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排序方式: 共有516条查询结果,搜索用时 125 毫秒
1.
Bernardes A Dionísio J Diogo D Coelho P Patrício J 《Surgical and radiologic anatomy : SRA》2005,27(2):79-85
Intraoperative hemostatic suture to treat a bleeding duodenal ulcer is sometimes difficult when there is massive hemorrhage. The aims of this paper are: (1) to describe a practical and easy intraoperative procedure which quickly decreases a massively bleeding duodenal ulcer, allowing the surgeon to identify the bleeding site clearly and obtain definitive hemostasis by suturing the involved vessels with a low risk of common bile duct lesion; and (2) to study in cadavers the anatomical basis of this surgical procedure already successfully performed on patients. Fourteen patients with massive duodenal ulcer bleeding, after unsuccessful endoscopic hemostasis, were operated on and included in this study. After surgical anterior gastroduodenotomy, the surgeon introduced a finger in a downward and forward direction in the bursa omentalis vestibule through the omental foramen. This simple and quick procedure decreased hemorrhage by compressing the gastroduodenal artery against the first part of the posterior surface of the duodenum. Twenty-four fresh blocks of normal tissue were removed from cadavers and were injected with silicone rubber through the common hepatic artery. The distance between the gastroduodenal artery and the omental foramen was measured. With this maneuver the surgeon can clearly see the exact bleeding site and perform an adequate suture with a minor risk of common bile duct lesion. 相似文献
2.
The Ultrapulse CO2 laser (Coherent Inc., Palo Alto, CA, USA) was used in 239 patients, from March 1996 to July 1998, for full-face laser resurfacing.
In 106 (43%) of these patients rhytidectomy was performed in the same procedure. All patients submitted to laser resurfacing
were prepared for 1 to 2 months beforehand with retinoic acid and hydroquinone. The procedures were done under local anesthesia
controlled by an anesthesiologist. A clear film dressing impregnated with silicone gel (Silon TSR; Bio-Med Sciences, Bethlehem,
PA, USA) was used for 6 to 7 days and complete healing was observed in 7 to 10 days. Complications were exclusively dermatologic,
without relation to surgery. No necrosis of the cutaneous flap was observed. Skin biopsies of 10 consecutive patients undergoing
the combined procedures revealed no vascular impairment to the dermis. The patients were able to resume their activities 2
weeks after the procedure. 相似文献
3.
Novel imaging techniques for diabetic macular edema 总被引:2,自引:0,他引:2
Lobo C Bernardes R Faria de Abreu JR Cunha-Vaz JG 《Documenta ophthalmologica. Advances in ophthalmology》1999,97(3-4):341-347
Retinal edema should be defined as any increase of water of the retinal tissue resulting in an increase in its volume. It
may be of cytotoxic or vasogenic origin. Development of vasogenic macular edema is dependent on a series of factors such as
blood pressure, blood-retinal barrier permeability, retinal cell damage, retinal tissue osmotic pressure and retinal tissue
compliance. Objective measurements of retinal thickness are now possible using the Retinal Thickness Analyser. Localised measurements
of blood-retinal barrier permeability may also be obtained using the Retinal Leakage Analyser, a modified confocal scanning
laser fluorometer, while obtaining simultaneously angiographic images of the choroid and retina. These new imaging techniques
show that cytotoxic and vasogenic retinal edema may occur independently in the early stages of diabetic retinopathy. These
findings offer new perpectives for designing novel therapeutic strategies.
This revised version was published online in July 2006 with corrections to the Cover Date. 相似文献
4.
An assessment of a non-invasive technique for measurement of stroke distance was made using a portable Doppler ultrasound machine. The aim was to determine the measurement error of repeated stroke distance measurements (Within-observer variability) and to assess measurement agreement between two operators (between-observer variability). The measurement error (within-observer variability) for both operators was similar at approximately 2 cm. However, the measurements of the two operators (between-observer variability) did not agree well. Using the mean (SD) of three readings by each operator, the mean difference between the operators was -0.21 cm (1.96) giving a 95% confidence interval for the differences of -4.0 to +3.6 cm. There were significant positive and negative correlations between stroke distance and a variety of variables (age, height, weight, heart rate), but the relations were weak. The results indicate that the Doppler ultrasound technique for measurement of stroke distance would best be used to study trend changes in an individual patient, or subject, by a single operator. 相似文献
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Carolina Degen Meotti Glaura Plates Letycia Lopes Chagas Nogueira Renata Anselme da Silva Karoline Silva Paolini Elias Moreira Nunes Fred Bernardes Filho 《Anais brasileiros de dermatologia》2014,89(2):332-333
Cutaneous larva migrans is a pruritic dermatitis due to the inoculation of helminths
larvae in the skin, and it often occurs in children in tropical and subtropical
areas. The authors describe an atypical case of cutaneous larva migrans in a 11
year-old child with scalp involvement, an unusual topography for this lesion. 相似文献
8.
