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https://www.readbyqxmd.com/read/29267431/aspects-of-images-in-magnetic-resonance-of-liver-tumors-treated-with-transarterial-selective-internal-radiotherapy-with-yttrium-90
#1
Breno Boueri Affonso, Joaquim Maurício da Motta-Leal-Filho, Francisco de Assis Cavalcante, Francisco Leonardo Galastri, Rafael Noronha Cavalcante, Priscila Mina Falsarella, Felipe Nasser, Rodrigo Gobbo Garcia
Transarterial selective internal radiation therapy with yttrium-90, also known as radioembolization, is a therapy based on the administration of resin or glass microspheres loaded with the radioisotope yttrium-90, via selective arterial catheterization of tumor-feeding vessels. It is classified as a type of locoregional therapy and its main goal is to treat patients with primary or secondary hepatic lesions that are unresectable and not responsive to other therapies. Since it is a new technology still restricted to very few hospitals in Brazil, but used in patients throughout the country, it is necessary to demonstrate the main aspects of hepatic lesions treated with selective internal radiation therapy found in magnetic resonance imaging, and to make specific considerations on interpretation of these images...
December 18, 2017: Einstein
https://www.readbyqxmd.com/read/29267430/a-review-of-data-in-medical-request-and-the-patient-questionnaire-for-magnetic-resonance-evaluation-of-silicone-breast-implants
#2
Jaime Anger, Pablo Eduardo Elias, Paula de Camargo Moraes, Nelson Hamerschlak
OBJECTIVE: To analyze the quality and quantity of data in the questionnaires and in request forms for magnetic resonance imaging. METHODS: This retrospective study was conducted with data from 300 medical records. The research used the following data from the questionnaires: patient age, reason for the magnetic resonance imaging, reason for placing the breast implant, report of any signs or symptoms, time elapsed since surgery to place the current breast implant, replacement implant surgery, chemotherapy, and/or radiation therapy treatments...
December 18, 2017: Einstein
https://www.readbyqxmd.com/read/29267429/description-and-evaluation-of-experimental-models-for-uterine-transplantation-in-pigs
#3
Emerson de Oliveira, Kelly Alessandra da Silva Tavares, Mariano Tamura Vieira Gomes, Alcides Augusto Salzedas-Netto, Marair Gracio Ferreira Sartori, Rodrigo Aquino Castro, César Eduardo Fernandes, Manoel João Batista Castello Girão
OBJECTIVE: To evaluate the technique of uterine transplantation and the use of drugs used in the process of immunosuppression. METHODS: We included 12 sows, and immunosuppression was performed with minimal doses of cyclosporine, and cross-match was done to exclude the possibility of blood incompatibility. Hysterectomy was performed in the donor under general anesthesia, with the removal of the aorta and inferior vena cava in monobloc, and anastomosis of these vessels was made in the recipient...
December 18, 2017: Einstein
https://www.readbyqxmd.com/read/29267428/obesity-sarcopenia-sarcopenic-obesity-and-reduced-mobility-in-brazilian-older-people-aged-80-years-and-over
#4
Vanessa Ribeiro Dos Santos, Igor Conterato Gomes, Denise Rodrigues Bueno, Diego Giulliano Destro Christofaro, Ismael Forte Freitas, Luis Alberto Gobbo
OBJECTIVE: To analyze which abnormalities in body composition (obesity, sarcopenia or sarcopenic obesity) are related to reduced mobility in older people aged 80 years and older. METHODS: The sample included 116 subjects aged 80 years and older. The body composition was measured using dual-energy X-ray absorptiometry (DXA) and mobility was assessed by motor tests. The χ2 test was used to analyze the proportion of older people with sarcopenia, obesity and sarcopenic obesity based on sex as well as to indicate an association between obesity, sarcopenia, sarcopenic obesity and mobility...
December 18, 2017: Einstein
https://www.readbyqxmd.com/read/29267427/metabolic-investigation-in-patients-with-nephrolithiasis
#5
Francilayne Moretto Dos Santos, Aline Krampe Peres, Michel Roberto Mandotti, Luis Alberto Batista Peres
OBJECTIVE: To evaluate the prevalence of metabolic disorders associated with nephrolithiasis in a female population. METHODS: A retrospective study on 1,737 patients with evidence of recent formation of renal stones, being 54% females. The laboratory investigation consisted of at least two samples of blood and 24-hour urine to assess calcium, uric acid, citrate and creatinine levels, qualitative cystinuria, urinary pH following fasting and 12-hour water restriction, urine culture, serum creatinine and parathyroid hormone...
