Evaluation of HLA-DR expression in monocytes and CD64 in neutrophils as A predictor of SEPSIS/sirs in the infectious-inflammatory process.

Sepsis is a highly fatal disease that affects millions of people worldwide every year. Currently, the diagnosis of sepsis is made by identifying at least two symptoms of systemic inflammatory response syndrome (SIRS), along with confirming the presence of microorganisms using a blood culture examination. Some biomarkers are already used to aid in the diagnosis, such as increased levels of C-reactive protein (CRP), leukocytes, immature granulocytes (IG), and bands.

Cardiac abnormalities in patients with nonalcoholic fatty liver disease.

Objective: This study aimed to evaluate the correlation between Nonalcoholic fatty liver disease and cardiac abnormalities.

Methods: Patients with Nonalcoholic fatty liver disease who attended an outpatient clinic in Southern Brazil were prospectively evaluated. Patients should be older than 18 years and have steatosis.

An unexpectedly high incidence of refeeding syndrome in patients with total parenteral nutrition in a reference university hospital.

Introduction: Refeeding syndrome occurs with the reintroduction of food after an individual has undergone a substantial period of malnutrition. The development of this condition is not uncommon but is neglected in most cases.

Objective: To identify the incidence of refeeding syndrome in hospitalized patients undergoing total parenteral nutrition and factors that may be associated with this condition.

Haemophilus urethritis in males: A series of 30 cases.

Introduction And Objectives: Pathogens such as Haemophilus spp. have been associated with non-gonococcal urethritis, but their role is unproven. To describe the clinical characteristics and therapeutic outcomes in male patients diagnosed with Haemophilus spp.

Bundles for the central sterile supply department.

Background: Traditional resources, such as bundles, can help experts define essential steps of health product processing to prevent infections. The present study developed bundle content construction and validation criteria for central sterile supply departments (CSSDs).

Methods: The present study employed a Delphi technique modified for content evaluation.

Laryngotracheobronchial papillomatosis: chest CT findings.

To evaluate the findings on chest CTs in 16 patients (8 men and 8 women) with laryngotracheobronchial papillomatosis. This was a retrospective study involving patients ranging from 2 to 72 years of age. The evaluation of the CT scans was independently performed by two observers, and discordant results were resolved by consensus.

A naturalistic study of high-dose unilateral ECT among severely depressed inpatients: how does it work in the clinical practice?

Background: Naturalistic studies can be useful tools to understand how an intervention works in the real clinical practice. This study aims to investigate the outcomes in a naturalistically treated depressed inpatients cohort, who were referred, or not, to unilateral ECT.

Methods: Depressed adults according to MINI admitted in a psychiatric unit were divided in unilateral ECT treated and non-ECT treated.

Gene expression of matrix metalloproteinases and LH receptors in mare follicular development.

The period from the emergence of a dominant follicle until its formation requires tissue remodeling. Enzymes promoting collagen lysis, such as matrix metalloproteinases (MMPs), are fundamental for the process of extracellular matrix remodeling, which allows changes in ovarian tissue architecture during follicular growth. It has been suggested that the production of these enzymes may be affected by the rise in circulating concentrations of LH, which acts on the ovarian surface epithelium (OSE).

Educational program of organ donation and transplantation at medical school.

A favorable attitude of health professionals to organ donation can positively influence the decision of families of potential donors. By increasing health professionals knowledge about donation and transplantation and qualifying them to disseminate information, education has produced a positive response to increase the insufficient number of donors. Educating students early in their careers may become crucial in this setting.

Nutritional status, breastfeeding, and evolution of Infants with acute viral bronchiolitis.

Acute viral bronchiolitis is a common respiratory infectious disease of infancy. A prospective study was carried out with 175 infants aged up to six months to evaluate their nutritional and breastfeeding status as possible risk factors for unfavourable evolution of previously-healthy infants from a care hospital. Immunofluorescence test for virus and anthropometric assessment were performed.

Profile of drug interactions in hospitalized children.

Introduction: The expected therapeutic response may be affected by the presence of drug interactions. With the high number of reports on new drug interactions, it has been difficult for health professionals to keep constantly updated. For this reason, computer systems have helped identify such interactions.

[The lateral midfemoral approach to sciatic nerve block as an anesthetic option to trauma: case repor t.].

Background And Objectives: Both nervous plexus block and isolated peripheral nerve block are uncommon procedures for patients with lower limb trauma or full stomach, prevailing epidural and spinal blocks as the primary indication. This case report describes the choice of sciatic nerve block as the best indication for a patient with full stomach and severe foot trauma.

Case Report: Male patient, 50 years old, physical status ASA II, moderately obese (BMI = 29.

Minimally invasive surgical solution in the treatment of an unusual distal type I endoleak after endovascular abdominal aortic aneurysm repair.

Most distal type I endoleaks can be treated by endovascular techniques such as coil embolization of the hypogastric artery and additional stent or extension stent grafts. We report a case of a difficult type I endoleak located in the distal end of a monoiliac conical stent graft used to treat an abdominal aortic aneurysm extensively involving both common iliac arteries. Cranial migration of the endograft and incarceration in the contralateral iliac aneurysm were observed on the computed tomographic scan.

[Feelings of mothers of prematurely born babies: nursing implications].

This is a qualitative case study about the feelings of mothers of prematurely born babies that were at the Neonatal Intensive Care Unit (NICU). Data was collected through semi-structured interviews. The research's main question was: how do you feel about your child being hospitalized? Twenty mothers of premature babies with gestational ages from 31 to 36 weeks were investigated.

[Peripheral regional analgesia with lidocaine in burned patient: case report.].

Background And Objectives: Regional anesthesia is difficult in burned patients due to the randomized location of thermal injuries. High plasma levels of alpha1-acid glycoprotein with major affinity to basic drugs, especially lidocaine, have been observed in these patients. This report shows how intermittent peripheral regional anesthesia and analgesia with high lidocaine doses may be useful in inducing effective analgesia in patient with almost 20% Total Burn Skin Area (TBSA) of partial thickness burn in his four limbs.

Patterns in multimalformed babies and the question of the relationship between sirenomelia and VACTERL.

Starting from a data base of over one million births investigated in 11 countries as a part of the Latin American Study of Congenital Malformations, 1,428 babies with three or more malformations without known pathogenesis or cause were studied. The objective was to search for statistically significant associations between defects and the delineation of new syndromes. One hundred and twenty-one patients presented an association between malformations of the digestive and urogenital systems involving mainly anal, renal, and genital anomalies, while 21 of them had 3 or more VACTERL defects.