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Miguel José Francisco, Antonio Rahal, Fabio Augusto Cardillo Vieira, Paulo Savoia Dias da Silva, Marcelo Buarque de Gusmão Funari
Ultrasound examination of the chest has advanced in recent decades. This imaging modality is currently used to diagnose several pathological conditions and provides qualitative and quantitative information. Acoustic barriers represented by the aerated lungs and the bony framework of the chest generate well-described sonographic artifacts that can be used as diagnostic aids. The normal pleural line and A, B, C, E and Z lines (also known as false B lines) are artifacts with specific characteristics. Lung consolidation and pneumothorax sonographic patterns are also well established...
July 2016: Einstein
Ana Paula Limongi Richardelli Veloso, Karla Garcez Cusmanich
Background: Obesity can affect the thorax, diaphragm, and alterations in respiratory function even if the lungs are within normality. The respiratory compliance is very reduced by the increase in fat mass. Aim: To evaluate the effect of the physical therapeutic respiratory exercises on the thoracoabdominal mobility of obese individuals in pre-bariatric surgery. Methods: Cross-sectional and descriptive study, which used the cirtometry (axillary, xiphoid and abdominal) to evaluate the mobility of 74 individuals, 27 men and 47 women, in pre-bariatric surgery, assisted by the team EMAD, after eight weeks of physiotherapy, following a protocol of exercises, reevaluating and compared the measures pre and post intervention...
2016: Arquivos Brasileiros de Cirurgia Digestiva: ABCD, Brazilian Archives of Digestive Surgery
Luiza Dib Batista Bugiato Faria, Carlos Henrique Dos Anjos, Gustavo Dos Santos Fernandes, Igor Fernando da Silva Carvalho
A 69-year-old male patient, smoker, was diagnosed with small cell lung cancer metastatic to lung, liver and central nervous system. He received chemotherapy with carboplatin AUC 5 on day 1 and etoposide 100mg/m2 on days 1, 2 and 3. During the first cycle, the patient presented with febrile neutropenia and abdominal distension. Chest, abdomen and pelvis computed tomography scan was performed and detected gas dissecting the wall of sigmoid colon extending to the mesosigmoid. Patient had no abdominal pain, nausea, vomiting, and on physical examination he had no peritoneal irritation, tachycardia or hemodynamic instability compatible with perforation or acute abdomen...
August 15, 2016: Einstein
Rosemeire Sartori de Albuquerque, Corintio Mariani, Ana Aparecida Sanches Bersusa, Vanessa Macedo Dias, Maria Izabel Mota da Silva
OBJECTIVE: to compare the axillar temperatures of newborns that are put immediately after birth in skin-to-skin contact under the Top Maternal device, as compared to those in a radiant heat crib. METHODS: comparatives observational study of the case-control type about temperature of 60 babies born at the Obstetric Center and Normal Delivery Center of a public hospital of the municipality of Sao Paulo, being them: 29 receiving assistance in heated crib and 31 in skin-to skin contact, shielded by a cotton tissue placed on mother's thorax, called Top Maternal...
August 8, 2016: Revista Latino-americana de Enfermagem
Fernando Pineda, Byron Sarango, Loreto Sore, Carlos Deck, Eduardo Turner, Víctor Parra, Emiliano Bórquez, Sergio Bernal, Jorge Silva, Soledad GonzÁlez, Polentzi Uriarte
BACKGROUND: Aortic valve stenosis (AS) is the most common valvular disease. Its surgical indication is undisputed in symptomatic severe AS, however, 30% of patients are at high surgical risk or inoperable. Transcatheter Valve Implantation (TAVI) is an alternative for this group of patients. AIM: To describe the clinical outcomes of TAVI in a group of patients treated at the Instituto Nacional del Tórax, Santiago, Chile. PATIENTS AND METHODS: Prospective study including all patients referred for TAVI due to their high surgical risk or being inoperable...
December 2015: Revista Médica de Chile
Jessica L Reynolds, Joerg Zehetner, Phil Wu, Shawn Shah, Nikolai Bildzukewicz, John C Lipham
BACKGROUND: The efficacy and safety of magnetic sphincter augmentation (MSA) with the LINX device (Torax Medical) has been reported in several short-and long-term studies, rivaling historic results of laparoscopic Nissen fundoplication (LNF), but with fewer side effects. However, there have been no studies comparing patients with similar disease to validate these results. STUDY DESIGN: We conducted a retrospective analysis of 1-year outcomes of patients undergoing MSA and LNF from June 2010 to June 2013...