December 18, 2017: Einstein
https://www.readbyqxmd.com/read/29267426/scores-tiss-28-versus-nems-to-size-the-nursing-team-in-a-pediatric-intensive-care-unit
#6
Kelly Dayane Stochero Velozo, Pedro Celiny Ramos Garcia, Jefferson Pedro Piva, Humberto Holmer Fiori, Daiane Drescher Cabral, Paulo Roberto Einloft, Francisco Bruno, Cristian Tedesco Tonial, Caroline Abud Drumond Costa, Simone Travi Canabarro
OBJECTIVE: To estimate the workload and size the nursing team using the scales TISS-28 and NEMS in a pediatric intensive care unit. METHODS: An observational prospective study with a quantitative approach was conducted at the pediatric intensive care unit of a university hospital from Jan 1st, 2009 to Dec 31st, 2009. All children who remained hospitalized for more than 8 hours were included, with length of stay of 4 hours in case of death. Clinical data were collected and the Paediatric Index of Mortality 2 and the scores TISS-28 and NEMS were determined...
December 18, 2017: Einstein
https://www.readbyqxmd.com/read/29267425/translation-and-adaptation-to-brazilian-portuguese-of-the-lymphedema-rating-scale-in-head-and-neck-cancer
#7
Débora Dos Santos Queija, Lica Arakawa-Sugueno, Bruna Mello Chamma, Marco Aurélio Vamondes Kulcsar, Rogério Aparecido Dedivitis
OBJECTIVE: Translate to brazilian portuguese, culturally adapt and test the rating and classification scales of cervicofacial lymphedema of the MD Anderson Cancer Center Head and Neck Lymphedema Protocol (MDACC HNL) in patients undergoing treatment for head and neck cancer. METHODS: The process followed international guidelines and translation stages by two head and neck surgeons, and back translation independently by two native Americans. The test of final version was based on the evaluation of 18 patients by one speech pathologist and one physical therapist who applied the scales in Portuguese...
December 18, 2017: Einstein
https://www.readbyqxmd.com/read/29236793/diagnosis-and-treatment-of-anaphylaxis-there-is-an-urgent-needs-to-implement-the-use-of-guidelines
#8
Maria Luiza Kraft Köhler Ribeiro, Herberto José Chong, Nelson Augusto Rosario
Anaphylaxis is a severe, life-threatening generalized or systemic hypersensitivity reaction that requires rapid and adequate care. This study aimed to obtain an integrated view of the level of physicians' knowledge related with treatment of anaphylaxis in studies published within the last 5 years. Sixteen studies were found and four points were identified as of the great interest to the authors: (1) emergency pharmacological treatment, (2) epinephrine auto-injectors prescription, (3) knowledge of the main signs of anaphylaxis, and (4) admission of the patient to verify biphasic reactions...
December 7, 2017: Einstein
https://www.readbyqxmd.com/read/29236792/specificities-of-presentation-of-crohn-s-disease-in-childhood
#9
Bruna Karoline Pinheiro França Protásio, Camila Maria Pinheiro Machado Martins Barbosa, Clarice Blaj Neufeld, Leandro Dimasi Buck, Lygia de Souza Lima Laund, Mauro Sergio Toporovski, Thais Cristina Visoni
The incidence of inflammatory bowel disease in the pediatric population has increased in the last years. The most common form of inflammatory bowel disease is Crohn's disease and, according to its form and age of presentation, it is possible to predict the evolution of the disease.
December 7, 2017: Einstein
https://www.readbyqxmd.com/read/29069141/intra-arterial-fibrinolysis-for-the-management-of-acute-ischemia-on-a-below-knee-amputation-stump-case-report
#10
Breno Boueri Affonso, Joaquim Maurício da Motta Leal Filho, Rafael Noronha Cavalcante, Priscila Mina Falsarella, Francisco Leonardo Galastri, Rodolfo Souza Cardoso, Felipe Nasser
Preservation of the knee joint has enormous advantages in terms of mobility and rehabilitation of an amputee. Any cause of breakdown requiring revision to an above-knee amputation is a major setback because it reduces the patient's rehabilitative potential. We report a case of intra-arterial thrombolysis use to save a below-knee amputation stump with acute ischemia. A 56-year-old man who sought the emergency department with 1-day history of acute pain on his right below-knee stump. The angiography confirmed popliteal artery occlusion...
October 23, 2017: Einstein
https://www.readbyqxmd.com/read/28954037/periprosthetic-humeral-fractures-after-reverse-shoulder-arthroplasty-case-report
#11
Andre Wajnsztejn, Noel Oizerovici Foni, Dan Oizerovici, Robinson Esteves Santos Pires, Benno Ejnisman
Periprosthetic fractures is a severe complication after joint replacement. The rapidly increase of reverse shoulder arthroplasty surgeries, periprosthetic humeral fractures, which are described as rare, may increase in the near future. We report the case of displaced humeral fracture bellow the stem of reverse shoulder prosthesis. The patient was an 85-year-old woman who had a total shoulder replacement 6 years previously. The surgical solution consisted of plate osteossynthesis and cerclage. This report describes an unprecedented case in Brazilian literature; and gives an overview of the existing literature including this injury classification...
