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Pasqualotto AC, Queiroz-Telles F, Chebabo A, Leitao TMJS, Falci DR, Xavier MO, Bay MB, Sprinz E, Dalla Lana D, Vincentini AP, Damasceno LS, Schwarzbold AV, Ferreira PA, Godoy CM, Vidal JE, Basso R, Driemeyer C, Aquino VR, Severo CB, Ferreira MS, Bastos C, Prohaska F, Melo M, Cavassin FB, Lacerda M, Soares R, Zancope-Oliveira R, Teixeira M, Perez F, Caceres DH, Rodriguez-Tudela JL, Chiller T, Colombo AL. The "Histoplasmosis Porto Alegre manifesto"-Addressing disseminated histoplasmosis in AIDS. PLoS Negl Trop Dis 2023; 17:e0010960. [PMID: 36602963 DOI: 10.1371/journal.pntd.0010960] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023] Open
Affiliation(s)
| | | | - Alberto Chebabo
- Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil
| | | | - Diego R Falci
- Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, Brazil
| | | | - Monica B Bay
- Universidade Federal do Rio Grande do Norte, Natal, Brazil
| | - Eduardo Sprinz
- Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
| | | | | | | | | | | | | | | | - Rossana Basso
- Universidade Federal de Rio Grande, Rio Grande, Brazil
| | | | | | | | | | | | | | | | | | - Marcus Lacerda
- Fundação de Medicina Tropical Dr. Heitor Vieira Dourado, Manaus, Brazil
| | - Renata Soares
- Pontifícia Universidade Católica de Goiás, Goiânia, Brazil
| | | | | | - Freddy Perez
- Panamerican Health Organization, Washington, DC, United States of America
| | | | | | - Tom Chiller
- Center for Disease Control and Prevention, Atlanta, Georgia, United States of America
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de Macedo V, Santos GS, Silva RN, Couto CNM, Bastos C, Viecelli E, Mateus MN, Graf ME, Gonçalves RB, Silva MA, Bernardini PDB, Grando RSP, Boaventura VP, Pereira HSR, Levin ASS. Healthcare-associated infections: a threat to the survival of patients with COVID-19 in intensive care units. J Hosp Infect 2022; 126:109-115. [PMID: 35623469 PMCID: PMC9131443 DOI: 10.1016/j.jhin.2022.05.013] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2022] [Revised: 05/06/2022] [Accepted: 05/17/2022] [Indexed: 11/22/2022]
Abstract
Background Wide variation in mortality rates among critically ill patients with coronavirus disease 2019 (COVID-19) has been reported. This study evaluated whether healthcare-associated infections (HAI) are a risk factor for death among patients with severe COVID-19 in the intensive care unit (ICU). Methods This retrospective cohort study included patients with severe COVID-19 hospitalized in the ICU of four hospitals in the city of Curitiba, Brazil. Patients with COVID-19 who died during ICU hospitalization were compared with those who were discharged. A second analysis compared patients who developed HAI in the ICU with those who did not. Multiple logistic regression models were used to control for confounders. Results In total, 400 patients were included, and 123 (31%) patients developed HAI. The most common HAI was lower respiratory tract infection (67%). Independent risk factors for death were: age [odds ratio (OR) 1.75, 95% confidence interval (CI) 1.43–2.15; P<0.0001]; clinical severity score (OR 2.21, 95% CI 1.70–2.87; P<0.0001); renal replacement therapy (OR 12.8, 95% CI 5.78–28.6; P<0.0001); and HAI (OR 5.9, 95% CI 3.31–10.5; P<0.0001). A longer interval between symptom onset and hospital admission was protective against death (OR 0.93, 95% CI 0.88–0.98; P=0.017). The only independent factors associated with HAI were high C-reactive protein and low PaO2/FiO2 ratio. Conclusions No factors that could point to a high-risk group for HAI acquisition were identified. However, age, dialysis and HAI increased the risk of death in ICU patients with severe COVID-19; of these, HAI is the only preventable risk factor.
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Affiliation(s)
- V de Macedo
- Hospital Infection Control and Epidemiology Center, Santa Casa de Curitiba, Curitiba, Paraná, Brazil; Positive University, Medicine School, Curitiba, Paraná, Brazil; Department of Infectious Diseases, Faculdade de Medicina, Universidade de São Paulo, São Paulo, São Paulo, Brazil.