July 2015: Journal of the American College of Surgeons
Margit Bauer, Alexander Meining, Michael Kranzfelder, Alissa Jell, Rebekka Schirren, Dirk Wilhelm, Helmut Friess, Hubertus Feussner
BACKGROUND: The history of surgical antireflux treatment is coined by the search for better alternatives to Nissen fundoplication. Implantable devices are one option, beginning with the "Angelchik" prosthesis 30 years ago. However, this procedure was left soon because of the high rate of foreign body connected problems (migration, perforation). A modern approach is a magnetic sphincter augmentation device (LINX Reflux Management System, Torax Medical, Shoreview, MN, USA), a magnetic chain which is implanted laparoscopically...
December 2015: Surgical Endoscopy
Désirée Larenas-Linnemann, José Luis Mayorga-Butrón, Andrés Sánchez-González, Arturo Ramírez-García, Miguel Medina-Ávalos, Marco Antonio Figueroa-Morales, B Beatriz Montaño-Velázquez, Gabriel Montes-Narváez, Sergio Romero-Tapia, Héctor Stone-Aguilar, Luis Xochihua-Díaz, Jorge Salas-Hernández, Héctor Hernán-Ruiz, Miguel A Betancourt-Suárez, María Carmen Cano-Salas, Lorenzo Curiel-Aceves, Javier Dibildox-Martínez, Margarita Fernández-Vega, Carlos García-Bolaños, Fernando Iduñate-Palacios, M Alejandro Jiménez-Chobillon, Doris N López-Lizárraga, Juan José Matta-Campos, Jorge Olvera-Salinas, María Antonia Rivera-Gómez, César Virgen-Ortega, Juan José Sienra-Monge, Blanca Del Río-Navarro, Alfredo Arias-Cruz, Antonio Sacre-Hazouri, Ambrocio Aguilar-Aranda, Rodrigo Vásquez Del Mercado-Cordero, Raúl Humberto Barnica, Liliana Velasco-Hidalgo, Cecilia Solís-Galicia
BACKGROUND: The global prevalence of allergic rhinitis is high. International Study of Asthma and Allergies in Childhood (ISAAC) Phase III reports a total estimated prevalence of 4.6% in Mexico. There is evidence based on allergic rhinitis Clinical Practice Guidelines (CPG), but its promotion, acceptance and application is not optimal or adequate in Mexico. OBJECTIVE: To generate a guideline for the treatment of allergic rhinitis and its impact on asthma by adaptating the 2010 ARIA Guideline to Mexican reality, through a transculturation process applying the ADAPTE methodology...
2014: Revista Alergia Mexico: Organo Oficial de la Sociedad Mexicana de Alergia e Inmunología, A.C
Mauricio Villavicencio, Víctor Rossel, Ricardo Larrea, Juan Pablo Peralta, Ernesto Larraín, Jong Sung Lim, Pamela Rojo, Francesca Gajardo, Erika Donoso, Margarita Hurtado
INTRODUCTION: Heart transplantation is the therapy of choice for advance heart failure. Our group developed two transplant programs at Instituto Nacional del Tórax and Clínica Dávila. We report our clinical experience based on distinctive clinical policies. PATIENTS AND METHODS: Fifty-three consecutive patients were transplanted between November 2008 and April 2013, representing 51% of all Chilean cases. Distinctive clinical policies include intensive donor management, generic immunosuppression and VAD (ventricular assist devices) insertion...
December 2013: Revista Médica de Chile
Luigi Bonavina, Greta Saino, John C Lipham, Tom R Demeester
Gastroesophageal reflux disease (GERD) results from incompetency of the lower esophageal sphincter that allows the contents of the stomach to reflux into the esophagus, the airways, and the mouth. The disease affects about 10% of the western population and has a profound negative impact on quality of life. The majority of patients are successfully treated with proton-pump inhibitors, but up to 40% have incomplete relief of symptoms even after dose adjustment. The laparoscopic Nissen fundoplication represents the surgical gold standard, but is largely underused because of the level of technical difficulty and the prevalence of side effects...
July 2013: Therapeutic Advances in Gastroenterology
Robert A Ganz, Jeffrey H Peters, Santiago Horgan, Willem A Bemelman, Christy M Dunst, Steven A Edmundowicz, John C Lipham, James D Luketich, W Scott Melvin, Brant K Oelschlager, Steven C Schlack-Haerer, C Daniel Smith, Christopher C Smith, Dan Dunn, Paul A Taiganides
BACKGROUND: Patients with gastroesophageal reflux disease who have a partial response to proton-pump inhibitors often seek alternative therapy. We evaluated the safety and effectiveness of a new magnetic device to augment the lower esophageal sphincter. METHODS: We prospectively assessed 100 patients with gastroesophageal reflux disease before and after sphincter augmentation. The study did not include a concurrent control group. The primary outcome measure was normalization of esophageal acid exposure or a 50% or greater reduction in exposure at 1 year...
