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101.
102.
Luciana Carvalho Moura Priscilla Caroliny de Oliveira Juliana Guareschi dos Santos Heloisa Barboza Paglione Jose Maria do Nascimento Neto Roberta Cristina Cardoso dos Santos Marli Cristina de Oliveira Marcos André Ramos Carneiro Felipe Alves Moreira Dayana Aparecida Martins Correa Calado Renata Fabiana Leite Bartira de Aguiar Roza Paolo Rogerio de Oliveira Salvalaggio Ana Cristina Carvalho de Matos 《Clinical transplantation》2015,29(12):1047-1053
103.
Carlos E. Carvalho Rubens A. da Silva André W. Gil Márcio R. Oliveira Juliana A. Nascimento Deise A. A. Pires-Oliveira 《Journal of Physical Therapy Science》2015,27(3):705-710
[Purpose] The aim of this study was to compare age-related differences in balance and
anthropometric posture measurements of the foot and to determine any relationship between
them. [Subjects and Methods] Sixty-eight older and 42 younger adults participated in this
study. Foot posture was tested for four domains: 1) hallux flexion and extension range of
motion using a goniometer, 2) navicular height and 3) length of the foot using a
pachymeter, and 4) footprint (width of forefoot, arch index and hallux valgus). Balance
was tested under two conditions on a force platform: bipodal in 60-s trials and unipodal
in 30-s trials. The sway area of the center of pressure and velocity in the
anteroposterior and mediolateral directions were computed. [Results] Older individuals
showed significantly poorer balance compared with younger adults under in the unipodal
condition (center of pressure area 9.97 vs. 7.72 cm2). Older people presented a
significantly lower hallux mobility and higher values for width of the forefoot and
transverse arch index than younger adults. The correlations between all foot posture and
center of pressure parameters varied across groups, from weak to moderate
(r −0.01 to −0.46). Low hallux mobility was significantly related to
higher center of pressure values in older people. [Conclusion] These results have clinical
implications for balance and foot posture assessments.Key words: Posture, Aging, Foot 相似文献
104.
105.
106.
Mariane?Messias?Reis?Lima?SilvaEmail author Samuel?Aguiar?Junior Juliana?de?Aguiar Pastore érica?Maria?Monteiro?Santos Fábio?de?Oliveira Ferreira Ranyell?Matheus?S.?B.?Spencer Vinicius?F.?Calsavara Wilson?Toshihiko?Nakagawa Ademar?Lopes 《International journal of colorectal disease》2018,33(8):1039-1045
Purpose
Patients with cancer of the lower and middle rectum who are candidates for curative surgery often have negative opinions on definitive colostomy. The purpose of this study is to compare the quality of life (QoL) of patients who undergo standard treatment for rectal cancer with sphincter preservation or definitive colostomy.Methods
A total of 125 patients with adenocarcinoma of the lower or middle rectum who underwent radical surgery with curative intent with a follow-up ≥?1 year were recruited: 83 patients (group 1) were subjected to low anterior resection and low colorectal or coloanal anastomosis—thus preserving their sphincter—and 42 (group 2) were treated with abdominoperineal resection, followed by terminal definitive colostomy. QoL was assessed with the EORTC QLQ-C30 and QLQ-CR29 questionnaires.Results
Health and global quality of life were similar between groups; however, patients who underwent definitive colostomy had higher scores on the emotional (p value?=?0.016) and cognitive function scales (p value?=?0.017). Patients with sphincter preservation presented with more symptoms that were related to stool frequency (p value <?0.001), intestinal constipation (p value?=?0.005), fecal incontinence (p value?=?0.001), buttock pain (p value?=?0.023), and nausea and vomiting (p value?=?0.036), whereas patients with permanent colostomy had higher scores for dysuria (p value?=?0.033).Conclusion
Although global QoL scores did not differ between groups, patients who underwent definitive colostomy had significantly better functional and symptom scale scores, reflecting greater function with fewer symptoms.107.