| | - G S Santos
- Hospital Infection Control and Epidemiology Center, Rehabilitation Hospital, Curitiba, Paraná, Brazil
| | - R N Silva
- Infection Control Program, Hospital de Clínicas, Curitiba, Paraná, Brazil
| | - C N M Couto
- Pontifical Catholic University of Paraná, Medicine School, Curitiba, Paraná, Brazil
| | - C Bastos
- Department of Infectious Diseases, Faculdade de Medicina, Universidade de São Paulo, São Paulo, São Paulo, Brazil
| | - E Viecelli
- Department of Infectious Diseases, Faculdade de Medicina, Universidade de São Paulo, São Paulo, São Paulo, Brazil
| | - M N Mateus
- Department of Infectious Diseases, Faculdade de Medicina, Universidade de São Paulo, São Paulo, São Paulo, Brazil
| | - M E Graf
- Hospital Infection Control and Epidemiology Center, Trabalhador Hospital, Curitiba, Paraná, Brazil
| | - R B Gonçalves
- Hospital Infection Control and Epidemiology Center, Trabalhador Hospital, Curitiba, Paraná, Brazil
| | - M A Silva
- Hospital Infection Control and Epidemiology Center, Trabalhador Hospital, Curitiba, Paraná, Brazil
| | - P D B Bernardini
- Hospital Infection Control and Epidemiology Center, Trabalhador Hospital, Curitiba, Paraná, Brazil
| | - R S P Grando
- Hospital Infection Control and Epidemiology Center, Trabalhador Hospital, Curitiba, Paraná, Brazil
| | - V P Boaventura
- Hospital Infection Control and Epidemiology Center, Trabalhador Hospital, Curitiba, Paraná, Brazil
| | - H S R Pereira
- Hospital Infection Control and Epidemiology Center, Trabalhador Hospital, Curitiba, Paraná, Brazil
| | - A S S Levin
- Department of Infectious Diseases, Faculdade de Medicina, Universidade de São Paulo, São Paulo, São Paulo, Brazil
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Bastos C, Araújo SC, Sampaio C. PACIENTE COM INFECÇÃO POR BACILLUS ALTITUDINIS: RELATO DE CASO EM UM HOSPITAL PRIVADO DE SALVADOR-BAHIA. Braz J Infect Dis 2022. [DOI: 10.1016/j.bjid.2021.101896] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
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Antunes H, Parada B, Tavares-da-Silva E, Carvalho J, Bastos C, Roseiro A, Nunes P, Figueiredo A. Pediatric Renal Transplantation: Evaluation of Long-Term Outcomes and Comparison to Adult Population. Transplant Proc 2018; 50:1264-1271. [PMID: 29880345 DOI: 10.1016/j.transproceed.2018.02.089] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2018] [Accepted: 02/17/2018] [Indexed: 10/14/2022]
Abstract
BACKGROUND In Europe, pediatric transplantation accounts for only about 4% of all kidney transplantations performed. The aim of our work is to evaluate the evolution of pediatric renal transplantation in our department over time, but also to compare this special population with the adult one. METHODS We evaluated all pediatric renal transplantations performed in our department between January 1981 and December 2016. We performed the analysis of clinical, analytical, and surgical factors to look for predictive factors of graft loss or decrease of survival. In addition, we performed a comparative study of pediatric and adult populations and an evaluation of the evolution of pediatric renal transplantation in our department over time. RESULTS We evaluated 101 renal transplantations performed in patients younger than 18 years. Pediatric transplantations corresponded to 3.4% of all renal transplantations performed in our department. The rate of living donors was 12%. Donors of grafts for the pediatric population were significantly younger than in the adult population. The increase in donor age was associated with lower renal graft survival rates. Acute rejections were more frequent in the pediatric population. Eleven pediatric recipients (10.9%) died in the follow-up period. Renal graft survival in the pediatric population was 94.8%, 77.4%, and 66.5% at 1, 5, and 10 years, respectively. There was no significant difference in graft survival in the pediatric and adult population. The pediatric overall survival rate at 1, 5 and 10 years was 97.9%, 96.8%, and 91.9%, respectively. CONCLUSION Pediatric renal transplantation presents results identical to those identified in adults.
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Affiliation(s)
- H Antunes
- Department of Urology and Renal Transplantation, Coimbra University Hospital Center, Coimbra, Portugal.
| | - B Parada
- Department of Urology and Renal Transplantation, Coimbra University Hospital Center, Coimbra, Portugal
| | - E Tavares-da-Silva
- Department of Urology and Renal Transplantation, Coimbra University Hospital Center, Coimbra, Portugal
| | - J Carvalho
- Department of Urology and Renal Transplantation, Coimbra University Hospital Center, Coimbra, Portugal
| | - C Bastos
- Department of Urology and Renal Transplantation, Coimbra University Hospital Center, Coimbra, Portugal
| | - A Roseiro
- Department of Urology and Renal Transplantation, Coimbra University Hospital Center, Coimbra, Portugal
| | - P Nunes
- Department of Urology and Renal Transplantation, Coimbra University Hospital Center, Coimbra, Portugal
| | - A Figueiredo
- Department of Urology and Renal Transplantation, Coimbra University Hospital Center, Coimbra, Portugal
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Antunes H, Tavares-da-Silva E, Oliveira R, Carvalho J, Parada B, Bastos C, Figueiredo A. De Novo Urologic Malignancies in Renal Transplant Recipients. Transplant Proc 2018; 50:1348-1354. [DOI: 10.1016/j.transproceed.2018.02.086] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2017] [Revised: 02/10/2018] [Accepted: 02/23/2018] [Indexed: 01/20/2023]
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Ferreira E, Costa J, Romãozinho C, Santos L, Macário F, Bastos C, Alves R, Figueiredo A. Long-Term Outcomes of Kidney Transplantation From Expanded-Criteria Deceased Donors: A Single-Center Experience. Transplant Proc 2017; 49:770-776. [PMID: 28457392 DOI: 10.1016/j.transproceed.2017.01.051] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
BACKGROUND Organ shortage has prompted the use of expanded-criteria donors (ECDs). Our objective was to compare long-term outcomes of kidney transplants from ECDs with those from concurrent standard-criteria donors (SCDs). In addition, we evaluated variables associated with graft survival in both groups. METHODS We retrospectively reviewed all 617 deceased-donor kidney transplantations performed from 2005 to 2009 in our department. The population was divided according to donor status into ECD or SCD. Patients were followed until 5 years after transplantation, death, graft failure, or loss to follow-up. RESULTS We transplanted 150 deceased-donor kidneys from ECDs and 467 from SCDs. ECD were older, more frequently women, had a lower pre-retrieval glomerular filtration rate, and more frequently died due to cerebrovascular accident. ECD recipients were older, presented a lower proportion of black race, more frequently were on hemodialysis, and presented a higher rate of first kidney transplants. Mean glomerular filtration rate was consistently lower in the ECD group. Patient and graft survivals were lower in the ECD group, but statistical significance was present only in graft survival censored for death with a functioning graft at 3 years and graft survival noncensored for death with a functioning graft at 5 years. Younger recipient ages, longer time on dialysis, acute rejection episodes, and glomerular filtration rate at 1 year after transplantation were independent risk factors for lower graft survival. CONCLUSIONS Transplantation with the use of ECD kidneys provide quite satisfactory patient and graft survival rates despite their poorer long-term outcomes.
