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  1. Article ; Online: Alcohol abuse in older adults with type 2 diabetes mellitus in primary health care: a cross-sectional study.

    Oliveira, Rinaldo Eduardo Machado de / Consoli, Lívia Maria Ferrante Vizzotto / Godoy, Anelize Roveri Arcanjo / Franco, Laercio Joel

    Ciencia & saude coletiva

    2023  Volume 28, Issue 8, Page(s) 2355–2362

    Abstract: This cross-sectional study aimed to analyze alcohol abuse in older adults with type 2 diabetes mellitus in primary health care. Household data were collected from March to October 2018 in the Family Health Strategy in Ribeirão Preto, São Paulo through ... ...

    Title translation Consumo abusivo de álcool em idosos com diabetes mellitus tipo 2 da atenção primária à saúde: um estudo transversal.
    Abstract This cross-sectional study aimed to analyze alcohol abuse in older adults with type 2 diabetes mellitus in primary health care. Household data were collected from March to October 2018 in the Family Health Strategy in Ribeirão Preto, São Paulo through face-to-face interviews with a form application. The pattern of alcohol consumption was estimated with the Alcohol Use Disorders Identification Test-C. A total of 338 older adults with type 2 diabetes mellitus participated, and 19.2% (95%CI 15.0-23.4) engaged in alcohol abuse. Among them, we observed a higher frequency of males (63.1%), aged 60 to 64 years (35.4%), economic class C (49.2%), 1-4 schooling years (53.8%), and multimorbidity (92.3%). There was a negative association between alcohol abuse and drug therapy adherence (PR = 0.55; 95%CI 0.36-0.86). The frequency of alcohol abuse and non-adherence to drug treatment among those with a high consumption pattern is troubling since it can lead to diabetes complications. Therefore, we underscore the importance of multidimensional elderly care and health education in primary care.
    MeSH term(s) Aged ; Humans ; Male ; Alcoholism/epidemiology ; Brazil/epidemiology ; Cross-Sectional Studies ; Diabetes Mellitus ; Diabetes Mellitus, Type 2/epidemiology ; Primary Health Care ; Socioeconomic Factors ; Middle Aged ; Female
    Language English
    Publishing date 2023-05-03
    Publishing country Brazil
    Document type Journal Article
    ZDB-ID 2078799-6
    ISSN 1678-4561 ; 1678-4561
    ISSN (online) 1678-4561
    ISSN 1678-4561
    DOI 10.1590/1413-81232023288.06492023
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Cardiac angiosarcoma

    Daniele Trombetti / Calogera Pisano / Maria Ferrante / Laura Asta / Claudia Altieri / Paolo Nardi / Dario Buioni / Giovanni Ruvolo

    Polish Journal of Thoracic and Cardiovascular Surgery, Vol 20, Iss 1, Pp 53-

    a formidable challenge

    2023  Volume 56

    Keywords Surgery ; RD1-811 ; Internal medicine ; RC31-1245
    Language English
    Publishing date 2023-04-01T00:00:00Z
    Publisher Termedia Publishing House
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article ; Online: Treating Mitroflow dysfunction by means of an open valve-in-valve Perceval implantation

    Daniele Trombetti / Calogera Pisano / Claudia Altieri / Paolo Nardi / Sabrina Maria Ferrante / Laura Asta / Dario Buioni / Giovanni Ruvolo

    Polish Journal of Thoracic and Cardiovascular Surgery, Vol 20, Iss 1, Pp 65-

    2023  Volume 66

    Keywords Surgery ; RD1-811 ; Internal medicine ; RC31-1245
    Language English
    Publishing date 2023-04-01T00:00:00Z
    Publisher Termedia Publishing House
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  4. Article ; Online: The effects of DeBakey type acute aortic dissection and preoperative peripheral and cardiac malperfusion on the outcomes after surgical repair

    Paolo Nardi / Carlo Bassano / Calogera Pisano / Claudia Altieri / Maria Ferrante / Monica Greci / Dario Buioni / Fabio Bertoldo / Andrea Farinaccio / Giovanni Ruvolo

    Polish Journal of Thoracic and Cardiovascular Surgery, Vol 18, Iss 1, Pp 1-

    2021  Volume 7

    Keywords type i ; ii aortic dissection ; malperfusion ; Surgery ; RD1-811 ; Internal medicine ; RC31-1245
    Language English
    Publishing date 2021-05-01T00:00:00Z
    Publisher Termedia Publishing House
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  5. Article ; Online: Liver Surgical Anatomy

    Rubén Algieri / María Ferrante / Maria Bernadou / Juan Ugartemendía / Carolina Brofman

    International Journal of Medical and Surgical Sciences, Vol 3, Iss 1, Pp 753-

    Vascular Control and Mobilization

    2016  Volume 758

    Abstract: A successful surgery cannot be done without adequate knowledge of the surgical anatomy, especially in liver trauma, where anatomical knowledge plays a key role when it comes to making quick decisions that will allow saving the life of patients with this ... ...

