In this section of the symposium, we will divide the discussion into two parts: the hypothesis, and the background and operation of a regional primary angioplasty program with review of the results in our location in West Texas. A brief discussion of the technical aspects in the performance of primary angioplasty will be detailed. We will review the practical aspects of the performance of primary percutaneous transluminal coronary angioplasty with outlines for implementation of the angiogram, conducting angioplasty, giving adjunctive mechanical and chemical therapies, care of the patient after the intervention and the potential need for subsequent coronary bypass surgery. Guidelines regarding initiation of a regional approach to triage acute myocardial infarction patients will be discussed. The rationale for risk stratification with angiography, order and technical aspects of the performance of percutaneous transluminal coronary angioplasty, need for adjunctive medical therapy, delineation of coronary bypass classification and details of after care will be fundamentally outlined.
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New spirometry recommendations from the Brazilian Thoracic Association - 2024 update.
J Bras Pneumol
January 2025
. Laboratório de Função Pulmonar, Instituto de Assistência ao Servidor Público Estadual de São Paulo Francisco Morato Pereira - IAMSPE-FMO - São Paulo (SP), Brasil.
The latest pulmonary function guideline from the Brazilian Thoracic Association was published in 2002, since which there have been updates to international guidelines (mainly those from the European Respiratory Society and the American Thoracic Society), as well as new national and international publications on various aspects of the performance, interpretation, and clinical implications of spirometry. Despite those updates, a careful analysis of what applies to the reality in Brazil is essential, because there have been studies that evaluated individuals who are representative of our population and who could show responses different from those of individuals in other regions of the world. This document is the result of the work of a group of specialists in pulmonary function who evaluated relevant scientific articles that could be applicable to the population of Brazil.
View Article and Find Full Text PDFSelf-perception of stuttering: association with self-perception of hearing, fluency profile, and contextual aspects.
Codas
January 2025
Departamento de Fonoaudiologia, Universidade Federal de Minas Gerais - UFMG - Belo Horizonte (MG), Brasil.
Purpose: This study investigated the association between self-perception of stuttering and self-perception of hearing, speech fluency profile, and contextual aspects in Brazilian adults who stutter.
Methods: Fifty-five adults who stutter (ages 18 to 58 years), speakers of Brazilian Portuguese speakers, participated in an observational study that included: (a) a clinical history survey to collect identification, sociodemographic, clinical, and assistance data; (b) the Brazil Economic Classification Criteria (CCEB); (c) a hearing self-perception questionnaire (Speech, Spatial and Qualities of Hearing Scale - SSQ, version 5.6); (d) self-perception of the impact of stuttering (Brazilian Portuguese version of the Overall Assessment of the Speaker's Experience of Stuttering - Adults - OASES-A); and (e) an assessment of speech fluency (Fluency Profile Assessment Protocol -- PAPF).
The effects of a brief intervention at home based on shared reading to promote children's oral language.
Codas
January 2025
Centro de Matemática, Computação e Cognição, Universidade Federal do ABC - UFABC - Santo André (SP), Brasil.
Purpose: The general aim of the present study was to analyse eight mother-child interactions during shared reading with children and to assess the efficacy of a brief intervention with the mothers to promote changes in the strategies they used to develop their children's oral language. The specific objectives were to work collaboratively with mothers, to analyse the interactions between mothers and their children before and at the end of the intervention period.
Methods: Mothers participated in five meetings to reflect collaboratively on strategies to promote improvements in communicative interactions in a family context and in children's oral language and during the shared reading episodes.
Quality of life in patients with spinal muscular atrophy in Brazil: patient self-assessment and carer perception.
Rev Paul Pediatr
January 2025
Universidade Federal do Paraná, Curitiba, Paraná, Brazil.
Objectives: The aim of this study was to assess the perception of quality of life of patients with spinal muscular atrophy (SMA) and investigate whether there is a correlation between patients' perception and that of their carers.
Methods: Cross-sectional analytical observational study. In the first part, socioeconomic, demographic, clinical, and treatment information were collected from patients diagnosed with SMA, regardless of type, sex, or age.
Community responses to a novel house design: A qualitative study of "Star Homes" in Mtwara, southeastern Tanzania.
PLoS One
January 2025
Amsterdam University Medical Centres, University of Amsterdam, Department of Global Health, Amsterdam, The Netherlands.
Introduction: To evaluate the impact of a novel design "Star Home" on the incidence of malaria, respiratory tract infections and diarrheal diseases among children, randomly selected households in Mtwara, Tanzania were offered a free, new Star Home. Drawing on longitudinal qualitative research that accompanied the Star Homes study, this article describes the experiences of residents and the wider community of living with these buildings.
Methods: A total of four rounds of face-to-face interviews were undertaken with residents of Star Homes (n = 37), control (wattle/daub) homes (n = 21), neighboring households n = 6), community members (n = 17) and community leaders (n = 6).
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