BACKGROUND: Data on patients with cancer who have a prolonged length of stay (LOS) in the ICU are scarce. The aim of the present study was to evaluate the characteristics and the outcomes of cancer patients with life-threatening complications with an ICU stay >/= 21 days. METHODS: A cohort study performed at a 10-bed oncology medical-surgical ICU from May 2000 to December 2005. Prolonged ICU LOS was defined as an ICU stay >/= 21 days. RESULTS: During the period, 1,090 patients were admitted to the ICU and 163 patients (15%) had a prolonged ICU LOS. These patients, however, accounted for 48% (5,828/12,224) of the total ICU bed-days. The hospital and 6-month mortality rates were 50% and 60%, respectively, and similar to patients with ICU LOS < 21 days (51% and 61%, respectively). ICU-acquired events and complications were common, and the most frequent were infections (90%), mechanical ventilation (99%), and need for vasopressors (88%). The number of organ failures, older age, and poor performance status were the main outcome predictors. The median long-term follow-up after hospital discharge was 537 days (range, 193 to 1,119 days), and 29 patients (18%) were alive. CONCLUSIONS: Fifteen percent of critically ill patients with cancer had a prolonged ICU LOS. Short- and long-term survival rates were reasonable, and the prognosis was better than expected a priori. In our opinion, the length of ICU admission per se should not be used in the clinical decisions regarding the continuation of treatment in these patients. 相似文献
108.
Mário Sérgio Lima de Lavor Nancy Scardua Binda Fabíola Bono Fukushima Fátima Maria Caetano Caldeira Juliana Figueira da Silva Carla Maria Osório Silva Karen Maciel de Oliveira Bernardo de Caro Martins Bruno Benetti Junta Torres Isabel Rodrigues Rosado Renato Santiago Gomez Marcus Vinícius Gomez Eliane Gon?alves de Melo 《International journal of clinical and experimental pathology》2015,8(9):9941-9949
This work aimed at determining the ideal ischemia time in an in vitro ischemia-reperfusion model of spinal cord injury. Rat spinal cord slices were prepared and then exposed or not to oxygen deprivation and low glucose (ODLG) for 30, 45, 60, 75 and 90 minutes. Cell viability was assessed by triphenyltetrazolium (TTC), lactate dehydrogenase (LDH) release, and fluorochrome dyes specific for cell dead (ethidium homodimer) using the apotome system. Glutamate release was enzymatically measured by a fluorescent method. Gene expression of apoptotic factors was assessed by real time RT-PCR. Whereas spinal cord slices exposed to ODLG exhibited mild increase in fluorescence for 30 minutes after the insult, the 45, 60, 75 and 90 minutes caused a 2-fold increase. ODLG exposure for 45, 60, 75 or 90 minutes, glutamate and LDH release were significantly elevated. nNOS mRNA expression was overexpressed for 45 minutes and moderately increased for 60 minutes in ODLG groups. Bax/bcl-xl ratio, caspase 9 and caspase 3 mRNA expressions were significantly increased for 45 minutes of ODLG, but not for 30, 60, 75 and 90 minutes. Results showed that cell viability reduction in the spinal cord was dependent on ischemic time, resulting in glutamate and LDH release. ODLG for 45 minutes was adequate for gene expression evaluation of proteins and proteases involved in apoptosis pathways. 相似文献
109.
Paulo César Rodrigues CONTI Ana Silvia da Mota CORRêA José Roberto Pereira LAURIS Juliana STUGINSKI-BARBOSA 《Journal of applied oral science : revista FOB》2015,23(5):529-535
Objective
The benefit of the use of some intraoral devices in arthrogenous temporomandibular disorders (TMD) patients is still unknown. This study assessed the effectiveness of the partial use of intraoral devices and counseling in the management of patients with disc displacement with reduction (DDWR) and arthralgia.Materials and Methods
A total of 60 DDWR and arthralgia patients were randomly divided into three groups: group I (n=20) wore anterior repositioning occlusal splints (ARS); group II (n=20) wore the Nociceptive Trigeminal Inhibition Clenching Suppression System devices (NTI-tss); and group III (n=20) only received counseling for behavioral changes and self-care (the control group). The first two groups also received counseling. Follow-ups were performed after 2 weeks, 6 weeks and 3 months. In these sessions, patients were evaluated by means of a visual analogue scale, pressure pain threshold (PPT) of the temporomandibular joint (TMJ), maximum range of motion and TMJ sounds. Possible adverse effects were also recorded, such as discomfort while using the device and occlusal changes. The results were analyzed with ANOVA, Tukey’s and Fisher Exact Test, with a significance level of 5%.Results
Groups I and II showed improvement in pain intensity at the first follow-up. This progress was recorded only after 3 months in Group III. Group II showed an increased in joint sounds frequency. The PPT values, mandibular range of motion and the number of occlusal contacts did not change significantly.Conclusion
The simultaneous use of intraoral devices (partial time) plus behavioral modifications seems to produce a more rapid pain improvement in patients with painful DDWR. The use of NTI-tss could increase TMJ sounds. Although intraoral devices with additional counseling should be considered for the management of painful DDWR, dentists should be aware of the possible side effects of the intraoral device’s design. 相似文献110.