A prospective and randomized study comparing the use of alarms, desmopressin and imipramine in the treatment of monosymptomatic nocturnal enuresis.

Background: Monosymptomatic enuresis (MNE) results from a pathogenic triad that may include lack of vasopressin secretion during sleep, reduced functional bladder capacity and inability to wake up during sleep. The treatment of MNE can be performed through behavioral therapy, use of alarms or medications such as desmopressin and imipramine.

Objective: To compare the effectiveness of different treatments of MNE.

The efficacy and safety of urethral injection therapy for urinary incontinence in women: a systematic review.

To evaluate the efficacy and safety of different bulking agents for treating urinary incontinence in women, a systematic review including only randomized controlled trials was performed. The subjects were women with urinary incontinence. The primary outcomes were clinical and urodynamic parameters.

On-pump coronary artery bypass graft surgery: biochemical, hormonal and cellular features.

Objective: The authors sought to assess biochemical, hormonal and cellular repercussions from use of cardiopulmonary bypass (CPB) in coronary artery bypass graft (CABG) surgery.

Methods: Eighteen patients underwent on-pump CABG surgery. Mean time of CPB was 80.

Importance to include the term superficial musculoaponeurotic system in medical subject headings and in the international anatomical nomenclature.

Purpose: To investigate the relevance of the term superficial musculoaponeurotic system (SMAS) and demonstrate that this term is important enough to be added to the MeSH database and listed in International Anatomical Nomenclature.

Methods: Terms related to SMAS were selected from original articles retrieved from the ISI Web of Science and MEDLINE (PubMed) databases. Groups of terms were created to define a search strategy with high-sensitivity and restricted to scientific periodicals devoted to plastic surgery.

Pulmonary artery perfusion does not improve brain natriuretic peptide (BNP) levels in suine experimental research.

Objective: Assess if the main pulmonary artery controlled perfusion over cardiopulmonary bypass (CPB) modifies BNP levels expressed by the ventricular myocardium.

Methods: Experimental research involving 32 pigs, divided into two groups according to CPB strategy--group I (cardioplegia) and group II (beating heart). Both groups were allocated into three subgroups according to lung perfusion strategy--subgroup A (control: no lung perfusion), subgroup B (lung perfusion with arterial blood) and subgroup C (lung perfusion with venous blood).

Should biatrial heart transplantation still be performed?: A Meta-analysis.

The outcomes of total and bicaval heart transplantation techniques are better than those of the biatrial technique; however, the latter is still considered the gold-standard. The objective of this study was to determine whether the total and bicaval heart transplantation techniques are, in fact, better than the biatrial technique. A systematic review with meta-analysis was carried out.

Renal and adrenal tumors with cardiac invasion: immediate surgical results in 14 patients.

Background: The resection of tumor thrombus of the inferior vena cava (IVC) and right atrium (RA) increases the survival rate of patients with renal/adrenal cancer.

Objective: To evaluate the surgical procedure in cases of IVC and RA in the treatment of renal and adrenal tumors.

Methods: Fourteen patients undergoing surgical intervention (during the period) between January 1997 and June 2007, for resection of IVC and/or RA thrombus due to renal or adrenal tumors, were retrospectively evaluated.

First inflammatory risk score for aortic endoprostheses.

Objective: To purpose an inflammatory risk score for aortic aneurysm endovascular treatment.

Methods: Twenty-five patients were followed-up from preoperative period to third month postoperatively (1-hour, 6-hour, 24-hour, 48-hour, 7-day, 1-month, 2- month and 3month). Inflammatory variables were C-reactive protein, hemosedimentation velocity, interleukins (IL-6, IL-8), tumor necrosis factor-Alpha, L-selectin, intercellular adhesion molecule (ICAM-1), red blood cells transfusion, volume of crystalloid, volume of contrast, type of endoprosthesis, number of endoprostheses, total count of leukocytes and lymphocytes.

Patent ductus arteriosus treatment in the premature newborn: clinical and surgical analisys.

Background: The surgical treatment of patency ductus arteriosus is indicated when the clinical intervention fails. However, this treatment may have some complications.

Objective: To analyze clinical and surgical aspects involved on the treatment of patency ductus arteriosus in premature newborn.

Characterization of the patients' caregivers on the waiting list for heart transplant at UNIFESP.

Objectives: To identify and describe the main caregiver of the patients on the heart transplant waiting list; to compare relevant information provided by patients and caregivers, and to classify the caregivers according to their dedication and efficiency in assisting the patient by correlating them to sociodemographic data.

Methods: Descriptive study performed from October 2004 to October 2005 at UNIFESP outpatient clinics. The study sample consisted of 21 patients and their caregivers.

Analysis of the inflammatory response in endovascular treatment of aortic aneurysms.

Objective: The objective of this study is to evaluate the inflammatory response caused by endovascular stents in the treatment of aortic aneurysms.

Methods: Twenty-five patients underwent endovascular stent treatment from March through December 2005. The evolution of mediators (sedimentation velocity, C reactive protein, interleukin-6, interleukin-8, tumor necrosis factor-alpha, intercellular adhesion molecule-1, l-selectin), inflammatory cells (leukocytes, lymphocytes, platelets), serum creatinine and body temperature within preoperative period and in the following postoperative periods--1, 6, 24 and 48 h, 7 days, 1-3 months, was analyzed.

[Standardization of the terminology of the academic medical centers and biomedical research centers, in the English language, for journal article sending].

Purpose: To suggest a standardization, in the English language, the formatting of the citation of the research centers.

Methods: From three more recent publications of the first 20 journals available in Brazilian Portal of Scientific Information - Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES), with bigger factor of impact during the year of 2004, according of information in ISI Web of Knowledge Journal Citation Reports database in biennium 2004-2005, had extracted the formats of citations of the research centers. An analogy to the institutional hierarchie step of the Federal University of Sao Paulo (UNIFESP) was carried out, and the formats most frequent, in the English language, had been adopted as standard to be suggested to cite the research centers for sending articles.

A stratigraphic approach to the superficial musculoaponeurotic system and its anatomic correlation with the superficial fascia.

The superficial musculoaponeurotic system (SMAS) is not included in the International Anatomic Terminology, although it is a fundamental anatomical structure in plastic surgeons. In the literature, the concept of the SMAS is not clear, leading to repercussions in the treatment of the SMAS via the various techniques for rhytidoplasty. This review article, in its aim to conceptualize the SMAS, has as a referential parameter the basic stratigraphic pattern of the human body construction.

[Gas embolism].

Background And Objectives: Gas embolism is an iatrogenic injury that has high morbidity and mortality. It's a complication of clinical-surgical procedures, and it's necessary that the health professionals know this entity. The aim of this study was to realize a review of the gas embolism, considering its pathophysiology, diagnosis and therapeutics aspects.

Use of the histopathology in the differential diagnosis of drowning in fresh and salty water: an experimental model establishment in rats.

Purpose: To develop a method of differential diagnosis to drowning, due to analysis of the alveolar macrophages quantitative, in rats submitted to induced drowning in fresh water and salty water.

Methods: Were used 15 male adult rats Wistar EPM-1, weight 360g (SD=21,3), randomized in three groups: G1--Control; G2--Fresh water; G3--Salty water, each one with n=5. The animals have been anesthetized and tracheostomized to insert a cannula inside the trachea, for drowning induction.