February 21, 2013: New England Journal of Medicine
Luigi Bonavina, Tom R DeMeester, Robert A Ganz
Gastroesophageal reflux disease (GERD), commonly manifested by heartburn or regurgitation, is a chronic, progressive condition in which failed sphincter function allows the contents of the stomach to reflux into the esophagus, the airways and the mouth. Chronic GERD affects 10% of Western society. The majority of patients receive adequate relief from proton pump inhibitors, but up to 40% have incomplete relief of symptoms that cannot be addressed by increasing the dose of medications. The laparoscopic Nissen fundoplication is the surgical gold standard; however, the level of technical difficulty and its side effects have limited its use to less than 1% of the GERD population...
December 2012: Expert Review of Gastroenterology & Hepatology
C Ordeanu, A Mărginean
Paraganglioma is a rare neuroendocrine neoplasm that may develop in the head, neck, torax or abdomen, with a not specified symptoms and the accurate diagnose is established histopathological. The authors present a case of one intraabdominal paraganglioma, incidentally found during ultrasonographic evaluation and diagnose with histopathological examination of excised pieces.
July 2011: Chirurgia
Luigi Bonavina, Tom DeMeester, Paul Fockens, Daniel Dunn, Greta Saino, Davide Bona, John Lipham, Willem Bemelman, Robert A Ganz
OBJECTIVES: One- and 2-year evaluation of a feasibility trial ( registration numbers NCT01057992, NCT01058070, and 01058564) to assess the safety and efficacy of a laparoscopically implanted sphincter augmentation device for the treatment of gastroesophageal reflux disease (GERD). METHODS: A sphincter augmentation device (LINX Reflux Management System; Torax Medical, Shoreview, MN), designed to prevent reflux due to abnormal opening of the lower esophageal sphincter (LES), was laparoscopically implanted at the gastroesophageal junction in 44 patients...
November 2010: Annals of Surgery
Jelena Pausić, Marijana Cavala, Ratko Katić
With the aim of determining the connection between the indicators of body posture and latent structure of morphological variables in children aged 7 and 8 years, first and second grade of primary school, a set of 17 morphological measures and 12 body posture indicators were longitudinally applied to a sample of 110 boys and 114 girls. The latent structure of morphological variables in both sexes was defined by three factors but at a different order of significance: in boys, the order was longitudinal dimensionality, voluminosity, mass and subcutaneous fat tissue and transverse dimensionality, whereas in girls the order was voluminosity, mass and subcutaneous fat tissue, longitudinal dimensionality and transverse dimensionality...
September 2006: Collegium Antropologicum
Mauricio Villavicencio, Eduardo Turner, Lorenzo Naranjo
BACKGROUND: Mechanical aortic valve replacement (AVR) results have been published extensively in industrialized countries. AIM: To assess our immediate and late results in patients subjected to AVR. PATIENTS AND METHODS: We retrospectively studied 194 patients subjected to isolated AVR between 1995 and 2003. Mean age was 57 +/- 13 years and 119 (61%) were male. One hundred thirty nine (73%) were in functional class III-IV, 20 (10%) had a previous cardiac operation and 25 (13%) were operated as an emergency...
October 2005: Revista Médica de Chile
Gerardo A Belletti, Verónica Savio, Daniel Minoldo, Susana Caminos, Marcelo A Yorio
A 66 years female, who was since last year under astenia, arthralgias, pimply lesions in spread plates and tests showing eritrosedimentation over 100 mm, anemi, leucocitosis with neutrofilia, policlonal hypergammaglobulinemia, slight proteinuria and IgE on 900. This patient was sporadically treated with corticoids. When made the medical consult had lost 34lb., was under anorexy, as well as dyspepsia. Hemoglobyn 6.9 gr/dl, leucocytes 20000/mm3, neutrofils at 90%, proteinogram the same as former, with hypoalbuminemia...
2004: Revista de la Facultad de Ciencias Médicas
Sara Chernilo, Sergio Trujillo, Mariana Kahn, Mónica Paredes, Ghislaine Echevarría, Claudia Sepúlveda
BACKGROUND: Pulmonary diseases are common among HIV infected patients. The prevalence of the different diseases varies greatly. AIM: To identify the different pulmonary diseases that affect a Chilean population of HIV infected patients and to identify factors associated with in hospital mortality. MATERIAL AND METHODS: Retrospective review of the clinical records of all HIV infected patients with lung diseases discharged from our institution during a period of 3...
May 2005: Revista Médica de Chile
(no author information available yet)
No abstract text is available yet for this article.
August 2004: Archivos de Bronconeumología
M Miravitlles et al.
No abstract text is available yet for this article.
July 2004: Archivos de Bronconeumología
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