Revista paulista de medicina最新文献_第2页

Later complications on diabetic patients: nephropathies in necropsy material. 糖尿病患者的后期并发症:尸检材料中的肾病。

Revista paulista de medicina Pub Date : 1993-11-01

H Bisi, G B Ruggeri, R A de Camargo, A Longatto Filho, V S Fernandes, N P Cravero

引用次数: 0

Chronic granulomatous disease of childhood: differential diagnosis and prognosis. 儿童慢性肉芽肿病:鉴别诊断和预后。

Revista paulista de medicina Pub Date : 1993-11-01

A S Grumach, R Bellinai-Pires, I S Araujo, C H Gonzalez, M M Carneiro-Sampaio

引用次数: 0

Nosocomial and community acquired bacteremia: variables associated with outcomes. 医院和社区获得性菌血症:与结果相关的变量。

Revista paulista de medicina Pub Date : 1993-11-01

R Salomão, A Castelo Filho, A C Pignatari, S B Wey

{"title":"Nosocomial and community acquired bacteremia: variables associated with outcomes.","authors":"R Salomão, A Castelo Filho, A C Pignatari, S B Wey","doi":"","DOIUrl":"","url":null,"abstract":"Bacteremia is related to high morbidity and lethality. The present investigation was conducted to evaluate the variables associated with outcomes of bacteremia at a University Hospital in São Paulo, Brazil. Patients with bacteremia were identified through positive blood cultures performed at the microbiology laboratory between August 1985 and July 1986. Their charts were reviewed and the following variables were considered: age, sex, presence of underlying disease, where was the bacteremia acquired, source of infection, presence of shock and appropriateness of antimicrobial therapy. In the period of the study, there were 362 cases of bacteremia out of 16,636 admissions to the hospital. The lethality rate was 33.4%, six times higher than the mortality rate for non-bacteremic patients. Age greater than 40 years, presence of severe underlying disease, nosocomial acquisition, respiratory tract as the source of bacteremia, presence of shock and, being infected with Pseudomonas sp were significantly associated with fatal outcome. Appropriate antimicrobial therapy reduced the incidence of shock and improved survival of patients with bacteremia. This study provides information on outcome of patients with bacteremia at a University Hospital in Brazil and, settles the variables associated with poor outcome in these patients.","PeriodicalId":74720,"journal":{"name":"Revista paulista de medicina","volume":"111 6","pages":"456-61"},"PeriodicalIF":0.0,"publicationDate":"1993-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19047955","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Mono and polichemotherapy in the treatment of metastatic and invasive gestational trophoblastic disease: analysis of 50 cases. 单血疗法和多血疗法治疗转移性和侵袭性妊娠滋养细胞疾病50例分析

Revista paulista de medicina Pub Date : 1993-11-01

J M de Andrade, E F Murta, M M de Freitas, C R Pires, S Bighetti

{"title":"Mono and polichemotherapy in the treatment of metastatic and invasive gestational trophoblastic disease: analysis of 50 cases.","authors":"J M de Andrade, E F Murta, M M de Freitas, C R Pires, S Bighetti","doi":"","DOIUrl":"","url":null,"abstract":"Fifty patients with metastatic or invasive gestational trophoblastic disease (GTD) were admitted at the \"Hospital das Clínicas\" of the Ribeirão Preto School of Medicine of the São Paulo University between January 1980 and December 1990. Of these 50 patients, 44 (88%) had GTD following abortion, 5 (10%) after term pregnancies and one (2%) after an ectopic pregnancy. Thirty five (70%) had invasive GTD and 15 (30%) metastatic GTD. The sites of metastases were: lung, 8 (53.3%), pelvis, 4 (26.6%), central nervous system, 2 (13.3%) and right auricle, 1 (6.6%). Human chorionic gonadotropin, pelvic arteriography and ultrasonography were used in the diagnosis of invasive GTD. 25 of the 41 patients with low-risk metastatic and invasive GTD were treated with monochemotherapy. There were 6 (24%) failures and the remaining 19 patients (76%) had complete remission of the disease after 2.89 mean cycles. Sixteen patients were treated with polichemotherapy, there were 2 (12.5%) failures and the remaining 14 had complete remission after a 2.3 mean cycles. No statistical differences between the two types of chemotherapy were observed. Four (8%) deaths were recorded.","PeriodicalId":74720,"journal":{"name":"Revista paulista de medicina","volume":"111 6","pages":"433-8"},"PeriodicalIF":0.0,"publicationDate":"1993-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18526983","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Emergency department thoracotomy. 急诊开胸手术。

Revista paulista de medicina Pub Date : 1993-11-01

P R Corsi, P de A Prado, S Rasslan

引用次数: 0

The importance of hyperprolactinemia in impotence. 高泌乳素血症在阳痿中的重要性。

Revista paulista de medicina Pub Date : 1993-11-01

N R Netto Júnior, J de A Claro

引用次数: 0

II São Paulo State Congress and International Meetings on Sports Medicine. São Paulo, Brazil, October 27-30, 1993. Abstracts. 第二届<s:1>圣保罗州大会和国际运动医学会议。巴西圣保罗，1993年10月27日至30日。摘要。

Revista paulista de medicina Pub Date : 1993-09-01

引用次数: 0