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Affiliation(s)
- E Ferreira
- Department of Nephrology, Centro Hospitalar e Universitário de Coimbra-Hospitais da Universidade de Coimbra, Coimbra, Portugal.
| | - J Costa
- Department of Nephrology, Centro Hospitalar e Universitário de Coimbra-Hospitais da Universidade de Coimbra, Coimbra, Portugal
| | - C Romãozinho
- Department of Nephrology, Centro Hospitalar e Universitário de Coimbra-Hospitais da Universidade de Coimbra, Coimbra, Portugal
| | - L Santos
- Department of Nephrology, Centro Hospitalar e Universitário de Coimbra-Hospitais da Universidade de Coimbra, Coimbra, Portugal
| | - F Macário
- Department of Nephrology, Centro Hospitalar e Universitário de Coimbra-Hospitais da Universidade de Coimbra, Coimbra, Portugal
| | - C Bastos
- Department of Urology and Renal Transplantation, Centro Hospitalar e Universitário de Coimbra-Hospitais da Universidade de Coimbra, Coimbra, Portugal
| | - R Alves
- Department of Nephrology, Centro Hospitalar e Universitário de Coimbra-Hospitais da Universidade de Coimbra, Coimbra, Portugal
| | - A Figueiredo
- Department of Urology and Renal Transplantation, Centro Hospitalar e Universitário de Coimbra-Hospitais da Universidade de Coimbra, Coimbra, Portugal
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Pinto H, Leal R, Rodrigues L, Santos L, Romãozinho C, Macário F, Alves R, Bastos C, Roseiro A, Costa F, Campos M, Mota A, Figueiredo A. Surgical Complications in Early Post-transplant Kidney Recipients. Transplant Proc 2017; 49:821-823. [DOI: 10.1016/j.transproceed.2017.03.010] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
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Dinis P, Nunes P, Marconi L, Furriel F, Parada B, Moreira P, Figueiredo A, Bastos C, Roseiro A, Dias V, Rolo F, Alves R, Mota A. Small Kidneys for Large Recipients: Does Size Matter in Renal Transplantation? Transplant Proc 2015; 47:920-5. [DOI: 10.1016/j.transproceed.2015.03.035] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Correia R, Faneca C, Albuquerque D, Vieira J, Bastos C, Fonseca C, Pereira MR. Low-cost acoustic design of a bat test room. BIOACOUSTICS 2015. [DOI: 10.1080/09524622.2014.964772] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Affiliation(s)
- R. Correia
- Department of Electronics Telecommunications and Informatics, University of Aveiro, 3810-193 Aveiro, Portugal
| | - C. Faneca
- Department of Electronics Telecommunications and Informatics, University of Aveiro, 3810-193 Aveiro, Portugal
| | - D. Albuquerque
- Department of Electronics Telecommunications and Informatics, University of Aveiro, 3810-193 Aveiro, Portugal
| | - J. Vieira
- Department of Electronics Telecommunications and Informatics, University of Aveiro, 3810-193 Aveiro, Portugal
| | - C. Bastos
- Department of Electronics Telecommunications and Informatics, University of Aveiro, 3810-193 Aveiro, Portugal
| | - C. Fonseca
- Department of Biology, Centre for Environmental and Marine Studies (CESAM), University of Aveiro, 3810-193 Aveiro, Portugal
| | - M.J. Ramos Pereira
- Department of Biology, Centre for Environmental and Marine Studies (CESAM), University of Aveiro, 3810-193 Aveiro, Portugal
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Miller J, Drew L, Green O, Villella A, Bastos C, Munoz B, Cullen M, Hauck S, Wachi S, Giuliano K, Longo K, Roskelley E, Dobbs W, Garza D, Haeberlein M, Weiner D, Bridges R, Thakerar A, Hutt D, Balch W, Tait B. WS1.3 Enhanced correction of F508del CFTR using drug-like small molecules in combination with correctors and potentiators. J Cyst Fibros 2014. [DOI: 10.1016/s1569-1993(14)60006-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Abstract
PURPOSE Our aim was to evaluate the influence of donor cause of brain death on the results of kidney transplantation. METHODS This retrospective study included 896 consecutive deceased-donor renal transplantations performed between January 1, 2000, and December 31, 2009. We compared outcomes of grafts from donors after cerebrovascular accident (CVA; n = 371) versus head trauma (HT; n = 525). RESULTS Univariate analysis of pretransplantation data showed statistically significant differences (P < .05): among the following variables for the HT versus CVA groups respectively: recipient age (43.63 ± 13.2 y vs 49.80 ± 12.5 y); donor age (36.06 ± 16.6 y vs 52.57 ± 13.2 y) and time on dialysis (50.67 ± 45.034 mo vs 59.39 ± 46.3 mo). Regarding transplantation results, we observed that mean serum creatinine was significantly lower among HT recipient, at 1, 3, 6, 12, and 24 months after transplantation (P < .05). Chronic allograft nephropathy (CAN) and delayed graft function were higher among the CVA group. HT group kidneys showed significantly longer mean survival times than CVA group kidneys (102.7 ± 3.9 mo vs 94.8 ± 5.6 mo; log rank: P = .04). Upon multivariate analysis donor cause of death was not identified as an independent risk factor for graft survival or occurrence of chronic allograft nephropathy. CONCLUSIONS Transplantation results were better among the HT group. However multivariate regression analysis indicated that donor cause of death was not an independent risk factor for graft survival or occurrence of chronic allograft nephropathy.
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Affiliation(s)
- L Marconi
- Urology and Renal Transplantation Department, Coimbra University Hospital, Coimbra, Portugal.
