74 results match your criteria: "D'Or Hospital[Affiliation]"

Aims: To assess whether telemonitoring improves outcomes in patients with chronic heart failure.

Methods And Results: A literature search was conducted on studies of randomized controlled trials involving non-invasive telemonitoring and heart failure using Medline, Embase, and Cochrane Library. The primary outcomes were all-cause mortality, all-cause hospitalization, and hospitalization for heart failure.

View Article and Find Full Text PDF

Clinical phenotypes of COVID-19, associated with mortality risk, have been identified in the general population. The present study assesses their applicability in solid organ transplant recipients (SOTR) hospital-admitted by COVID-19. In a cohort of 488 SOTR, nonvaccinated (n = 394) and vaccinated (n = 94) against SARS-CoV-2, we evaluated 16 demographic, clinical, analytical, and radiological variables to identify the clinical phenotypes A, B, and C.

View Article and Find Full Text PDF
Article Synopsis
  • This editorial reviews a paper by Muthu on the application of adipose-derived stem cells (ADSCs) for treating knee osteoarthritis.
  • It contrasts stromal vascular fraction and microfragmented adipose tissue, and compares clinical outcomes with hyaluronic acid, platelet-rich plasma, and bone marrow aspirate concentrate treatments.
  • The piece also addresses the variability in ADSC studies and emphasizes the importance of standardizing protocols for further clinical exploration.
View Article and Find Full Text PDF

Background: The original Latarjet-Patte procedure is a reliable technique to treat traumatic anterior shoulder instability. However, attempts to reduce possible complications have led to the emergence of modified techniques. More prominent among them are the arthroscopic approach and the use of cortical buttons for coracoid fixation.

View Article and Find Full Text PDF

Gut-related molecules as potential biomarkers in patients with decompensated cirrhosis.

Ann Hepatol

September 2024

Department of Clinical Medicine, School of Medicine, Federal University of Rio de Janeiro, Rio de Janeiro, 21941-913, Brazil; D'Or Institute for Research and Education (IDOR), Botafogo, Rio de Janeiro, 22281-100, Brazil. Electronic address:

Introduction And Objectives: Microbial translocation contributes to cirrhosis progression and complications. This study aims to investigate whether molecules related to intestinal permeability or microbial translocation can serve as prognostic biomarkers in patients with decompensated cirrhosis.

Materials And Methods: We prospectively evaluated hospitalized patients with decompensated cirrhosis for liver function, complications during hospitalization, in-hospital mortality, composite outcomes of in-hospital mortality and complications, 12-month mortality, and survival rates.

View Article and Find Full Text PDF

Comprehensive Study of the IBMP ELISA IgA/IgM/IgG COVID-19 Kit for SARS-CoV-2 Antibody Detection.

Diagnostics (Basel)

July 2024

Interdisciplinary Research Group in Biotechnology and Epidemiology of Infectious Diseases (GRUPIBE), Gonçalo Moniz Institute, Oswaldo Cruz Foundation-Bahia (FIOCRUZ-BA), Salvador 402596-710, BA, Brazil.

COVID-19 laboratory diagnosis primarily relies on molecular tests, highly sensitive during early infection stages with high viral loads. As the disease progresses, sensitivity decreases, requiring antibody detection. Since the beginning of the pandemic, serological tests have been developed and made available in Brazil, but their diagnostic performance varies.

View Article and Find Full Text PDF

Objectives: The emergence of SARS-CoV-2 has triggered a global pandemic with profound implications for public health. Rapid changes in the pandemic landscape and limitations in diagnostics led to the introduction of numerous diagnostic devices with variable performance. In this study, we evaluated three commercial serological assays in Brazil for detecting anti-SARS-CoV-2 antibodies.

View Article and Find Full Text PDF

: Steatotic liver disease (SLD) has been linked to more exacerbated inflammatory responses in various scenarios. The relationship between SLD and COVID-19 prognosis remains unclear. Our aim was to investigate the impact of SLD on the outcome of COVID-19.

