Results: 4387

Fechamento precoce do estoma de proteção após cirurgia de excisão total do mesorreto (ETM) com preservação esfincteriana

INTRODUÇÃO: A criação de uma anastomose esbarra no risco de fístulas anastomóticas, levando às reintervenções cirúrgicas, morbidade, longo tempo de hospitalização e mortalidade em alguns casos. A realização de um estoma de proteção diminui as consequências decorrentes de uma fístula. ME...

O estudo da ressonância magnética com difusão na avaliação da resposta à quimioterapia neoadjuvante para pacientes com câncer de mama

Introdução: A Ressonância Magnética (RM) tem se mostrado eficaz na avaliação de resposta à quimioterapia neoadjuvante (QTN) para câncer de mama. A avaliação através do realce dinâmico do contraste (DCE) é a ferramenta mais utilizada na RM para este propósito, porém a aplicação das imagen...

Normal values for sagittal spinal alignment: a study of Brazilian subjects

Clinics; 73 (), 2018
OBJECTIVES: The purpose of this study is to investigate the normal values of and chain of correlations between spinopelvic parameters in a Brazilian population. METHODS: This is a prospective observational study including asymptomatic adult subjects who had full spinal radiographs performed. The subject...

Goal-directed therapy in patients with early acute kidney injury: a multicenter randomized controlled trial

Clinics; 73 (), 2018
OBJECTIVES: Acute kidney injury is associated with many conditions, and no interventions to improve the outcomes of established acute kidney injury have been developed. We performed this study to determine whether goal-directed therapy conducted during the early stages of acute kidney injury could change...

Relationship between food perceptions and health-related quality of life in a prospective study with breast cancer patients undergoing chemotherapy

Clinics; 73 (), 2018
OBJECTIVE: To correlate the perceptions related to dietary intake with the domains and subscales of health-related quality of life (HRQL) in women with breast neoplasms receiving chemotherapy. METHODS: In this prospective study, 55 women with breast cancer were followed up during chemotherapy at three d...

Risk assessment of venous thromboembolism and thromboprophylaxis in pregnant women hospitalized with cancer: Preliminary results from a risk score

Clinics; 73 (), 2018
OBJECTIVES: Hospitalized patients with cancer are at high risk of developing venous thromboembolism, and the risk increases with pregnancy. The aim of this study was to apply a thromboprophylaxis protocol with a venous thromboembolism risk score for hospitalized pregnant women with cancer and to evaluate...

Assessment of suicidal behavior and factors associated with a diagnosis of prostate cancer

Clinics; 73 (), 2018
OBJECTIVES: To determine the incidence of suicide risk in a group of patients who have been diagnosed with localized prostate cancer (PC) and to identify the factors that affect suicidal behavior. METHODS: Patients from a tertiary care oncology center in São Paulo, Brazil participated in this study and...

A prediction model for hypoxemia during routine sedation for gastrointestinal endoscopy

Clinics; 73 (), 2018
OBJECTIVES: The current study was designed to assess the clinical predictors of hypoxemia and to develop a multivariable, predictive model for hypoxemia during routine gastrointestinal endoscopy. METHODS: In total, 308 patients were enrolled in the analysis. Demographic data, concurrent chronic disease ...

Early mobilization practices of mechanically ventilated patients: a 1-day point-prevalence study in southern Brazil

Clinics; 73 (), 2018
OBJECTIVES: To assess early mobilization practices of mechanically ventilated patients in southern Brazilian intensive care units (ICUs) and to identify barriers associated with early mobilization and possible complications. METHODS: A prospective, observational, multicenter, 1-day point-prevalence stud...

Age is the main factor related to expiratory flow limitation during constant load exercise

Clinics; 73 (), 2018
OBJECTIVE: The objective of this study was to investigate the interaction among the determinants of expiratory flow limitation (EFL), peak oxygen uptake (VO2peak), dysanapsis ratio (DR) and age during cycling at different intensities in young and middle-aged men. METHODS: Twenty-two (11 young and 11 mid...