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13
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Bastos C, Coelho C. P01-189 - Behavioral and neuropsychological evaluation in ADHD diagnosis. Eur Psychiatry 2010. [DOI: 10.1016/s0924-9338(10)70395-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
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14
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Coelho C, Bastos C. P01-324 - Temporality and depression in old age. Eur Psychiatry 2010. [DOI: 10.1016/s0924-9338(10)70532-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
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Ferrer F, Mota A, Alves R, Bastos C, Macário F, Figueiredo A, Santos L, Roseiro A, Parada B, Pratas J, Nunes P, Campos M. Renal transplantation with expanded criteria donors: the experience of one Portuguese center. Transplant Proc 2009; 41:791-3. [PMID: 19376353 DOI: 10.1016/j.transproceed.2009.02.044] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
BACKGROUND The shortage of kidneys available for transplantation has led to enlarged criteria donors (ECD): namely, donors older than 60 years or aged between 50 and 59 years with 2 of the following characteristics-hypertension, predonation serum creatinine level higher than 1.5 mg/dL or cerebrovascular disease as the cause of death. The aim of this study was to analyze renal transplants using ECD compared with standard criteria donors (SCD) concerning the incidences of delayed graft function (DGF), acute rejection episodes (ARE), and patient and graft survivals. MATERIALS AND METHODS This retrospective study of 409 cadaveric renal transplants over the last 4 years identified ECD in contrast with SCD. RESULTS Of the transplants, 24.4% used ECD. The baseline characteristics of recipients of ECD versus SCD kidneys were similar, except for age and cold ischemia time. Comparing ECD and SCD, we observed an higher incidence of DGF (35% vs 18%), occurrence of ARE (34.4% vs 16.6%), average serum creatinine levels at 6 (1.87 vs 1.4 mg/dL), and 12 months (1.88 vs 1.43 mg/dL) as well as lower graft survival at 1 (82% vs 91%) and 3 years (75% vs 84%) after transplantation. Recipient survival at 1 year was not different. Multivariate analysis identified recipient age, cold ischemia time, ARE, and DGF as risk factors for graft failure. CONCLUSIONS Renal transplantation with grafts from ECD shows significantly worse outcomes with higher rates of DGF and ARE, worse graft function, and lower graft survival.
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Affiliation(s)
- F Ferrer
- Renal Transplantation Unit, Department of Urology and Renal Transplantation, Hospitais da Universidade de Coimbra, Portugal.
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Filipe R, Mota A, Alves R, Bastos C, Macário F, Figueiredo A, Roseiro A, Parada B, Sá H, Nunes P, Bastos M. Kidney transplantation with corticosteroid-free maintenance immunosuppression: a single center analysis of graft and patient survivals. Transplant Proc 2009; 41:843-5. [PMID: 19376367 DOI: 10.1016/j.transproceed.2009.02.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
The purpose of this study was to assess the impact of a corticosteroid-free maintenance immunosuppression on graft survival in kidney transplantation. We analyzed 79 patients who were transplanted between June 1, 2006 and May 31, 2007. We excluded hyperimmunized patients, second transplantations, living donors, and black recipients. Patients underwent induction with thymoglobulin or basiliximab, followed by treatment with mycophenolate mofetil (MMF), tacrolimus, and methylprednisolone. On the 5th day, the patients were divided into 2 groups: group A (n = 45) discontinued steroid therapy; group B (n = 34) continued prednisone therapy. We performed a comparative analysis of incidence of delayed graft function (DGF), acute rejection episodes (ARE), renal function at 6 and 12 months, graft and patient survivals, causes of graft loss, and mortality. The 2 groups were similar for donor, recipient, and graft characteristics. The incidences of DGF were 8.9% in group A and 14.7% in group B; those for ARE were 2.3% in group A and 13.8% in group B (P = .077). The mean serum creatinine levels at 6 and 12 months were similar. There were 8 graft losses: 3 in group A (3 deaths with functioning grafts) and 5 in group B (1 death, 3 vascular causes, 1 kidney nonfunction). The 4 deaths were due to infection (n = 3) or neoplasia (n = 1). Graft survivals at 1 year were 98% in group A and 85% in group B, and patient survivals were 98% and 97%, respectively. An immunosuppressive regimen using antibody induction and steroid-free treatment proved to be effective in low-risk patients.
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Affiliation(s)
- R Filipe
- Renal Transplantation Unit, Departments of Urology and Kidney Transplantation, Coimbra University Hospital, Coimbra, Portugal.
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Dias JP, Bastos C, Araújo E, Mascarenhas AV, Martins Netto E, Grassi F, Silva M, Tatto E, Mendonça J, Araújo RF, Shikanai-Yasuda MA, Aras R. Acute Chagas disease outbreak associated with oral transmission. Rev Soc Bras Med Trop 2008; 41:296-300. [DOI: 10.1590/s0037-86822008000300014] [Citation(s) in RCA: 81] [Impact Index Per Article: 5.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2007] [Accepted: 05/02/2008] [Indexed: 11/22/2022] Open
Abstract
Seven individuals living in a town in the Southwest of Bahia developed sudden signs of cardiac and systemic impairment, with lethality of 28.6%. Serological tests were positive at least in one test in the five patients examined. Forty percent of the Triatoma sordida mynphs found inside or around Trypanosoma cruzi were found by blood culturig in there out five cases the homes of these cases were positive for Trypanosoma cruzi. Transmission probably occurred through consumption of water contaminated with triatomine feces. These findings emphasize the necessity to evaluation the importance of vectors like Triatoma sordida in maintaining the endemicity of this disease.
