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  1. Article: A vida como um bem comum.

    Giuliano, Isabela

    Revista da Associacao Medica Brasileira (1992)

    2008  Volume 54, Issue 4, Page(s) 283

    Title translation Life as a common good.
    MeSH term(s) Adolescent ; Child ; Educational Status ; Female ; Humans ; Male ; Obesity/epidemiology ; Social Class ; Value of Life
    Language Portuguese
    Publishing date 2008-06-11
    Publishing country Brazil
    Document type Editorial
    ZDB-ID 731969-1
    ISSN 0104-4230 ; 0004-5241 ; 0102-843X
    ISSN 0104-4230 ; 0004-5241 ; 0102-843X
    DOI 10.1590/s0104-42302008000400001
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Brain abscess caused by Actinomyces turicensis in a non-immunocompromised adult patient: a case report and systematic review of the literature.

    Imeneo, Alessandra / Rindi, Lorenzo Vittorio / Di Lorenzo, Andrea / Cavasio, Rosario Alessandro / Vitale, Pietro / Spalliera, Ilaria / Dauri, Mario / Biasucci, Daniele Guerino / Giuliano, Ilaria / D'Agostini, Cartesio / Minelli, Silvia / Bossa, Maria Cristina / Altieri, Anna / Andreoni, Massimo / Malagnino, Vincenzo / Iannetta, Marco / Sarmati, Loredana

    BMC infectious diseases

    2024  Volume 24, Issue 1, Page(s) 109

    Abstract: Background: Actinomyces turicensis is rarely responsible of clinically relevant infections in human. Infection is often misdiagnosed as malignancy, tuberculosis, or nocardiosis, therefore delaying the correct identification and treatment. Here we report ...

    Abstract Background: Actinomyces turicensis is rarely responsible of clinically relevant infections in human. Infection is often misdiagnosed as malignancy, tuberculosis, or nocardiosis, therefore delaying the correct identification and treatment. Here we report a case of a 55-year-old immunocompetent adult with brain abscess caused by A. turicensis. A systematic review of A. turicensis infections was performed.
    Methods: A systematic review of the literature was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The databases MEDLINE, Embase, Web of Science, CINAHL, Clinicaltrials.gov and Canadian Agency for Drugs and Technology in Health (CADTH) were searched for all relevant literature.
    Results: Search identified 47 eligible records, for a total of 67 patients. A. turicensis infection was most frequently reported in the anogenital area (n = 21), causing acute bacterial skin and skin structure infections (ABSSSI) including Fournier's gangrene (n = 12), pulmonary infections (n = 8), gynecological infections (n = 6), cervicofacial district infections (n = 5), intrabdominal or breast infections (n = 8), urinary tract infections (n = 3), vertebral column infections (n = 2) central nervous system infections (n = 2), endocarditis (n = 1). Infections were mostly presenting as abscesses (n = 36), with or without concomitant bacteremia (n = 7). Fever and local signs of inflammation were present in over 60% of the cases. Treatment usually involved surgical drainage followed by antibiotic therapy (n = 51). Antimicrobial treatments most frequently included amoxicillin (+clavulanate), ampicillin/sulbactam, metronidazole or cephalosporins. Eighty-nine percent of the patients underwent a full recovery. Two fatal cases were reported.
    Conclusions: To the best of our knowledge, we hereby present the first case of a brain abscess caused by A. turicensis and P. mirabilis. Brain involvement by A. turicensis is rare and may result from hematogenous spread or by dissemination of a contiguous infection. The infection might be difficult to diagnose and therefore treatment may be delayed. Nevertheless, the pathogen is often readily treatable. Diagnosis of actinomycosis is challenging and requires prompt microbiological identification. Surgical excision and drainage and antibiotic treatment usually allow for full recovery.
    MeSH term(s) Adult ; Humans ; Middle Aged ; Actinomyces ; Actinomycosis/diagnosis ; Actinomycosis/drug therapy ; Anti-Bacterial Agents/therapeutic use ; Brain Abscess/diagnosis ; Brain Abscess/drug therapy ; Canada
    Chemical Substances Anti-Bacterial Agents
    Language English
    Publishing date 2024-01-20
    Publishing country England
    Document type Case Reports ; Systematic Review
    ZDB-ID 2041550-3
    ISSN 1471-2334 ; 1471-2334
    ISSN (online) 1471-2334
    ISSN 1471-2334
    DOI 10.1186/s12879-024-08995-w
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Spread of SARS-CoV-2 (COVID-19) in a High-Volume Hospital

