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Revista paulista de medicina最新文献

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Study in necropsy material of "cause-specific mortality" in diabetics, in São Paulo-Brasil. 巴西圣保罗地区糖尿病患者“病因特异性死亡率”尸检资料研究。
Revista paulista de medicina Pub Date : 1993-01-01
H Bisi, G B Ruggeri, A Longatto Filho, V S Fernandes, R Y De Camargo, N P Cravero
{"title":"Study in necropsy material of \"cause-specific mortality\" in diabetics, in São Paulo-Brasil.","authors":"H Bisi,&nbsp;G B Ruggeri,&nbsp;A Longatto Filho,&nbsp;V S Fernandes,&nbsp;R Y De Camargo,&nbsp;N P Cravero","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Specific causes of death in diabetic patients was studied in retrospective work from necropsies performed at the Medicine School of the University of São Paulo from 1931 until 1989. From 145,043 necropsies, 813 indexed cases were found: 449 females (55.2%) and 364 males (44.8%). The race ratio of patients was: 584 (71.8%) white, 208 (25.6%) negro and 21 (2.6%) asiatic. The predominant age of death incidence was between the fifth and sixth decades. The main causes reported were infections (42.68%), coma (12.79%), neurologic involvement (11.56%) and cardiac diseases (11.07%); indeterminate causes of death were related in 7.4% of cases. Our results differ from the others of literature mainly in two points: the high prevalence of infectious diseases and the proportional low incidence of cardiopathies. We concluded that, in our casuistic, infectious diseases in diabetic patients represent an important cause of death establishing important clinical parameters for their care.</p>","PeriodicalId":74720,"journal":{"name":"Revista paulista de medicina","volume":"111 1","pages":"299-304"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19224258","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
Anthropometric nutritional assessment of critically ill hospitalized children. 危重住院儿童的人体测量营养评估。
Revista paulista de medicina Pub Date : 1993-01-01
H P Leite, M K Isatugo, L Sawaki, M Fisberg
{"title":"Anthropometric nutritional assessment of critically ill hospitalized children.","authors":"H P Leite,&nbsp;M K Isatugo,&nbsp;L Sawaki,&nbsp;M Fisberg","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In a prospective study, the nutritional status was evaluated in 46 consecutive admissions to a Pediatric Intensive Care Unit, using anthropometric parameters. About 65% of the patients presented malnutrition on admission, with predominance of the chronic form. The mortality rate was greater in the malnourished (20 versus 12.5%) and chronic malnutrition was associated with a higher incidence of infection (42%). There was a fall in channel of percentile for weight-for-height in 36% of the patients evaluated at the final follow up. These results suggest that a significant number of patients are at nutritional risk at the time of hospital admission, and there is an association between nutritional status and hospital course. The anthropometric nutritional evaluation is a simple an reproducible method, and a valuable parameter for an objective nutritional assessment of the critically ill child. Therefore, it should be performed on admission and follow up of hospitalized children.</p>","PeriodicalId":74720,"journal":{"name":"Revista paulista de medicina","volume":"111 1","pages":"309-13"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19225246","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
Cytology by capillarity and anatomopathological diagnosis of solid breast tumors. 乳腺实体瘤的毛细细胞学及解剖病理诊断。
Revista paulista de medicina Pub Date : 1993-01-01
F C Schmitt
{"title":"Cytology by capillarity and anatomopathological diagnosis of solid breast tumors.","authors":"F C Schmitt","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":74720,"journal":{"name":"Revista paulista de medicina","volume":"111 1","pages":"334"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19225249","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
Nipple discharge--study on 100 patients. 乳头溢液——100例患者的研究。
Revista paulista de medicina Pub Date : 1993-01-01
J A Ibañez, O Giannotti Filho, J B Da Silva Neto
{"title":"Nipple discharge--study on 100 patients.","authors":"J A Ibañez,&nbsp;O Giannotti Filho,&nbsp;J B Da Silva Neto","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In a retrospective study the authors analyzed 100 cases of women with serous, serosanguineous, and sanguineous nipple discharges, without palpable and radiologically visible tumors, that were submitted to resection of main galactophorous ducts and biopsy of underlying breast parenchyma. The sensibility of the cytologic examination of nipple discharges for carcinomas was 16.6%. The histopathology showed incidence of 61% of mammary dysplasia, 33% of intraductal papillomas single or multiple and 6% of carcinomas. The early diagnosis of carcinoma gave good results after radical surgical treatment.</p>","PeriodicalId":74720,"journal":{"name":"Revista paulista de medicina","volume":"111 1","pages":"305-8"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19225245","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