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Figueiredo A, Moreira P, Parada B, Nunes P, Macário F, Bastos C, Mota A. Risk Factors for Delayed Renal Graft Function and Their Impact on Renal Transplantation Outcome. Transplant Proc 2007; 39:2473-5. [DOI: 10.1016/j.transproceed.2007.07.032] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Mathias C, Cardeal Mendes CM, Pondé de Sena E, Dias de Moraes E, Bastos C, Braghiroli MI, Nuñez G, Athanazio R, Alban L, Moore HCF, del Giglio A. An open-label, fixed-dose study of bupropion effect on sexual function scores in women treated for breast cancer. Ann Oncol 2006; 17:1792-6. [PMID: 16980597 DOI: 10.1093/annonc/mdl304] [Citation(s) in RCA: 40] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND Sexual morbidity after chemotherapy and hormonal therapy for breast cancer can seriously affect patients' quality of life. Bupropion is an antidepressant that has been reported to increase libido. OBJECTIVE To investigate the improvement of sexual function in female breast cancer patients using bupropion. PATIENTS AND METHODS We performed an 8-week open trial using bupropion in women diagnosed with breast cancer who had received chemotherapy and were currently receiving adjunctive hormonal therapy. The Arizona Sexual Experience Scale (ASEX) was used. The ASEX scale includes five questions that evaluate sexual function in the following areas: libido, excitability and ability to reach orgasm. Women received oral Bupropion 150 mg/daily for 8 weeks and were evaluated prior to the initiation of the study and again during Weeks 4 and 8. RESULTS Twenty patients were included in the study. At the beginning of the study, the mean ASEX score was 23.45 [21.67-25.24] 95% CI. After 4 weeks of treatment, we observed a reduction in the mean ASEX score that persisted until the end of the study, at eight weeks: 18.45 [16.59-20.31] 95% CI (P = 0.0003) and 18.95 [16.60-21.30] 95% CI (P = 0.0024), respectively. CONCLUSION In this non-controlled open trial bupropion 150 mg/daily was associated with improved sexual function in women receiving adjuvant systemic treatment for breast cancer.
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Affiliation(s)
- C Mathias
- Núcleo de Oncologia da Bahia, Clinical Oncology, Salvador, Brazil.
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Figueiredo A, Moreira P, Parada B, Nunes P, Macario F, Bastos C, Mota A. UP-01.72. Urology 2006. [DOI: 10.1016/j.urology.2006.08.716] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Parada B, Figueiredo A, Nunes P, Bastos C, Rolo F, Mota A. UP-01.67. Urology 2006. [DOI: 10.1016/j.urology.2006.08.711] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Nunes P, Parada B, Figueiredo A, Roseiro A, Dias V, Bastos C, Rolo F, Mota A. PD-09.03. Urology 2006. [DOI: 10.1016/j.urology.2006.08.098] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Mathias C, Moraes E, Bastos C, Athanazio R, Nunez G, Alban L, Braghirolli I, Del Giglio A, Pondé E, Moore H. Bupropion in the tratment of sexual dysfunction in women diagnosed with breast cancer: An open-label, fixed dose study. J Clin Oncol 2006. [DOI: 10.1200/jco.2006.24.18_suppl.6072] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
6072 Background: Sexual morbidity after chemotherapy and hormonal therapy for breast cancer can seriously affect patients’ quality of life. Bupropion is an antidepressant that has been reported to increase libido. Objective: To investigate the improvement of sexual function in female breast cancer patients using bupropion. Methods: We performed an eight week open trial using bupropion in women diagnosed with breast cancer who had received chemotherapy and were currently receiving adjunctive hormonal therapy. The Arizona Sexual Experience Scale (ASEX) was used. The ASEX scale includes five questions that evaluate sexual function in the following areas: libido, excitability and ability to reach orgasm. Women received oral Bupropion 150mg/ daily for eight weeks and were evaluated prior to the initiation of the study and again during Weeks 4 and 8. Results: Twenty patients were included in the study. At the beginning of the study, the mean ASEX score was 23.45 [21.67–25.24] 95% CI. After four weeks of treatment, we observed a reduction in the mean ASEX score that persisted until the end of the study, at eight weeks: 18.45 [16.59–20.31] 95% CI, p = 0.0003) and 18.95 (SD ± 5.02 [16.60–21.30] 95% CI, p = 0.0024), respectively. Conclusions: In this non-controlled open trial bupropion 150 mg/daily was associated with improved sexual function in women receiving adjuvant systemic treatment for breast cancer. No significant financial relationships to disclose.
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Affiliation(s)
- C. Mathias
- Nucleo de Oncologia da Bahia, Salvador, Brazil; Universidade Federal da Bahia, Salvador, Brazil; Universidade do ABC Paulista, Santo André, Brazil; Cleveland Clinic Foundation, Cleveland, OH
| | - E. Moraes
- Nucleo de Oncologia da Bahia, Salvador, Brazil; Universidade Federal da Bahia, Salvador, Brazil; Universidade do ABC Paulista, Santo André, Brazil; Cleveland Clinic Foundation, Cleveland, OH
| | - C. Bastos
- Nucleo de Oncologia da Bahia, Salvador, Brazil; Universidade Federal da Bahia, Salvador, Brazil; Universidade do ABC Paulista, Santo André, Brazil; Cleveland Clinic Foundation, Cleveland, OH
| | - R. Athanazio
- Nucleo de Oncologia da Bahia, Salvador, Brazil; Universidade Federal da Bahia, Salvador, Brazil; Universidade do ABC Paulista, Santo André, Brazil; Cleveland Clinic Foundation, Cleveland, OH
| | - G. Nunez
- Nucleo de Oncologia da Bahia, Salvador, Brazil; Universidade Federal da Bahia, Salvador, Brazil; Universidade do ABC Paulista, Santo André, Brazil; Cleveland Clinic Foundation, Cleveland, OH
| | - L. Alban
- Nucleo de Oncologia da Bahia, Salvador, Brazil; Universidade Federal da Bahia, Salvador, Brazil; Universidade do ABC Paulista, Santo André, Brazil; Cleveland Clinic Foundation, Cleveland, OH
| | - I. Braghirolli
- Nucleo de Oncologia da Bahia, Salvador, Brazil; Universidade Federal da Bahia, Salvador, Brazil; Universidade do ABC Paulista, Santo André, Brazil; Cleveland Clinic Foundation, Cleveland, OH
| | - A. Del Giglio
- Nucleo de Oncologia da Bahia, Salvador, Brazil; Universidade Federal da Bahia, Salvador, Brazil; Universidade do ABC Paulista, Santo André, Brazil; Cleveland Clinic Foundation, Cleveland, OH
| | - E. Pondé
- Nucleo de Oncologia da Bahia, Salvador, Brazil; Universidade Federal da Bahia, Salvador, Brazil; Universidade do ABC Paulista, Santo André, Brazil; Cleveland Clinic Foundation, Cleveland, OH