Fred Bernardes Filho Danielle Cristine Bonatto Gustavo Martins Leonardo de Medeiros Maier José Augusto da Costa Nery Luna Azulay-Abulafia 《Anais brasileiros de dermatologia》2014,89(5):848-850
American cutaneous leishmaniasis is in full geographic expansion in Brazil and it is
considered among the infectious and parasitic diseases of utmost importance
worldwide, not only by its frequency, but mainly by therapeutic difficulties,
deformities and sequelae that may result. In the state of Rio de Janeiro, the first
autochthonous case of American cutaneous leishmaniasis was registered by Rabello in
1913. The authors report two cases of the disease in the region around the Cemetery
São Francisco Xavier, in the Caju neighborhood, Rio de Janeiro city, and emphasize
the need for actions that aim to early diagnosis and treatment of American cutaneous
leishmaniasis cases. 相似文献
9.
Luiz Gustavo Martins Fred Bernardes Filho Maria Victória Quaresma Thiago Rubin Bellott Larissa Nascimento Botelho Ana Cecília Studart Prata 《Anais brasileiros de dermatologia》2014,89(3):513-514
We report the case of a 47-year-old homeless male with a massive infestation of
Pediculus humanus corporis on his entire body. Dermoscopy helped
to diagnose pediculosis by showing the involvement of scalp, beard and the genital
region in this disease. 相似文献
10.
Aumento de Óbitos Domiciliares devido a Parada Cardiorrespiratória em Tempos de Pandemia de COVID-19
Nathalia Sernizon Guimares Taciana Malheiros Lima Carvalho Jackson Machado-Pinto Roger Lage Renata Mascarenhas Bernardes Alex Sander Sena Peres Mariana Amaral Raposo Ricardo Machado Carvalhais Renan Avelino Mancini Gabriella Yuka Shiomatsu Bruna Carvalho Oliveira Valria de Melo Rodrigues Maria do Carmo Barros de Melo Unaí Tupinambs 《Arquivos brasileiros de cardiologia》2021,116(2):266
BackgroundCardiovascular diseases constitute an important group of causes of death in the country. Ischemic heart diseases that are the main causes of cardiopulmonary arrest, leading to an impact on the mortality of the cardiovascular diseases in the health system.ObjectiveAssess the number of home deaths by cardiopulmonary arrest notified by the Mobile Emergency Medical Service (SAMU) in March 2018, 2019 and 2020.MethodsObservational study carried out from the analysis of cardiopulmonary arrest mortality data of citizens assisted by SAMU in Belo Horizonte, Minas Gerais, Brazil. Social and clinical characteristics and occurrence information of the patients were analyzed. The mortality rate due to cardiopulmonary arrest in relation to the total number of attendances was assessed. A significance level of 95% was considered.ResultsThere was increase of home deaths due to cardiopulmonary arrest in March 2020 compared to March 2018 (p<0.001) and March 2019 (p=0.050). Of the deaths reported in 2020, 63.8% of the patients were aged 60 years or older, 63.7% of the occurrences were performed in the afternoon and approximately 87% of the cardiopulmonary arrest notified had associated clinical comorbidities, with systemic arterial hypertension and heart failure represented by 22.87% and 13.03% of the reported cases, respectively. The majority of the evaluated sample of this study did not have any medical care follow-up (88.7%).ConclusionConsidering the increase in the number of the deaths, we suggest reflections and readjustments regarding the monitoring of chronic non-transmissible diseases during a pandemic, as well as improvements in death surveillance. (Arq Bras Cardiol. 2021; 116(2):266-271) 相似文献