Treatment of carcinoma in situ of the cervix experience at the Faculty of Medicine, University of São Paulo. 巴西<s:1>圣保罗大学医学院子宫颈原位癌的治疗经验。
Revista paulista de medicina Pub Date : 1992-11-01
J S Souen, J P Carvalho, J R Filassi, J A Marques, A Ades, J A Pinotti
{"title":"Treatment of carcinoma in situ of the cervix experience at the Faculty of Medicine, University of São Paulo.","authors":"J S Souen,&nbsp;J P Carvalho,&nbsp;J R Filassi,&nbsp;J A Marques,&nbsp;A Ades,&nbsp;J A Pinotti","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The authors studied a total of 334 cases of carcinoma in situ of the cervix (1975-1990). The patients were 19 to 61 years old (mean age, 36.6 years). The following procedures were performed: cervical amputation in 54.5% of cases, cervical enlarged amputation with resection of the adjacent vaginal mucosa in 23.3%, abdominal hysterectomy in 15.3%, electrocauterization in 3.6%, simple conization in 2.4%, and vaginal hysterectomy in 0.9%. Recurrence rates were: 9.8% after cervical amputation, 1.3% after cervical enlarged amputation, 25% after simple conization, 5.8% after abdominal hysterectomy, and 33% after electrocauterization. Recurrences were detected before the 18th month after treatment and none of them was of the invasive type. The treatment procedure with the highest rate of complications was cervical enlarged amputation (16%), followed by simple conization (12%), total abdominal hysterectomy (3.9%), and cervical amputation (2.9%). The authors conclude that, although cervical enlarged amputation was followed by the lowest recurrence rate, it was also the treatment followed by the largest number of complications. On this basis, they recommend cervical amputation or hysterectomy. For young women who wish to have children, simple conization is recommended.</p>","PeriodicalId":74720,"journal":{"name":"Revista paulista de medicina","volume":"110 6","pages":"276-9"},"PeriodicalIF":0.0,"publicationDate":"1992-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12513748","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
Actinic rectitis--the role of colostomy. 光化性直肠炎——结肠造口术的作用。
Revista paulista de medicina Pub Date : 1992-11-01
R S de Oliveira Filho, R C Fogarolli, B M Rossi, A O de Souza e Sá, A Lopes
{"title":"Actinic rectitis--the role of colostomy.","authors":"R S de Oliveira Filho,&nbsp;R C Fogarolli,&nbsp;B M Rossi,&nbsp;A O de Souza e Sá,&nbsp;A Lopes","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>From 4132 patients treated with radiation therapy due to gynecological malignancy from 1974 to 1988, 527 (12.75%) developed some grade of actinic rectitis with clinical manifestation. The authors analyzed the efficacy of colostomy in the management of 10 women with actinic rectitis grades I and II (Sherman classification) submitted to clinical treatment without response. Pelvic radiation therapy, clinical findings, proctoscopy and rectal biopsy were the basis for the diagnosis and staging of the actinic rectitis. All colostomies were made in the transverse colon and the median follow up from colostomy to last review was 53 months. Eight patients had complete remission of clinical findings after colostomy, but one had recurrence of symptoms 2 years later. One patient had incomplete remission but with clinical improvement and one patient had tumor recurrence. From 8 patients with complete clinical remission, 2 had the colostomies closed, but in 1 was restored 3 months later due to rectum-vaginal fistula.</p>","PeriodicalId":74720,"journal":{"name":"Revista paulista de medicina","volume":"110 6","pages":"257-61"},"PeriodicalIF":0.0,"publicationDate":"1992-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12513745","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
Pattern of splenic phagocytic function in Brazilian patients with sickle cell disease. 巴西镰状细胞病患者脾吞噬功能模式
Revista paulista de medicina Pub Date : 1992-11-01
H Z Grotto, F F Costa
{"title":"Pattern of splenic phagocytic function in Brazilian patients with sickle cell disease.","authors":"H Z Grotto,&nbsp;F F Costa","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The splenic function measured by the counts of \"pitted\" erythrocytes has been assessed in 87 patients with sickle cell disease (59 homozygotes for hemoglobin S (SS), 14 double heterozygotes for Hb S and beta zero thalassemia (S/beta zero thal), 4 S/beta+ thal and 10 SC patients) in Southeast Brazil. Results showed a progressive increase in pit counts according to age. The reduction pattern in the splenic function was similar for the SS, S/beta zero thal and S/beta+ thal patients, and over the age of 12 almost all patients presented counts compatible with severe splenic hypofunction. Patients with SC hemoglobinopathy presented slower development of hyposplenism and lower levels of pit counts even in advanced ages. Except for S/beta+ thal patients, the developmental pattern of hyposplenism was not different from that reported among patients in the United States and Jamaica.</p>","PeriodicalId":74720,"journal":{"name":"Revista paulista de medicina","volume":"110 6","pages":"262-6"},"PeriodicalIF":0.0,"publicationDate":"1992-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12514574","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
