Publications by authors named "A Desouza"

Background: There is lack of data on bipolar disorder (BD) type II from India.

Aim: To compare the demographic and clinical characteristics of patients with BD-I and BD-II using the data of the Bipolar Disorder Course and Outcome study from India (BiD-CoIN study).

Methodology: Using the data of the BiD-CoIN study, patients with BD-I and BD-II were compared for demographic and clinical variables.

View Article and Find Full Text PDF

 Admission to university influences lifestyle behaviors and is marked by a daily routine of accumulation of activities that can interfere with sleep duration, affecting food choices and meal consumption habits throughout the day.  To analyze the association between short sleep duration and skipping main meals among university students.  We conducted a cross-sectional study with 1,608 university students aged between 16 and 25 years, who were enrolled in full-time undergraduate courses at a public university in the Midwestern region of Brazil.

View Article and Find Full Text PDF
Article Synopsis
  • - Total pelvic exenteration (TPE) is a complex surgical procedure that may be the sole curative option for patients with advanced rectal cancers, resulting in lifelong management of two permanent stomas.
  • - There is a knowledge gap among radiologists regarding the complications that can arise after TPE surgery, leading to potential misdiagnosis or overlooked symptoms that could have serious consequences.
  • - The article aims to enhance understanding of postoperative pelvic anatomy, highlight early and delayed complications, and provide guidance on imaging techniques to accurately diagnose issues related to TPE through illustrative case studies.
View Article and Find Full Text PDF

Introduction: There is no clear consensus on using the response MRI as opposed to the pretreatment MRI for surgical planning in cT4 low rectal cancer. The objective of this study is to determine the safety of using response MRI in surgical planning for T4 rectal cancer.

Methods: This study is a retrospective review of a prospectively maintained database of abdominoperineal resections conducted at a single tertiary cancer center.

View Article and Find Full Text PDF

Background: Extramural vascular invasion (EMVI) is a bad prognostic feature in rectal cancer and cancers that remain EMVI positive after neoadjuvant therapy are at high risk for having involved circumferential resection margins. Conventional total mesorectal excision (TME) resections are inadequate in such cases and often lead to positive margins.

Methods: We propose a technique for the surgical management of locally advanced tumours with persistent EMVI after neoadjuvant therapy.

View Article and Find Full Text PDF