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Doppler probe is unnecessary for this procedure, which makes it also more interesting from an economic perspective.
Selective dearterialization and mucopexy is safe and achieves adequate control of prolapse and bleeding and, by minimizing sutures in the anal canal, postoperative morbidity is diminished. Doppler probe is unnecessary for this procedure, which makes it also more interesting from an economic perspective.
Nausea and vomiting groups x moments. As the number of bariatric operations increases, there is a greater interest in knowledge, experience and skills in the operative and anesthetic management of obese people. Anesthetic recovery is an important point in the therapeutic approach and less adverse effects delaying discharge of these patients are necessary to be kept in mind by the surgical team.
To compare anesthetic-analgesic techniques in the opioid-sparing era through epidural administration of local anesthetic associated with low-dose morphine vs. clonidine and analyze the impact of analgesia on the effectiveness of postoperative recovery by comparing these two techniques.
Randomized, double-blind clinical trial with 66 patients candidates for Roux-en-Y gastrojejunal bypass divided into two groups morphine group and clonidine group. Multimodal analgesia included epidural anesthesia with 0.375% ropivacaine 20 ml at the eighth thoracic vertebra with the association of morphine (morphine group) at a dose of 15 mcg / kg or clonidine (clonidine group) at a dose of 1 mcg / kg.
The groups were homogeneous and statistical significance was found when analyzing the difference in pain between them in the first postoperative period. The pain was higher in the clonidine group, as in this period, analgesic rescue was also better in this group. In the other times, there was no significance in the differences regarding pain and rescue. The return of intestinal motility in the morphine group was earlier in the first postoperative period. Nausea, vomiting and hospital discharge did not show significant differences between groups.
Epidural anesthesia with low-dose morphine allowed less pain during the entire hospital stay, with a positive impact on patient recovery.
Epidural anesthesia with low-dose morphine allowed less pain during the entire hospital stay, with a positive impact on patient recovery.
Currently, persistent human papillomavirus (HPV) infection has been related in some geographic regions as a risk factor for esophageal squamous cell carcinoma. It results in the immunoexpression of the p16 protein, which has been used as marker of the oncogenic lineage by this etiological agent.
To correlate epidemiological aspects of esophageal squamous cell carcinoma with the prevalence of HPV infection.
Fifty-eight cases were analyzed and submitted to histopathological and immunohistochemical analysis by p16.
Of the 58 cases evaluated, 40 were men and 18 women, with a mean age of 63.2 years. p16 immunoexpression was positive in 46.55%.
The prevalence of HPV infection is high in esophageal squamous cell carcinoma presenting in almost half of the cases (46.55%), without gender differentiation.
The prevalence of HPV infection is high in esophageal squamous cell carcinoma presenting in almost half of the cases (46.55%), without gender differentiation.[This corrects the article doi 10.1590/0102-311X00228519].This study aimed to assess the percentage of articles with authors affiliated to Brazilian institutions in high-impact journals and SciELO journals and to evaluate trends in 5-year citations according to the author's affiliation and journal category. Bibliometric data were obtained using Scopus database from 1995 to 2019. Publications were selected from four journal categories High-impact General Health (HGH), High-impact Public Health (HPH), SciELO General Health (SGH) and SciELO Public Health (SPH). The number of citations that were received five years after publication and the percentage of publications with any author affiliated to Brazil were calculated by each year. The same 146 journals were followed. There was a significant increase in percentage of articles with authors affiliated to Brazilian institutions in all sets of journals. Among HGH, there was an increasing from 0.3% to 1.5% between 1995-2019, for HPH from 1% to 3%, for SGH from 49.7% to 55.4%, and for SPH from 47.4% to 71.9%. There was a significant (p less then 0.01) increase in the mean of 5-year citations in all groups and Brazilian affiliated articles increased more than average. For each 10 years, average HGH articles increased 11.9 citations and Brazilian affiliated articles 32.0 citations. The results suggest that the presence of Brazilian science is increasing, and the scientific impact has increased more than average.The Brazilian National Social Security Institute has used the Social Security Epidemiological Technical Nexus (NTEP) since 2007 to associate risks of the occurrence of work-related disability to classes of economic activities. This study aimed to identify the main risks of this type in Brazilian companies. We conducted a dynamic census cohort study with secondary national data from the Single Benefit System (SUB) and the National Registry of Social Information (CNIS). The Worker's Identification Number (NIT) allowed linking the occurrence of disabling conditions (International Classification of Diseases, 10th revision - ICD-10) to economic activities (National Classification of Economic Activities, CNAE). click here The NTEP was established with the highest risks between the seven most populous CNAE classes and seven largest ICD-10 among social security benefits from 2000 to 2016. During the period, Brazil had entitled employees with 30,815,310.06 employment contracts per year with 512,967,233.15 contract days. The most populous CNAE were "retail commerce - hypermarkets", "roadway collective passenger transportation", "multipurpose banks with commercial portfolios", "pork and poultry slaughtering", "job selection and hiring", "nonhazardous waste collection", and "automobile, pickup truck, and utility vehicle manufacturing". The most prevalent disabling conditions were back disorders, wrist and hand injuries, knee and leg injuries, soft tissue disorders, mood disorders, joint disorders, and neurotic disorders. Among the 49 combinations of ICD-10 and CNAE, the NTEP was established for 27 (55.1%). The study corroborates the accuracy and consistency of NTEP for identifying risks and etiological fractions.
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