| | - H. Moore
- Nucleo de Oncologia da Bahia, Salvador, Brazil; Universidade Federal da Bahia, Salvador, Brazil; Universidade do ABC Paulista, Santo André, Brazil; Cleveland Clinic Foundation, Cleveland, OH
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Braga JCV, Reis F, Aras R, Costa ND, Bastos C, Silva R, Soares A, Moura Júnior A, Asfora S, Latado AL. [Clinical and therapeutics aspects of heart failure due to Chagas disease]. Arq Bras Cardiol 2006; 86:297-302. [PMID: 16680295 DOI: 10.1590/s0066-782x2006000400010] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE Describe the clinical and therapeutic characteristics of patients with heart failure (HF) secondary to chronic chagasic cardiomyopathy and evaluate if these characteristics are different from those found in other etiologies. METHODS A prospective analysis of the patients treated between August 2003 and June 2004 at a HF referral outpatient clinic was conducted. RESULTS Three hundred and fifty six patients diagnosed with HF were included in the study. Chagasic cardiomyopathy was the most common etiology (48% of the cases). Other etiologies included hypertensive cardiomyopathy in 19% of the patients, idiopathic dilated in 11% and ischemic in 9%. Patients with HF secondary to chagasic cardiomyopathy were more frequently from non-white ethnic groups (88 vs. 75%; p = 0.002), had a family history of Chagas disease (57 vs. 21%; p = 0.001), had the disease for a longer length of time (71 vs. 56 months; p = 0.034), had lower levels of education (4.4 +/- 4.1 vs. 5.7 +/- 4.2 years of study; p = 0.004), had a lower heart rate (69 +/- 12 vs. 73 +/- 13; p = 0.03) and a lower systolic blood pressure (121 +/- 25 vs. 129 +/- 28 mmHg; p = 0.006). There was also a higher incidence of the use of amiodarone (22 vs. 13%; p = 0.036) and artificial pacemakers (15 vs. 1%; p = 0.001). There was a lower usage of beta-blockers (39 vs. 59%; p = 0.001). CONCLUSION In this sample of HF outpatients, in a state with a high prevalence of Chagas disease, chagasic cardiomyopathy was the most common etiology and they presented some unique clinical and therapeutic characteristics in comparison to other heart failure patients.
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Parada B, Figueiredo A, Nunes P, Bastos C, Macário F, Roseiro A, Dias V, Rolo F, Mota A. Pediatric renal transplantation: comparative study with renal transplantation in the adult population. Transplant Proc 2006; 37:2771-4. [PMID: 16182806 DOI: 10.1016/j.transproceed.2005.05.046] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
PURPOSE To retrospectively review our experience with pediatric renal transplantation and to compare the results with the adult population. PATIENTS AND METHODS Between January 1981 and August 2003, 74 renal transplants were performed in patients < or =18 years at the time of the transplant--the pediatric group versus 1153 patients in the adult group. We analyzed various risk factors for actuarial kidney graft and patient survivals using the Kaplan-Meier method. RESULTS Median ages were 13.8 +/- 3.5 and 42.6 +/- 2.4 years, respectively. There was no statistically significant difference in the human leukocyte antigen matching or immunosuppression. There was, however, a younger donor age and shorter ischemia time in the pediatric group. Overall, kidney transplant survival rates for patients < or =18 years at 1, 2, 5, and 10 years were 94.4%, 91.3%, 70.6%, and 58.2%, respectively, with no significant difference for patients older than 18 (91.2%, 89.3%, 78.8%, 60.5%, P = .4325). There was a significantly decreased graft survival in the adult group at 10 years when the donor age was over 60 years and when the ischemia time was > or =20 hours. The incidence of delayed graft function and the creatinine levels of functioning grafts did not differ between the two groups. During the follow-up, acute rejections were more frequent in the younger group. Patient survival in the pediatric group at 1, 2, 5, and 10 years was 98.6%, 98.8%, 98.6%, and 90.3%, respectively, significantly lower in the adult group (95.3%, 94.0%, 87.9%, 76.8%, P < .02). CONCLUSIONS Renal transplantation may be successfully performed in the pediatric patients with end-stage renal disease. Overall graft survival at 10 years did not differ significantly between the two groups. There is a higher incidence of acute rejections but longer patient survival in the pediatric population.
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Affiliation(s)
- B Parada
- Department of Urology and Renal Transplantation, University Hospital of Coimbra, Coimbra, Portugal.
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Dias JP, Bastos C, de Araújo EG, Mascarenhas AV, Netto E, Grassi F, Silva M, Tatto E, Mendonça J, de Araújo RF, Obara MT, Silva MP, Furuchó C, Aras R. [Outbreak of acute Chagas disease occurred in the state of Bahia, Brazil]. Rev Soc Bras Med Trop 2006; 39 Suppl 3:135-7. [PMID: 17605226] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/16/2023] Open
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Abstract
PURPOSE Compare renal transplant long-term outcomes among recipients aged 60 years or older with those in younger patients. PATIENTS AND METHODS We analyzed 103 transplants in recipients above 60 years of age for the influence of key factors related to the graft and patient. The results were compared with 1060 transplant recipients aged 18 to 59 years. RESULTS The mean ages were 62.93 and 40.35 years for the older and younger group. The older group showed a higher prevalence of obesity and unknown etiologies for the end-stage renal disease. Important comorbidity was significantly more frequent among recipients aged more than 60 years, mainly of a cardiovascular nature (56% vs 18.5%). Donor age (39.75 vs 31.59 years), cold ischemia time (22.43 vs 20.49 hours) and human leukocyte antigen compatibilities (2.59 vs 2.36) were significantly greater in the older subset. After a mean follow-up of 4.72 and 6.07 years for the older versus younger group, we found no differences in initial graft function, acute rejection rate, and serum creatinine/clearance. Patient and graft survivals at 1, 5, and 10 years were lower among the 60+ group. There were no differences in graft survival censored for death with a functioning graft, namely, 95.1%, 89.4%, and 81.2% for the 60+ cohort. The main cause of graft loss in the older group was death with a functioning graft. CONCLUSION Renal transplantation should be considered for selected patients older than 60 years. Despite a shorter life expectancy, they benefit from it similar to younger recipients.