    Marchetti, Aa / Andrea Ascoli, M / Ciattaglia, R / Dauri, M / Giuliano, I / Sarmati, L / Ippoliti, A

    Vascular Surgery Impact

    2020  

    Abstract: Increasing population rates of coronavirus disease 2019 (COVID-19) are occurring in several countries and continents. The impact regarding vascular activity, consequences and complication is scarce and makes the future perspective unclear. The aim of ... ...

    Abstract Increasing population rates of coronavirus disease 2019 (COVID-19) are occurring in several countries and continents. The impact regarding vascular activity, consequences and complication is scarce and makes the future perspective unclear. The aim of this report is to describe the changes in a high-volume University Hospital, relevant for future decisions. The mortality and morbidity should be higher not only in COVID+ patients but also in vascular patients.
    Keywords Coronavirus disease vascular patients vascular activity population rates future perspective unclear volume surgery ; Settore MED/22 ; covid19
    Language English
    Publishing date 2020-08-10
    Publishing country it
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  4. Article: Distribution of HDL–cholesterol and non-HDL–cholesterol in Brazilian children and adolescents – The Floripa study

    Giuliano, I / Freitas, S / Coutinho, M / Zunino, J / Caramelli, B / Berenson, G

    Nutrition, metabolism and cardiovascular diseases. 2011 Jan., v. 21, no. 1

    2011  

    Abstract: BACKGROUND AND AIMS: HDL–cholesterol (HDL–C) and non-HDL–cholesterol (nHDL–C) are involved in atherosclerosis. The aim of this study was to determine the distribution of HDL–C and nHDL–C and its association with cardiovascular and socio-cultural ... ...

    Abstract BACKGROUND AND AIMS: HDL–cholesterol (HDL–C) and non-HDL–cholesterol (nHDL–C) are involved in atherosclerosis. The aim of this study was to determine the distribution of HDL–C and nHDL–C and its association with cardiovascular and socio-cultural variables in a pediatric Brazilian sample. METHODS AND RESULTS: Children and adolescents from Florianopolis were randomly selected and a structured questionnaire was administered, a physical examination was performed and a blood sample was collected. Enzymatic and Direct methods in vitro were used to determine the total cholesterol and HDL–cholesterol levels. The associations among HDL–C and nHDL–C and the described variables were tested by odds ratio and logistic regression. A total of 1009 individuals were examined. Based on the Brazilian criteria, 23% were classified with low levels of HDL–C and 25% with high levels of non-HDL–C. After multivariate analysis there were significant associations among low HDL–C and high C-reactive protein (OR, 3.3; 95% CI, 2.1–5.2), paternal tobacco use (OR, 1.5; 95% CI,1.1–2.1), and high triceps-to-subscapular index (OR, 1.5; 95% CI, 1.1–2.2). There were also significant associations among high nHDL–C and high waist circumference (OR, 1.95; 95% CI, 1.16–3.29), black skin color (OR, 1.78; 95% CI, 1.06–3.06), and high income (OR, 1.48; 95% CI, 1.09–2.02). CONCLUSIONS: In this sample, low levels of HDL–C were associated with other clinical variables such as a centripetal fat pattern and C-reactive protein, and n-HDL–C was associated with abdominal obesity, skin color and economic class.
    Keywords C-reactive protein ; adolescents ; atherosclerosis ; blood ; children ; clinical examination ; color ; high density lipoprotein cholesterol ; income ; multivariate analysis ; obesity ; odds ratio ; questionnaires ; regression analysis ; tobacco use ; waist circumference
    Language English
    Dates of publication 2011-01
    Size p. 33-38.
    Publishing place Elsevier B.V.
    Document type Article
    ZDB-ID 1067704-5
    ISSN 0939-4753
    ISSN 0939-4753
    DOI 10.1016/j.numecd.2009.08.002
    Database NAL-Catalogue (AGRICOLA)

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  5. Article ; Online: Distribution of HDL-cholesterol and non-HDL-cholesterol in Brazilian children and adolescents--the Floripa study.