September 21, 2017: Einstein
https://www.readbyqxmd.com/read/28954036/yolk-sac-primary-tumor-of-mediastino-a-rare-case-in-a-young-adult
#12
Lorena Luryann Cartaxo da Silva, Fernanda Sasaki Vergilio, Diva Carvalho Collarile Yamaguti, Isabela Azevedo Nicodemos da Cruz, Joana Angrisani Granato Queen
Germ cell tumors are rare neoplasms that mostly occur in the gonads, although they can also affect other body sites, especially the anterior mediastinum (50 to 70% of all extragonadal germ cell tumors). We report a case of a primary mediastinal yolk sac tumor, a rare and aggressive germ cell tumors subtype. This was a 38-year-old man who was admitted to Hospital do Servidor Público Estadual "Francisco Morato de Oliveira", complaining about dyspnea and dry cough for 1 year. The computed tomography scan of his chest revealed a large mass in the anterior mediastinum with heterogeneous enhancement to the contrast associated with pleural effusion...
September 21, 2017: Einstein
https://www.readbyqxmd.com/read/28954035/preimplantation-genetic-diagnosis-associated-to-duchenne-muscular-dystrophy
#13
Bianca Bianco, Denise Maria Christofolini, Gabriel Seixas Conceição, Caio Parente Barbosa
Duchenne muscular dystrophy is the most common muscle disease found in male children. Currently, there is no effective therapy available for Duchenne muscular dystrophy patients. Therefore, it is essential to make a prenatal diagnosis and provide genetic counseling to reduce the birth of such boys. We report a case of preimplantation genetic diagnosis associated with Duchenne muscular dystrophy. The couple E.P.R., 38-year-old, symptomatic patient heterozygous for a 2 to 47 exon deletion mutation in DMD gene and G...
September 21, 2017: Einstein
https://www.readbyqxmd.com/read/28954034/giant-esophageal-epiphrenic-diverticulum-presentation-and-treatment
#14
Marcelo Protásio Dos Santos, Denise Akerman, Caio Pasquali Dias Dos Santos, Paulo Vicente Dos Santos, Marcos Claudio Radtke, Fernando Bray Beraldo, José Eduardo Gonçalves
Epiphrenic diverticulum is a rare disease associated with esophageal motor disorders that is usually asymptomatic and has a well-established surgical indication. We report a case of giant epiphrenic diverticulum in a 59-year-old symptomatic woman who was diagnosed after underwent complementary exams. Because of her symptoms, the surgical treatment was chosen, and esophageal diverticulectomy was performed along with laparoscopic cardiomyotomy and anterior partial fundoplication. RESUMO O divertículo epifrênico é uma patologia rara associada a distúrbios motores esofágicos e, frequentemente, assintomática, tendo indicações cirúrgicas bem estabelecidas...
September 21, 2017: Einstein
https://www.readbyqxmd.com/read/28954033/anisocoria-after-use-of-dermatological-product
#15
Thiago Gonçalves Dos Santos Martins, Ana Luiza Fontes de Azevedo Costa, Thomaz Gonçalves Dos Santos Martins
No abstract text is available yet for this article.
September 21, 2017: Einstein
https://www.readbyqxmd.com/read/28832711/horizontal-gaze-palsy-and-progressive-scoliosis-magnetic-resonance-imaging-features-and-surgical-treatment
#16
Benedito Jamilson Araújo Pereira, Ulysses Caus Batista, Fúlvio Nicolau Bechelli, Carlos Alberto Afonso Ribeiro, Carlos Vanderlei Medeiros de Holanda, Paulo Eduardo Carvalho Galvão
No abstract text is available yet for this article.
August 17, 2017: Einstein
https://www.readbyqxmd.com/read/28746593/ferritin-light-chain-gene-mutations-in-two-brazilian-families-with-hereditary-hyperferritinemia-cataract-syndrome
#17
Roberta Cardoso Petroni, Susana Elaine Alves da Rosa, Flavia Pereira de Carvalho, Rúbia Anita Ferraz Santana, Joyce Esteves Hyppolito, Claudia Mac Donald Bley Nascimento, Nelson Hamerschlak, Paulo Vidal Campregher
Hereditary hyperferritinemia-cataract syndrome is an autosomal dominant genetic disorder associated with mutations in the 5'UTR region of the ferritin light chain gene. These mutations cause the ferritin levels to increase even in the absence of iron overload. Patients also develop bilateral cataract early due to accumulation of ferritin in the lens, and many are misdiagnosed as having hemochromatosis and thus not properly treated. The first cases were described in 1995 and several mutations have already been identified...
July 24, 2017: Einstein
https://www.readbyqxmd.com/read/29091166/corruption
#18
EDITORIAL
Jacyr Pasternak
No abstract text is available yet for this article.
July 2017: Einstein
https://www.readbyqxmd.com/read/29091165/new-us-preventive-service-task-force-recommendations-for-prostate-cancer-screening-a-needed-update-but-not-enough
#19
EDITORIAL
Marcelo Langer Wroclawski
No abstract text is available yet for this article.
July 2017: Einstein
https://www.readbyqxmd.com/read/29091164/erratum-translation-and-cultural-adaptation-of-the-functional-assessment-of-chronic-illness-therapy-cervical-dysplasia-facit-cd-to-evaluate-quality-of-life-in-women-with-cervical-intraepithelial-neoplasia
#20
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