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Affiliation(s)
- P Nunes
- Department of Urology and Renal Transplantation, Hospitais da Universidade de Coimbra, Coimbra, Portugal.
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Abstract
PURPOSE To describe our initial results using a calcineurin inhibitor-free immunosuppression protocol in renal transplants. PATIENTS AND METHODS Between October 2001 and June 2003, 56 recipients of a renal allografts were started on an immunosuppression protocol without calcineurin inhibitors, consisting of basiliximab, sirolimus, mycophenolate mofetil, and steroids. We analyzed patient and graft survival, acute rejection episodes, and renal function. RESULTS The mean follow-up was 19.6 months. Actuarial patient survival at 1 and 2 years was 98.1% and 95.3%, respectively. Actuarial graft survival at 1 and 2 years was 92.9% and 87.6%, respectively. Acute rejection occurred in 27.8% of the patients, usually Banff 1 (73.3%). There was stable renal function with mean serum creatinine of 1.3, 1.4, 1.3, and 1.3 mg/dL at 1, 6, 12, and 24 months after transplant. CONCLUSIONS The use of immunosuppression free of calcineurin inhibitors is effective and safe. Further follow-up is needed to evaluate the impact on long-term results.
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Affiliation(s)
- B Parada
- Department of Urology and Renal Transplantation, University Hospital of Coimbra, Coimbra, Portugal.
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Mathias C, Ponde de Sena E, Demoraes E, Bastos C, Braghiroli MI, Rocha I, Nunez G, Athanazio R, Lessa GS, Del Giglio A. Bupropion improves sexual function in women diagnosed with breast cancer? A pilot study in this population. J Clin Oncol 2005. [DOI: 10.1200/jco.2005.23.16_suppl.8058] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Affiliation(s)
- C. Mathias
- Nucleo de Oncologia da Bahia, Salvador, Brazil; Faculdade do ABC, Sao Paulo, Brazil
| | - E. Ponde de Sena
- Nucleo de Oncologia da Bahia, Salvador, Brazil; Faculdade do ABC, Sao Paulo, Brazil
| | - E. Demoraes
- Nucleo de Oncologia da Bahia, Salvador, Brazil; Faculdade do ABC, Sao Paulo, Brazil
| | - C. Bastos
- Nucleo de Oncologia da Bahia, Salvador, Brazil; Faculdade do ABC, Sao Paulo, Brazil
| | - M. I. Braghiroli
- Nucleo de Oncologia da Bahia, Salvador, Brazil; Faculdade do ABC, Sao Paulo, Brazil
| | - I. Rocha
- Nucleo de Oncologia da Bahia, Salvador, Brazil; Faculdade do ABC, Sao Paulo, Brazil
| | - G. Nunez
- Nucleo de Oncologia da Bahia, Salvador, Brazil; Faculdade do ABC, Sao Paulo, Brazil
| | - R. Athanazio
- Nucleo de Oncologia da Bahia, Salvador, Brazil; Faculdade do ABC, Sao Paulo, Brazil
| | - G. S. Lessa
- Nucleo de Oncologia da Bahia, Salvador, Brazil; Faculdade do ABC, Sao Paulo, Brazil
| | - A. Del Giglio
- Nucleo de Oncologia da Bahia, Salvador, Brazil; Faculdade do ABC, Sao Paulo, Brazil
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Borges F, Barbosa MLA, Borges RB, Pinheiro OC, Cardoso C, Bastos C, Aras R. [Clinical and demographic characteristics of 99 episodes of rheumatic fever in Acre, the Brazilian Amazon]. Arq Bras Cardiol 2005; 84:111-4. [PMID: 15761632 DOI: 10.1590/s0066-782x2005000200004] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE To report clinical manifestations and demographic characteristics of patients with rheumatic fever treated in a public hospital in the state of Acre. METHODS A cross-sectional study was conducted of patients consecutively seen in the Cardiology Ward at FUNDHACRE Demographic, clinical and laboratory data were assessed through a questionnaire. The diagnosis of rheumatic fever was made based on Jones' criteria, associated with laboratory data, electrocardiography, chest X-ray, and bi-dimensional echocardiography. Patients with other heart diseases, diabetes, obesity, inflammatory disease, and infections were excluded. Those who smoked, were pregnant, or used anti-inflammatory medication or hormone therapy were also excluded. RESULTS From July 2003 to February 2004, 99 patients with rheumatic fever were assessed (mean age, 11 years, SD= +/- 10.18) with a predominance of females (59.6%), and a racial phenotype of a mixture of Caucasian and Indian (60.6%). Three individuals were excluded because they did not meet the diagnostic criteria. Mean age was 9.1 years old, and in 30.4% of the patients, the disease was diagnosed at the first episode of rheumatic fever. The most frequent clinical manifestations were carditis (69.7%), arthritis (21.4%), and chorea (6.1%). Mitral regurgitation was the most common lesion (36.4%) followed by the association of mitral regurgitation and aortic regurgitation (9.1%). CONCLUSION Rheumatic carditis was the most common manifestation of rheumatic fever, predominant in the group with a racial mixture of Caucasian and Indian (60.6%). Low compliance with antibiotic therapy contributed to the recurrence of the disease and to cardiac sequelae.
