred and eighty-one patients were recruited, randomised and followed up for 24 months (mean age 63, male:female 2:1). There was a significant reduction in recurrent VTE for patients receiving extended anticoagulation [2·75 vs. 13·54 events/100 patient years, adjusted hazard ratio (aHR) 0·20 (95% confidence interval (CI): 0·09 to 0·46, P < 0·001)] with a non-significant increase in major bleeding [3·54 vs. 1·18 events/100 patient years, aHR 2·99 (95% CI: 0·81–11·05, P = 0·10)]. Outcomes of PTS and QoL were no different between groups. D-dimer results (on anticoagulation) did not predict VTE recurrence. In conclusion, extended anticoagulation reduced VTE recurrence but did not reduce PTS or improve QoL and was associated with a non-significant increase in bleeding. Results also suggest very limited clinical utility of D-dimer testing on anticoagulated patients. 相似文献
58.
Santos-Junior Rubens B. Utter Alan C. McAnulty Steven R. Bittencourt Bernardi Bernardo Rafael Buzzachera Cosme F. Franchini Emerson Souza-Junior Tácito P. 《Sport Sciences for Health》2020,16(1):117-122
Sport Sciences for Health - The aim of this study was to investigate the weight loss behaviors among Brazilian professional mixed martial arts (MMA) athletes. One hundred and seventy nine Brazilian... 相似文献
59.
60.
Marcos Duarte Guimar?es Edson Marchiori Bruno Hochhegger Rubens Chojniak Jefferson Luiz Gross 《Clinics (S?o Paulo, Brazil)》2014,69(5):335-340