    Abstract A successful surgery cannot be done without adequate knowledge of the surgical anatomy, especially in liver trauma, where anatomical knowledge plays a key role when it comes to making quick decisions that will allow saving the life of patients with this pathology in the emergency. Assess liver anatomical knowledge and related structures for conducting emergency surgical approaches mobilization maneuvers and vascular control. A 3-year training program for vascular control maneuvers and liver mobilization, for 11 surgical residents during their second, third and fourth year, while 3 fresh corpses and 20 formolized at 10 % corpses were used. Different maneuvers of liver mobilization and vascular control were performed from the second year onward for three consecutive years. A decrease of 57 % was observed in the time of realization of the maneuvers and recognition of structures in second year residents who conducted this test for three consecutive years, and a decrease of 38 % in second and third year residents who performed it for two consecutive years with similar results. Anatomical knowledge in stage training improves the surgical approach to trauma patients, decreasing the time of realization of the maneuvers and the risk of complications.
    Keywords liver ; anatomy ; trauma ; control ; mobilization ; Medicine (General) ; R5-920 ; Surgery ; RD1-811
    Subject code 629
    Language English
    Publishing date 2016-03-01T00:00:00Z
    Publisher Universidad Autonoma de Chile
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  6. Article ; Online: Using Ultrasonography and Doppler Application for Evaluating Vascular Axes and Prevention of Compartmental Syndrome

    Rubén Algieri / Juan Fernández / María Ferrante / Paulo Paglilla / Nicolás Ahualli

    International Journal of Medical and Surgical Sciences, Vol 3, Iss 4, Pp 981-

    2016  Volume 989

    Abstract: Ultrasonography is with adequate training, a fast and effective evaluation method in emergency departments. Peripheral vascular injury is frequent in trauma and should have a rapid diagnosis and treatment, as risks include: open sores, bleeding; closed ... ...

    Abstract Ultrasonography is with adequate training, a fast and effective evaluation method in emergency departments. Peripheral vascular injury is frequent in trauma and should have a rapid diagnosis and treatment, as risks include: open sores, bleeding; closed injuries and compartmental syndrome. Prompt evaluation of the integrity in the vascular tree becomes important in preventing events that require surgical intervention (repair and / or fasciotomy). The aim of this work is to demonstrate the usefulness of knowledge of peripheral vascular tree, ultrasound evaluation and Doppler for peripheral vascular trauma management, using checklists for the systematic evaluation of the vasculature. Systematic evaluations were realized in 10 general surgery residents. Initially, using inanimate and animate models which were then evaluated in trauma situations. Divided into periods (February / April 2016 – May/August 2016). The findings with previous criteria made the verification list and subsequent connection with the development of compartment syndrome that were established by correlation. Evaluation animated models: 1st assessment: Recognition of structures>60 % =6 residents. > 80 % =4 residents. The 2nd assessment: Recognition of structures > 60 % = 3 residents. > 80 % = 7 residents. In the care of multiple trauma: recognition structures > 60% =3 residents. >80 % =7 residents. Patients at risk for compartmental syndrome (n=77) =11 (14.78 %). Resolution: Vascular Lesion 1 (1.3 %) compartmental syndrome: 1 (1.3 %) with surgical resolution. The use of ultrasonography and Doppler for peripheral vascular evaluation is useful for early recognition of risk from developing a single vascular lesion, to compartmental syndrome. The use of the checklists during simulation for the generation of criteria is useful in the training of surgical residents.
    Keywords ultrasound ; doppler ; compartmental syndrome ; emergency ; Medicine (General) ; R5-920 ; Surgery ; RD1-811
    Subject code 710
    Language English
    Publishing date 2016-12-01T00:00:00Z
    Publisher Universidad Autonoma de Chile
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  7. Article ; Online: Palmar Arch

    Agustín Algieri / Rubén Algieri / Homero Bianchi / María Ferrante / Carolina Brofman

    International Journal of Medical and Surgical Sciences, Vol 3, Iss 3, Pp 951-

    Anatomical And Surgical Correlation in Trauma

    2016  Volume 958

    Abstract: The irrigation of the palm is provided by arterial arches (shallow and deep) that are made more frequently by the ulnar or radial arteries described as setting a classic pattern. Anatomical variations are described in shaping both arches, most often in ... ...