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Lemos S, Macário F, Pratas J, Figueiredo A, Bastos C, Mota A, Campos M. TACROLIMUS VERSUS CYCLOSPORINE: A STUDY ABOUT TWO IMMUNOSUPPRESSIVE REGIMENS. Transplantation 2004. [DOI: 10.1097/00007890-200407271-01959] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Affiliation(s)
- Roque Arias
- Federal University of Bahia, School of Medicine, Salvador, BA, Brazil
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Mota A, Figueiredo A, Macário F, Cunha FX, Freitas L, Parada B, Bastos C, Furtado L. Risk factors for chronic graft dysfunction in 918 renal transplants. Transplant Proc 2003; 35:1064-5. [PMID: 12947857 DOI: 10.1016/s0041-1345(03)00307-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Affiliation(s)
- A Mota
- Department of Urology and Transplantation, Coimbra University Hospital, 3049 Coimbra, Portugal
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Bastos M, Baptista C, Campos MV, Alves R, Freitas L, Bastos C, Leitão P, Lemos M, Mota A, Furtado L, Carvalheiro M. Kidney transplantation and diabetes: posttransplantation malignancy. Transplant Proc 2003; 35:1098-9. [PMID: 12947874 DOI: 10.1016/s0041-1345(03)00324-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Affiliation(s)
- M Bastos
- Departments of Endocrinologia and Diabetes, Hospitais da Universidade de Coimbra, Praceta Mota Pinto, 3000-075 Coimbra, Portugal
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Furtado L, Bastos C, Bastos M, Mota A, Roseiro A, Fagulha A, Paiva I, Rodrigues F, Gomes L, Carvalheiro M. [Pancreatic transplantation]. ACTA MEDICA PORT 1995; 8 Suppl 1:S41-5. [PMID: 7653305] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
Abstract
The AA. report on their very limited experience with whole pancreatic transplantation. For the moment this is the only experience in Portugal, the detailed report of the 3 cases may be of some help to other Portuguese groups interested in starting this therapeutical approach for insulin-dependent end-stage renal failure patients. The main comments focus on the third simultaneous pancreas-kidney transplantation, which failed for technical reasons, mainly related to less than good selection of both donor and recipient. In all the three cases the technique preferred was the duodenocystostomy. The 2 first cases are doing very well, free of insulin and with normal glucose metabolism, at 15 and 7 months after grafting. The AA. also make some considerations on the indications, complications and follow-up of patients with pancreas-kidney transplantation.
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Affiliation(s)
- L Furtado
- Serviço de Urologia e Transplantação, Hospitais da Universidade de Coimbra
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Petroianu A, Barquete J, Plentz EG, Bastos C, Maia DJ. Acute effects of alcohol ingestion on the human serum concentrations of calcium and magnesium. J Int Med Res 1991; 19:410-3. [PMID: 1748234 DOI: 10.1177/030006059101900508] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022] Open
Abstract
Alcohol has been shown to reduce serum calcium concentrations in several animal studies. In humans, using relatively low doses of alcohol, however, the results were inconclusive. In addition, the effect of alcohol consumption on serum magnesium concentrations is controversial. To elucidate the influence of alcohol ingestion on serum calcium and magnesium in humans 43 intoxicated patients and seven healthy volunteers who had not previously ingested alcohol were studied. There was an inversely related diminuition of serum calcium and magnesium concentrations with increasing serum alcohol. These effects of alcohol may play a role in the metabolic and clinical disorders observed in severely intoxicated people.
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Affiliation(s)
- A Petroianu
- Department of Surgery, Medical School, Federal University of Minas Gerais, Belo Horizonte, Brazil
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Perdigão C, Martins C, Andrade A, Bastos C, Monteiro J, Ribeiro C. [Clinical methods for evaluating infarct size and its anatomic correlations. Study carried out in 193 cases. III. Comparison of data on the evaluation of the infarct size using the QRS score and a method of maximal creatine kinase determination in the serum]. Rev Port Cardiol 1989; 8:705-8. [PMID: 2631818] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023] Open
Abstract
AIMS To compare two methods concerning the clinical evaluation of infarct size--one using a QRS score, the other based on peak Ck values--applied to the same population. CONCEPT AND PLACE OF THE STUDY: to determine--based on previously established correlations between a QRS score and the anatomic total infarct size on one hand, and between the peak CK values and the anatomic recent infarct size on the other hand--which myocardial infarction subgroup constitutes the best indication for each method. The study took place in a Coronary Care Unit of a Central Hospital. MATERIAL AND METHODS 193 patients who died successively of acute myocardial infarction through out 4 years were studied. After establishing the exclusion critéria, the QRS score was calculated according to the method of Selvester modified by Wagner, and peak CK values were evaluated. Infarct size, either recent or old, was determined by means of an anatomical method developed by the authors and based on Hackel's and Alonso's previous works. Correlations were established between data from each clinical method and those from the anatomical method. Several myocardial infarction subgroups were considered for comparison of the correlations found in each subset. RESULTS AND CONCLUSIONS As long as QRS score was regarded, significant correlations were found between the evaluation by QRS score and anatomical infarct size in the subgroups of patients with severe pump failure, prior myocardial infarction, or total loss of ventricular muscle mass of at least 20 percent; however, a significant correlation was missing when the whole myocardial infarction group was taken into consideration. When peak CK value were considered, a weak significant correlation was found between the evaluation by enzyme determination and anatomical infarct size in the whole group of patients, but a stronger correlation was present in the subgroups of patients with survival longer than 24 hours, anterior wall myocardial infarction, free wall cardiac rupture, or first acute myocardial infarction. In conclusion the choice of the method to be used in the clinical evaluation of infarct size should take into account the type of population beeing studied, and follow the results obtained in different myocardial infarction subgroups as mentioned above.
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Martins C, Perdigão C, Andrade A, Bastos C, Monteiro J, Ramalhinho V, Ribeiro C. [Clinical methods of evaluating infarct size and its anatomic correlations. Study carried out in 193 cases. I. Evaluation of infarct size using a QRS score. Electro-anatomic correlations]. Rev Port Cardiol 1988; 7:401-8. [PMID: 3273442] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/05/2023] Open
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