    Giuliano, I / Freitas, S / Coutinho, M / Zunino, J / Caramelli, B / Berenson, G

    Nutrition, metabolism, and cardiovascular diseases : NMCD

    2011  Volume 21, Issue 1, Page(s) 33–38

    Abstract: Background and aims: HDL-cholesterol (HDL-C) and non-HDL-cholesterol (nHDL-C) are involved in atherosclerosis. The aim of this study was to determine the distribution of HDL-C and nHDL-C and its association with cardiovascular and socio-cultural ... ...

    Abstract Background and aims: HDL-cholesterol (HDL-C) and non-HDL-cholesterol (nHDL-C) are involved in atherosclerosis. The aim of this study was to determine the distribution of HDL-C and nHDL-C and its association with cardiovascular and socio-cultural variables in a pediatric Brazilian sample.
    Methods and results: Children and adolescents from Florianopolis were randomly selected and a structured questionnaire was administered, a physical examination was performed and a blood sample was collected. Enzymatic and Direct methods in vitro were used to determine the total cholesterol and HDL-cholesterol levels. The associations among HDL-C and nHDL-C and the described variables were tested by odds ratio and logistic regression. A total of 1009 individuals were examined. Based on the Brazilian criteria, 23% were classified with low levels of HDL-C and 25% with high levels of non-HDL-C. After multivariate analysis there were significant associations among low HDL-C and high C-reactive protein (OR, 3.3; 95% CI, 2.1-5.2), paternal tobacco use (OR, 1.5; 95% CI,1.1-2.1), and high triceps-to-subscapular index (OR, 1.5; 95% CI, 1.1-2.2). There were also significant associations among high nHDL-C and high waist circumference (OR, 1.95; 95% CI, 1.16-3.29), black skin color (OR, 1.78; 95% CI, 1.06-3.06), and high income (OR, 1.48; 95% CI, 1.09-2.02).
    Conclusions: In this sample, low levels of HDL-C were associated with other clinical variables such as a centripetal fat pattern and C-reactive protein, and n-HDL-C was associated with abdominal obesity, skin color and economic class.
    MeSH term(s) Adolescent ; African Continental Ancestry Group ; Age Factors ; Atherosclerosis/epidemiology ; Blood Pressure/physiology ; Body Height/physiology ; Body Weight/physiology ; Brazil/epidemiology ; Child ; Cholesterol/blood ; Cholesterol, HDL/blood ; Culture ; Ethnic Groups ; Female ; Humans ; Logistic Models ; Male ; Models, Statistical ; Odds Ratio ; Risk Factors ; Surveys and Questionnaires
    Chemical Substances Cholesterol, HDL ; Cholesterol (97C5T2UQ7J)
    Language English
    Publishing date 2011-01
    Publishing country Netherlands
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1067704-5
    ISSN 1590-3729 ; 0939-4753
    ISSN (online) 1590-3729
    ISSN 0939-4753
    DOI 10.1016/j.numecd.2009.08.002
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: O tabaco e a infância.

    Giuliano, Isabela / Hauff, Senen

    Revista da Associacao Medica Brasileira (1992)

    2007  Volume 53, Issue 1, Page(s) 1–2

    Title translation Tobacco and childhood .
    MeSH term(s) Adolescent ; Adolescent Behavior/psychology ; Adult ; Attitude of Health Personnel ; Child ; Child Behavior/psychology ; Humans ; Persuasive Communication ; Smoking/psychology ; Smoking Prevention ; Nicotiana ; Tobacco Industry
    Language Portuguese
    Publishing date 2007-04-11
    Publishing country Brazil
    Document type Editorial
    ZDB-ID 731969-1
    ISSN 0104-4230 ; 0004-5241 ; 0102-843X
    ISSN 0104-4230 ; 0004-5241 ; 0102-843X
    DOI 10.1590/s0104-42302007000100001
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Adolescentes do mundo todo: mexam-se!!!