Surgical treatment of veno-occlusive dysfunction: evaluation of short-term and long-term results. 静脉闭塞功能障碍的外科治疗:短期和长期结果的评价。
Revista paulista de medicina Pub Date : 1992-11-01
J de A Claro, M L de Lima, N Netto Júnior
{"title":"Surgical treatment of veno-occlusive dysfunction: evaluation of short-term and long-term results.","authors":"J de A Claro,&nbsp;M L de Lima,&nbsp;N Netto Júnior","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The abnormal venous drainage of the penis is an important cause of erectile dysfunction. Until recently the best choice for treatment was the venous surgery. We studied 21 patients submitted to radical vein ligation due to venous leakage. Their age ranged from 27 to 69 years (mean 53 years). A total of 14 patients evaluated after a mean follow-up of 13 months showed a 64% success rate. At a mean follow-up of 25 months the success rate of the 21 patients operated on, decreased to 38%. Therefore, we concluded that in a long-term follow-up the results are not quite satisfactory, which brings us much concern about the efficacy of the operation.</p>","PeriodicalId":74720,"journal":{"name":"Revista paulista de medicina","volume":"110 6","pages":"280-2"},"PeriodicalIF":0.0,"publicationDate":"1992-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12513749","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
Latero-terminal neurorrhaphy without removal of the epineural sheath. Experimental study in rats. 不切除神经外鞘的后端神经缝合术。大鼠实验研究。
Revista paulista de medicina Pub Date : 1992-11-01
F Viterbo, J C Trindade, K Hoshino, A Mazzoni Neto
{"title":"Latero-terminal neurorrhaphy without removal of the epineural sheath. Experimental study in rats.","authors":"F Viterbo,&nbsp;J C Trindade,&nbsp;K Hoshino,&nbsp;A Mazzoni Neto","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Termino-lateral neurorrhaphies have been used up to the beginning of this century. After this period, they have no longer been reported. We tested the efficacy of a new type of latero-terminal neurorrhaphy and evaluated the role of the epineural sheath. A group of 10 rats had the fibular nerve sectioned and the distal ending was sutured to the lateral face of the tibial nerve without removing the epineurium. All experiments were made on the right side, the left one remaining untouched in half of the animals of each group. The other half were denervated by sectioning and inverting the endings of the fibular nerves. In this way, tibial cranial muscles were either normal or denervated in the left side and reinnervated through latero-terminal neurorrhaphy in the right side. After 7.7 months, the animals were subjected to electrophysiological tests, sacrificed, and the nerves and muscles were taken for histological exams. A response of the tibial cranial muscle was obtained in 75% of the animals. The distal ending of the fibular nerve showed an average of 498 nerve fibers. The average areas of the reinnervated tibial cranial muscles were (mu 2):841.30 for M2n and 1798.33 for M2d. We concluded that the termino-lateral neurorrhaphy was functional, conducting electrical stimuli and allowing the passage of axons from the lateral surface of a healthy nerve, to reconstitute the distal segment of a sectioned nerve. The presence of the epineurium was no impediment to axonal regeneration or to the passage of electrical stimuli.(ABSTRACT TRUNCATED AT 250 WORDS)</p>","PeriodicalId":74720,"journal":{"name":"Revista paulista de medicina","volume":"110 6","pages":"267-75"},"PeriodicalIF":0.0,"publicationDate":"1992-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12513751","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
Histologic changes in fibrocystic breast disease before and after treatment with bromocriptine. 溴隐亭治疗前后纤维囊性乳腺病变的组织学改变。
Revista paulista de medicina Pub Date : 1992-11-01
E F Murta, M M de Freitas, M A Velludo
{"title":"Histologic changes in fibrocystic breast disease before and after treatment with bromocriptine.","authors":"E F Murta,&nbsp;M M de Freitas,&nbsp;M A Velludo","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Twenty-five women with fibrocystic breast disease were investigated in a double-blind study using treatment with bromocriptine (5 to 7.5 mg/day for 3 months) or placebo. Estradiol and progesterone measurements did not show any changes before, during or after treatment. Serum prolactin levels were reduced during the use of bromocriptine. Histologic evaluation demonstrated a decrease of epithelial hyperplasia and arrest of the cystic dilation picture after treatment with bromocriptine.</p>","PeriodicalId":74720,"journal":{"name":"Revista paulista de medicina","volume":"110 6","pages":"251-6"},"PeriodicalIF":0.0,"publicationDate":"1992-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12514571","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
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