View Article and Find Full Text PDF

Periprosthetic joint infection (PJI) is one of the most challenging complications following total knee arthroplasty. Despite its importance, there is a paucity of reports in the literature regarding its pathogenesis. Recently, cellular metabolic reprogramming has been shown to play an important role in the progression and outcome of infectious diseases.

View Article and Find Full Text PDF

Laser surgery, a minimally invasive procedure for the definitive approach to pilonidal disease (PD), has been frequently studied in recent years. This study aims to describe a new pilonidotomy method using minimal laser energy and evaluate its initial results. This is a retrospective multicenter study.

View Article and Find Full Text PDF

Comparison between high-flow nasal oxygen (HFNO) alternated with non-invasive ventilation (NIV) and HFNO and NIV alone in patients with COVID-19: a retrospective cohort study.

Eur J Med Res

April 2024

Laboratory of Pulmonary Investigation, Institute of Biophysics Carlos Chagas Filho, Centro de Ciências da Saúde, Federal University of Rio de Janeiro, Avenida Carlos Chagas Filho, 273, Bloco G-014, Ilha do Fundão, Rio de Janeiro, RJ, 21941-902, Brazil.

Article Synopsis
  • - A study evaluated the effectiveness of different non-invasive respiratory support methods (COT, NIV, HFNO, and NIV + HFNO) in reducing the need for invasive mechanical ventilation (IMV) for COVID-19 patients according to illness severity, which was found to significantly influence patient outcomes.
  • - Conducted from March 2020 to July 2021, the cohort study involved 958 eligible ICU patients with COVID-19, focusing on treatment methods and their corresponding survival rates and lengths of stay in hospitals and ICUs.
  • - Results indicated varying success rates, with NIV showing a 26.1% rate of requiring IMV and HFNO corresponding with an impressive 83.9% survival rate;
View Article and Find Full Text PDF

Objectives: This study evaluated the performance of recombinant receptor binding domain (RBD) protein-based enzyme-linked immunosorbent assays (RBD-ELISAs) for detecting anti-SARS-CoV-2 immunoglobulin (Ig) G and IgM antibodies.

Methods: In this study, 705 sera from SARS-CoV-2-infected individuals and 315 sera from healthy individuals were analyzed.

Results: The RBD-ELISA IgG exhibited high specificity (99.

View Article and Find Full Text PDF
Article Synopsis
  • Global collaboration is essential in cardio-oncology to study cardiovascular toxicity from cancer treatments across various demographics and settings, as socioeconomic and racial/ethnic disparities affect care access and outcomes.
  • The Global Cardio-Oncology Registry was created with input from cardiologists and oncologists from both academic and community practices, utilizing an online platform to gather data from international sites.
  • The registry received responses from 119 sites, predominantly led by cardiologists and located in university settings, focusing on key cancer priorities such as breast cancer and patients undergoing immune checkpoint inhibitor treatments, with a pilot phase for enrollment already underway.
View Article and Find Full Text PDF
Article Synopsis
  • MINS (Myocardial Injury after Noncardiac Surgery) significantly increases the risk of mortality in patients, with a prevalence of 9.4% in a study involving 2,230 patients over a median follow-up of 6.7 years.
  • Variables associated with both early and late mortality include factors like MINS, previous heart issues, urgent surgeries, dementia, peripheral artery disease, and age.
  • Machine learning models were used to identify these predictors, confirming that higher levels of cardiac troponin post-surgery significantly correlate with increased mortality risk.
View Article and Find Full Text PDF

In the last decade, several studies have demonstrated colonization in intervertebral discs (IVDs) in patients with lumbar disc degeneration (LDD) and low back pain (LBP), but the meaning of these findings remains unclear. Being aware of this knowledge gap, we are currently conducting a prospective analytical cohort study with LBP and LDD patients undergoing lumbar microdiscectomy and posterior fusion. The IVDs samples collected during the surgeries are subjected to a stringent analytical protocol using microbiological, phenotypic, genotypic, and multiomic techniques.