    Caramelli, Bruno / Giuliano, Isabela

    Jornal de pediatria

    2005  Volume 81, Issue 6, Page(s) 427–428

    Title translation Adolescents of the world: move!!!.
    MeSH term(s) Adolescent ; Cardiovascular Diseases/etiology ; Cardiovascular Diseases/prevention & control ; Child ; Humans ; Iran ; Risk Factors
    Language Portuguese
    Publishing date 2005-11-30
    Publishing country Brazil
    Document type Comment ; Editorial
    ZDB-ID 731324-x
    ISSN 1678-4782 ; 0021-7557
    ISSN (online) 1678-4782
    ISSN 0021-7557
    DOI 10.2223/JPED.1412
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Does the use of structured reporting improve usability? A comparative evaluation of the usability of two approaches for findings reporting in a large-scale telecardiology context.

    Lacerda, Thaisa Cardoso / von Wangenheim, Christiane Gresse / von Wangenheim, Aldo / Giuliano, Isabela

    Journal of biomedical informatics

    2014  Volume 52, Page(s) 222–230

    Abstract: One of the main reasons that leads to a low adoption rate of telemedicine systems is poor usability. An aspect that influences usability during the reporting of findings is the input mode, e.g., if a free-text (FT) or a structured report (SR) interface ... ...

    Abstract One of the main reasons that leads to a low adoption rate of telemedicine systems is poor usability. An aspect that influences usability during the reporting of findings is the input mode, e.g., if a free-text (FT) or a structured report (SR) interface is employed. The objective of our study is to compare the usability of FT and ST telemedicine systems, specifically in terms of user satisfaction, efficiency and general usability. We comparatively evaluate the usability of these two input modes in a telecardiology system for issuing electrocardiography reports in the context of a statewide telemedicine system in Brazil with more than 350.000 performed tele-electrocardiography examinations. We adopted a multiple method research strategy, applying three different kinds of usability evaluations: user satisfaction was evaluated through interviews with seven medical professionals using the System Usability Scale (SUS) questionnaire and specific questions related to adequacy and user experience. Efficiency was evaluated by estimating execution time using the Keystroke-Level Model (KLM). General usability was assessed based on the conformity of the systems to a set of e-health specific usability heuristics. The results of this comparison provide a first indication that a structured report (SR) input mode for such a system is more satisfactory and efficient with a larger conformity to usability heuristics than free-text (FT) input. User satisfaction using the SUS questionnaire has been scored in average with 58.8 and 77.5 points for the FT and SR system, respectively, which means that the SR system was rated 18.65 points higher than the FT system. In terms of efficiency, the completion of a findings report using the SR mode is estimated to take 8.5s, 3.74 times faster than using the FT system (31.8s). The SR system also demonstrated less violations to usability heuristics (8 points) in comparison to 14 points observed in the FT system. These results provide a first indication that the usage of structured reporting as an input mode in telecardiology systems may enhance usability. This also seems to confirm the advantages of the usage of structured reporting, as already described in the literature for other areas such as teleradiology.
    MeSH term(s) Efficiency ; Evaluation Studies as Topic ; Health Personnel/psychology ; Health Personnel/statistics & numerical data ; Humans ; Models, Theoretical ; Telemedicine ; User-Computer Interface
    Language English
    Publishing date 2014-12
    Publishing country United States
    Document type Comparative Study ; Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2057141-0
    ISSN 1532-0480 ; 1532-0464
    ISSN (online) 1532-0480
    ISSN 1532-0464
    DOI 10.1016/j.jbi.2014.07.002
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article: Associated techniques for the tracheal intubation.

