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Diniz A.B.,University of Pernambuco | Cattuzzo M.T.,University of Pernambuco | Cattuzzo M.T.,Hospital Universitario Oswaldo Cruz
Motricidade | Year: 2013

The aim of the study was to analyze the association between physical activity level (PAL), physical fitness (PF) and cognitive performance (CP) of the elderly. Participated in data collection 43 men with a mean age of 64.38 years (SD = 3.35) and 40 women with a mean age of 64.79 years (SD = 3.22), all residents of the city of Recife (PE), which were selected by convenience. The PAL was evaluated on the transport, work, household activities and leisure domains. The PF was evaluated by the upper and lower member muscle strength, flexibility (low back and shoulder) and cardiorespiratory endurance tests. The tests of episodic, work and semantic memory, attention and executive function (planning), evaluate the DC. Among men, PAL in transport domain was associated with semantic memory (r = .333; p = .036); among women cardio respiratory endurance was associated with work memory (r = .403; p = .007). The results suggested that PAL, PF and CP of the elder subjects may be selectively associated. © FTCD/FIP-MOC.

do Nascimento S.C.,Real Hospital Portugues de Beneficencia | Pinto I.C.S.,Instituto Candida Vargas | da Silva C.P.,Hospital Universitario Oswaldo Cruz
Acta Gastroenterologica Latinoamericana | Year: 2013

Objective. We aimed to assess the nutritional status of patients with chronic liver disease by evaluating the strength of grip of non-dominant hand (SGNDH), correlating it with other methods and analyzing their contribution to this assessment. Methods. This study was conducted with patients having chronic chronic disease at the outpatient hepatology service of the Instituto de Medicina Integral Professor Fernando Figueira - IMIP, Recife-PE, from February to October 2010. Clinical and demographic variables were collected. The evaluation was performed according to anthropometric, subjective and functional parameters. Results. There were evaluated 49 individuals and 65.3% of them were men. The mean age was 51.3 years and individuals over 60 year predominated. The patients presented non-alcoholic liver disease in 61.2% of cases, MELD ≤ 10 in 67.3%, some gastroenteropathy in 67,4%, jaundice in 66,7% and ascites in 63%. The global average SGNDH was higher among men with higher prevalence of malnutrition by arm muscle area (AMA), followed by arm muscle circumference (AMC) and SGNDH, and lower prevalence by body mass index (BMI) and adapted subjective global assessment (SGA). There were not statistically significant differences between the prevalence of malnutrition by SGNDH and arm circumference (AC), triceps skinfold (TS), AMC, AMA and Mendenhall score. The diagnosis of malnutrition by SGND was higher among men and 100% among elderly (P < 0.05). There was strong correlation between SGNDH and AMC, regular between SGNDU and height, and weak between SGDNH and AC (P < 0.05). Conclusions. It is noted that the SGNDH showed similar contribution than AMA and AMC and higher than BMI and adapted SGA. The strong correlation between SGNDH and AMC indicates a major relationship with muscle reserves. Thus, more studies are needed to clarify the application of SGNDH in this nutritional assessment. We point out that an association of different methods is necessary.

Maranhao M.V.M.,Hospital Universitario Oswaldo Cruz | Gomes E.A.,Universitario Oswaldo Cruz | de Carvalho P.E.,UPE
Revista Brasileira de Anestesiologia | Year: 2011

Background and objectives: Epilepsy is one of the most frequent chronic neurological diseases. Although anesthesia for epilepsy patients is more common in neurosurgery, this group of patients needs, just as the general population, anesthesia for different diagnostic and therapeutic procedures. This article aims to address the issues of greatest interest to the anesthesiologist in the perioperative management of epileptic patients undergoing anesthesia for non-neurosurgical procedures. Content: We discuss relevant aspects of pathophysiology, classification and diagnosis of epilepsy; anticonvulsant therapy and interactions with anesthetic drugs; surgery and the ketogenic diet; pro-and anticonvulsant effects of drugs used in anesthesia; preoperative evaluation, intra- and postoperative conduct in epileptic patients, as well as the diagnosis and treatment of perioperative seizures. Conclusions: In the perioperative management of epileptic patients is important for anesthesiologists to identify the type of epilepsy, the frequency, severity and the factors triggering the epileptogenic crises; the use of anticonvulsant drugs and possible interactions with drugs used in anesthesia; the presence of ketogenic diet and stimulatory of the vagus nerve, and its implications in anesthetic techniques. It is essential the understanding of pro- and anticonvulsant properties of drugs used in anesthesia, minimizing the risk of seizure activity in the intra- and postoperative. Finally, it is important to outline the diagnosis and initiate treatment of seizures, perioperative, which offers lower both morbidity and mortality. © 2011 Elsevier Editora Ltd.

Barreto C.L.,Hospital Universitario Oswaldo Cruz | Martins D.B.G.,Federal University of Pernambuco | De Lima Filho J.L.,Federal University of Pernambuco | Magalhaes V.,Federal University of Pernambuco
Archives of Gynecology and Obstetrics | Year: 2013

Objective: To assess the detection of Human Papillomavirus (HPV) in cervical biopsies, and its association with clinical response and survival of patients with cervical cancer. Method: The presence of HPV was determined by polymerase chain reaction (nested PCR) of material from 183 paraffin blocks containing biopsies of patients with cervical cancer. Directives of the International Federation of Gynecology and Obstetrics (FIGO) were used for the clinical staging of all cases. Survival analysis was conducted with the Kaplan-Meier method and differences between the curves were calculated by the log-rank test. Results: Amplification was positive in 78 cases, negative in 96 cases and indeterminate in 9. The detection of HPV had no statistically significant effect on the survival of patients. Conclusions: From amongst the variables analyzed, only HPV positivity and clinical staging influenced a complete response after completing treatment. However, clinical staging was the only factor associated with progression of the disease, with patients in the early stages presenting better overall survival rates (p < 0.001). © 2013 Springer-Verlag Berlin Heidelberg.

Lundgren M.S.F.S.,Hospital Universitario Oswaldo Cruz | Khoury H.J.,Federal University of Pernambuco | Azevedo S.,Institute Radioterapia Waldemir Miranda
Radiologia Brasileira | Year: 2012

Objective: To estimate extracranial doses on eyes, thyroid, chest and pelvis in patients submitted to radiosurgery with 6 MV linear accelerator. Materials and Methods: The present study evaluated 11 patients, 7 of them with primary, and 4 with secondary brain tumors. In the latter group, 2 patients had two lesions. Thermoluminescent dosimeters were utilized to estimate the extracranial dose. Radiosurgery cones ranges between 1.50 and 3.75 cm and doses between 1300 and 2000 cGy. Results: Mean patients' age was 52 years, and 63.6% of them were women and 36.4%, men. Lesion locations were the following: right acoustic nerve (1), frontal (2), parietal (5), right occipital (1), cerebellum (2) and parasagittal (2). Mean received doses were the following: 5.1 cGy between the eyes; 4.8 cGy in the right eye; 6.5 cGy in the left eye; 4.2 cGy in the thyroid; 1.65 cGy in the chest; and 0.45 cGy in the pelvis. Conclusion: The results demonstrate that that although the eye doses do not exceed the tolerance limits for occurrence of lens opacity, it is important that the risks associated with radiation doses are taken into consideration by radiotherapists in the planning of cranial radiosurgery procedures. © Colégio Brasileiro de Radiologia e Diagnóstico por Imagem.

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