19 documents found, page 1 of 2

Improving the identification of high-risk non-metastatic castration-resistant p...

Non-metastatic castration-resistant prostate cancer (nmCRPC) represents a challenging disease state in prostate cancer care. nmCRPC patients with a high risk of progression to metastatic disease who are identified by a prostate-specific antigen doubling time (PSADT) ≤10 months are eligible for treatment with the novel androgen receptor inhibitors (ARIs), shown to delay disease progression and extend survival. H...

Barthel’s Index: A Better Predictor for COVID-19 Mortality Than Comorbidities

Background: The most consistently identified mortality determinants for the new coronavirus 2019 (COVID-19) infection are aging, male sex, cardiovascular/respiratory diseases, and cancer. They were determined from heterogeneous cohorts that included patients with different disease severity and previous conditions. The main goal of this study was to determine if activities of daily living (ADL) dependence measur...

Findings in physical examination of the external genitalia in pediatric age − d...

Introduction: Findings in the physical examination of the external genitalia in children are often a source of concern and anxiety for parents and caregivers. Due to the proximity and role in child’s periodic surveillance, the family physician is in a privileged position to identify and initially provide guidance on these situations, key for the success of future interventions. Objectives: To review available e...

Findings in physical examination of the external genitalia in pediatric age − d...

Introduction: Findings in the physical examination of the external genitalia in children are often a source of concern for parents and caregivers, not only for the emotional significance that people unconsciously attribute to these structures (partly due to their reproductive function), but also for the physical and psychological impact in the child. Due to the child’s close monitoring and periodic surveillance...

HÉRNIA DIAFRAGMÁTICA DE MORGAGNI: UM CASO CLÍNICO

Acute alithiasic cholecystitis and human herpes virus type-6 infection: first case

A three-year-old male child presented with erythematous maculopapular nonpruritic generalized rash, poor feeding, vomiting, and cramping generalized abdominal pain. He was previously healthy and there was no family history of immunologic or other diseases. On examination he was afebrile, hemodynamically stable, with painful palpation of the right upper quadrant and positive Murphy's sign. Laboratory tests revea...

PIELOPLASTIA DESMEMBRADA NOS SÍNDROMES DE JUNÇÃO URETEROPÉLVICO BILATERAIS – A ...

Introdução: O Síndrome de junção ureteropélvico (SJU) é uma das patologias urológicas pediátricas mais frequentes. Constitui a causa mais comum de hidronefrose no período neonatal. O SJU esta presente bilateralmente em cerca de 10% dos casos, sendo na maioria unilateral e com maior frequência localizado à esquerda (60%). A pieloplastia de Anderson-Hynes é o procedimento cirúrgico de eleição. O seguimento pré-na...

Scarless laparoscopic repair of epigastric hernia in children

Background Despite the small size of the incision, the scar left by open repair of epigastric hernia in children is unaesthetic. Few laparoscopic approaches to epigastric hernia repair have been previously proposed, but none has gain wide acceptance from pediatric surgeons. In this study, we present our experience with a scarless laparo- scopic approach using a percutaneous suturing technique for epigastric her...

Hybrid endoscopic thymectomy : combined transesophageal and transthoracic appro...

BACKGROUND: Video-assisted thoracoscopic surgery thymectomy has been used in the treatment of Myastenia Gravis and thymomas (coexisting or not). In natural orifice transluminal endoscopic surgery, new approaches to the thorax are emerging as alternatives to the classic transthoracic endoscopic surgery. The aim of this study was to assess the feasibility and reliability of hybrid endoscopic thymectomy (HET) usin...

Hybrid thoracic NOTES : a translational research project

Natural Orifice Transluminal Endoscopic Surgery (NOTES) is considered the next step on minimally invasive surgery. NOTES uses endoscopes entering through any single or combination of natural orifices - mouth, urethra, vagina, and anus, in order to perform surgery inside the thorax or the abdomen. Its main purpose is providing scarless and less painful surgery to patients. To perform NOTES in the thorax, gastroe...