    Agrò, F / Cataldo, R / Giuliano, I

    Resuscitation

    2000  Volume 47, Issue 3, Page(s) 343–345

    MeSH term(s) Humans ; Intubation, Intratracheal/instrumentation ; Intubation, Intratracheal/methods ; Laryngoscopes ; Laryngoscopy/methods ; Magnetics/instrumentation ; Magnetics/therapeutic use
    Language English
    Publishing date 2000-11
    Publishing country Ireland
    Document type Journal Article ; Review
    ZDB-ID 189901-6
    ISSN 1873-1570 ; 0300-9572
    ISSN (online) 1873-1570
    ISSN 0300-9572
    DOI 10.1016/s0300-9572(00)00326-9
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Children First Study: how an educational program in cardiovascular prevention at school can improve parents' cardiovascular risk.

    Fornari, Luciana S / Giuliano, Isabela / Azevedo, Fernanda / Pastana, Adriana / Vieira, Carolina / Caramelli, Bruno

    European journal of preventive cardiology

    2013  Volume 20, Issue 2, Page(s) 301–309

    Abstract: Aim: To evaluate whether a multidisciplinary educational program (EP) in cardiovascular prevention (CVP) for children could improve the Framingham cardiovascular risk (FCR) of their parents after one year.: Methods and results: This was a prospective ...

    Abstract Aim: To evaluate whether a multidisciplinary educational program (EP) in cardiovascular prevention (CVP) for children could improve the Framingham cardiovascular risk (FCR) of their parents after one year.
    Methods and results: This was a prospective community-based study in Brazil during 2010 that randomized students aged 6 to 10 years old to two different approaches to receiving healthy lifestyle information. The control group received written educational material (EM) for their parents about healthy lifestyle. The intervention group received the same EM for parents, and children were exposed to a weekly EP in CVP with a multidisciplinary health team. At onset and end of the study, we collected data from parents and children (weight, height, arterial blood pressure, and laboratory tests). We studied 197 children and 323 parents. Analyzing the parents' FCR we found that 9.3% of the control group and 6.8% of the intervention group had more than a 10% year risk of cardiovascular heart disease (CHD) over the next 10 years. After the children's EP for the year, the intervention group had a reduction of 91% in the intermediate/high FCR group compared with a 13% reduction in the control group, p = 0.002). In the same way, analyzing the FCR of all parents, there was a reduction of the average risk in the intervention group (3.6% to 2.8% respectively, p < 0.001) compared with the control group (4.4% to 4.4%, p = 0.98).
    Conclusion: An educational program in cardiovascular prevention directed at school-age children can reduce the FCR risk of their parents, especially in the intermediate/high risk categories.
    MeSH term(s) Adult ; Analysis of Variance ; Arterial Pressure ; Biomarkers/blood ; Body Weight ; Brazil/epidemiology ; Cardiovascular Diseases/blood ; Cardiovascular Diseases/diagnosis ; Cardiovascular Diseases/epidemiology ; Cardiovascular Diseases/physiopathology ; Cardiovascular Diseases/prevention & control ; Chi-Square Distribution ; Child ; Child Behavior ; Diet/adverse effects ; Exercise ; Female ; Health Behavior ; Health Education ; Health Knowledge, Attitudes, Practice ; Humans ; Male ; Middle Aged ; Pamphlets ; Parent-Child Relations ; Patient Care Team ; Primary Prevention/methods ; Prospective Studies ; Risk Assessment ; Risk Factors ; Risk Reduction Behavior ; Smoking Cessation
    Chemical Substances Biomarkers
    Language English
    Publishing date 2013-04
    Publishing country England
    Document type Journal Article ; Randomized Controlled Trial ; Research Support, Non-U.S. Gov't
    ZDB-ID 2626011-6
    ISSN 2047-4881 ; 2047-4873
    ISSN (online) 2047-4881
    ISSN 2047-4873
    DOI 10.1177/2047487312437617
    Database MEDical Literature Analysis and Retrieval System OnLINE

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