View Article and Find Full Text PDF

Background: Management of infections due to carbapenemase-resistant Enterobacterales (CRE) in solid organ transplant (SOT) recipients remains a difficult challenge. The INCREMENT-SOT-CPE score has been specifically developed from SOT recipients to stratify mortality risk, but an external validation is lacking.

Methods: Multicenter retrospective cohort study of liver transplant (LT) recipients colonized with CRE infection who developed infection after transplant over 7-year period.

View Article and Find Full Text PDF

Background: Antipsychotics are used in a large variety of psychiatric and neurological disorders; investigating their use in real life is important to understand national prescribing practices, as well as to determine the levels of patient adherence.

Methods: Using a 1/97e random sample (General Sample of Beneficiaries, EGB) of the French health insurance reimbursement database, we conducted a historical cohort study on the 2007-2017 period. The aim was to describe the sociodemographic characteristics of patients, the types of antipsychotics dispensed, the types of prescribers, the mean doses and average durations of treatment, the co-dispensed medications, and the levels of adherence to treatment.

View Article and Find Full Text PDF

Obstructive sleep apnoea (OSA) is characterized by nocturnal repetitive upper airway (UA) collapse. For sleep physicians, the recognition of UA collapse characteristics is critical for understanding OSA mechanisms and developing individualized treatment plans. Drug-induced sleep endoscopy (DISE) is an exam during simulated sleep that allows the dynamic assessment of the UA of individuals with OSA.

View Article and Find Full Text PDF

Myocardial injury (MI), defined by troponin elevation, has been associated with increased mortality and adverse outcomes in patients with coronavirus disease 2019 (COVID-19), but the role of this biomarker as a risk predictor remains unclear. Data from adult patients hospitalized with COVID-19 were recorded prospectively. A multiple logistic regression model was used to quantify associations of all variables with in-hospital mortality, including the calculation of odds ratios (ORs) and confidence intervals (CI).

View Article and Find Full Text PDF
Article Synopsis
  • The incidence of hepatocellular carcinoma (HCC) is rising in Brazil, with a significant increase in hospitalizations from 2005 to 2018, particularly among individuals over 50, especially males over 70.
  • The geographic distribution showed the highest prevalence in the South and Southeast but a notably higher proportional increase in the Northeast, particularly in non-metropolitan areas.
  • While the lethality rate for HCC has remained stable between 21% and 25%, this stability contrasts with rising hospitalization rates, indicating potential shifts in environmental and socioeconomic factors affecting health in Brazil.
View Article and Find Full Text PDF

Background: Data concerning hepatitis C virus (HCV) treatment using direct-acting agents (DAAs) post liver transplantation (LT) remains scarce in low- and average-income countries.

Aim Of The Study: To evaluate the safety and efficacy of post-LT HCV treatment using DAAs in Rio de Janeiro (Brazil), and to assess the course of hepatic biomarkers after sustained virological response (SVR).

Methods: Data from LT recipients with recurrent HCV treated using DAAs was retrospectively analyzed.

View Article and Find Full Text PDF

Background: The correct diagnosis of a chronic periprosthetic joint infection (PJI) is a major challenge in clinical practice, with the "gold standard" for diagnosis yet to be established. Synovial fluid analysis has been proven to be a useful tool for that purpose. Cell-free DNA (cf-DNA) levels have been shown to be increased in several conditions such as cancer, trauma, and sepsis.

View Article and Find Full Text PDF

The consumption of antibiotics is one of the metrics used to evaluate the impact of antimicrobial stewardship programs (ASP). The aim of this study was to determine the prevalence of antibiotic consumption in Brazilian intensive care units (ICUs) and estimate the deviation of the prescribed daily dose (PDD) from the defined daily dose (DDD). This is a multicenter, observational, point-prevalence study carried out in adult ICUs of 8 Brazilian hospitals from August 2019, to February 2020.

View Article and Find Full Text PDF

The CD20 immunoexpression in classical Hodgkin lymphoma (CHL) is variable and it may represent an intersection between the pathophysiology of CHL and the clinical prognosis of patients. Retrospective study with 174 patients with pathological diagnosis of CHL. Clinical data were reviewed from medical records.

View Article and Find Full Text PDF