Publications by authors named "Andre Gulinelli"
Pleural tuberculosis occurs in 30% of patients with tuberculosis, and the percentage of patients with tuberculosis pleural effusions is comparable to human immunodeficiency virus HIV-positive and HIV-negative individuals, although pleural tuberculosis is rare in HIV-positive patients with CD4+ counts < 200 cells/mm(3). Pleural tuberculosis in HIV-positive patients is likely to happen in young patients, and is more frequent in intravenous drug abusers, with more acid-fast bacilli identifiable in pleural tissue. We report a rare case of pleural tuberculosis in a severely immunosuppressed HIV-positive patient, presented as two parasternum pleural-cutaneous fistula.
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- The study aimed to assess the clinical outcomes of patients who required intra-operative blood transfusions by examining tissue perfusion markers.
- A total of 61 adult patients undergoing surgery were evaluated, revealing that Scv02 was the most effective tissue perfusion marker for predicting mortality, with a cut-off point of 80%.
- Findings indicated that patients with Scv02 levels at or below 80% experienced significantly lower mortality rates and fewer postoperative complications compared to those with higher Scv02 levels, suggesting that adequate perfusion is crucial for better clinical outcomes following blood transfusions.
Objective: To analyze the prevalence of cigarette smoking in individuals with severe mental illnesses in a large urban centre of a middle income country.
Methods: Cross-sectional study carried out in São Paulo. The sample (N=192) comprised individuals diagnosed with severe mental illnesses who had contact with public psychiatric care services from September to November 1997 and were aged between 18 and 65 years.
The social adjustment of people with severe mental illness in São Paulo, Brazil.
Braz J Psychiatry
December 2005
Objective: To investigate the social adjustment of individuals with severe mental illness living in the community in a large urban center of a developing country, and the characteristics associated with poor social functioning.
Method: A cross-sectional study was performed in the city of Sao Paulo. Eligible subjects were residents of a defined geographic area, aged between 18 and 65, with a diagnosis of functional psychosis who had had contact with any public psychiatric service during a defined period.
Background: The purpose of our study was to evaluate the desire of the patients on being informed about diagnosis of severe diseases, the desire to have their families informed about this situation and to participate in therapeutic decisions.
Methods: 363 patients (outpatients and inpatients) of a General Internal Medicine division of a University Hospital were interviewed. The questionnaire contained specific questions on their desire to be informed of the diagnosis in case of cancer or AIDS and on their desire to have their families informed as well.