    Abstract The irrigation of the palm is provided by arterial arches (shallow and deep) that are made more frequently by the ulnar or radial arteries described as setting a classic pattern. Anatomical variations are described in shaping both arches, most often in the superficial palmar arch; may be the same complete or incomplete. The objective of this work is the anatomical description of the palmar arches, their different patterns and variations in conformation, and their clinical and surgical implications. A descriptive, observational and morphometric study of the arteries involved in the formation of the palmar arches was done in the Faculty of Medicine, University of Buenos Aires. One hundred1(00) cadaveric preparations fixed in formalin solution, of the Third Chair of Anatomy were used. A retrospective analysis of cases with lesions / s artery / main / s that make the palmar arches in the Emergency Hospital of Moron, between 2015-2016 s was also carried out. Most frequently the radial artery forms the deep palmar arch with the deep palmar branch of the ulnar artery. Superficial palmar arch is the most variable. It was complete in 56 % and the most common presentation (83 %) is one that is formed by the anastomosis of the ulnar artery and the superficial palmar branch of the radial artery. The rest of the anastomosis are between ulnar artery and median artery (9%), between deep branch of radial artery and ulnar artery (5 %); triple anastomosis between ulnar artery, median artery and superficial palmar branch of the radial artery (2 %), and anastomosis between the median artery and superficial palmar branch of the radial artery without participation of the ulnar artery (1 %). The rest of the sample (44 %) can be termed as incomplete. The B1a and B1b subtypes were the most found. Two cases, one entire section of the radial artery at the wrist and the other with complete section of ulnar artery with involvement of the ulnar nerve are described. It is essential to a proper understanding of the palmar arches for a suitable surgical approach to hand. The importance of the presence or absence, as well as different variations of palmar arterial arch lies in its clinical application as surgical starting point in the treatment of trauma and other diseases in which there is engagement of arteries.
    Keywords irrigation hand ; anatomic variations of palmar arches ; superficial palmar arch ; deep palmar arch ; Medicine (General) ; R5-920 ; Surgery ; RD1-811
    Subject code 720
    Language English
    Publishing date 2016-09-01T00:00:00Z
    Publisher Universidad Autonoma de Chile
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  8. Article ; Online: Ultrasonography as a Tool for Identifying the Correct Placement of the Endotracheal Tube

    Rubén Algieri / María Ferrante / Miguel Duarte / Guillermo Bodner / Juan Fernández

    International Journal of Medical and Surgical Sciences, Vol 1, Iss 4, Pp 331-

    2014  Volume 338

    Abstract: The ultrasound is a noninvasive diagnostic method and gained increasing importance in the plane of the emergency. Their usefulness for the recognition of anatomical structures and detection of a difficult airway. This method increases the quality of care ...

    Abstract The ultrasound is a noninvasive diagnostic method and gained increasing importance in the plane of the emergency. Their usefulness for the recognition of anatomical structures and detection of a difficult airway. This method increases the quality of care in the emergency room. The objective of the study was to evaluate the ultrasound' training for the identification of normal and variation in the anatomic airway, and their usefulness during tracheal intubation. There were two periods of training. First period: 2013-February/2013 July, learning of normal human anatomy in cadaveric material corpses (in formaldehyde 10%) and the identification of normal anatomic structures. Training in the use of ultrasound (transdutor 7.5 MHz). Second period: August/2013- December/2013, case of patients that requiring emergency intubation were analyzed in which airway ultrasound were performed. The anatomo-clinical-surgical / ultrasonographic correlation was analyzed during placement of the endotracheal tube and its identification in the airway. Two hundred twenty ultrasound examinations were performed during tracheal intubation. 134 (60.91%) were made during surgery, 110 (82.09%) were programmed surgery and 24 (17.91%) emergency surgery; and 86 (39.09%) required intubation in shock room. Two groups were classified: Group 1: surgically treated patients (Group A: programed surgery: 104 (94.54%) correctly identified intubation, and in 6 (5.46%) esophageal intubation was detected, and Group B emergency surgery: in 23 (95.83%) correct placement was identified and 1 (4.17%) was esophageal intubation. Group 2: patients intubated in the shock room: 80 (93.03%) were correctly intubated and, 6 (6.97%) had esophageal intubation. In all groups, esophageal intubation was detected only in 13 patients (5.91%), using ultrasound during the procedure. The use of ultrasound for the recognition of the airway, is useful to favor the correct intubation and management of difficult airway. The ultrasound training and anatomo - clinical- surgical application is critical because it would improve the quality of care and decreasing the risk of adverse events.
    Keywords ultrasonography ; ultrasound ; endotracheal tube ; airway ; tracheal intubation ; Medicine (General) ; R5-920 ; Surgery ; RD1-811
    Subject code 610
    Language English
    Publishing date 2014-12-01T00:00:00Z
    Publisher Universidad Autonoma de Chile
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  9. Article ; Online: Anatomy of the Anterolateral Abdominal Wall Ultrasonographic Assessment and its Application as a Guide in Nerve Blocks

    Rubén Algieri / María Ferrante / Juan Fernández / Juan Ugartemendia / Maria Bernadou

    International Journal of Medical and Surgical Sciences, Vol 1, Iss 3, Pp 205-

    2014  Volume 212

    Abstract: The transversus abdominis plane (TAP) is the anatomical space between the internal oblique and transversus extends throughout the abdominal wall ending in the aponeurosis of rectus muscles. Anesthetic block of this plane has proven useful in reducing ... ...

    Abstract The transversus abdominis plane (TAP) is the anatomical space between the internal oblique and transversus extends throughout the abdominal wall ending in the aponeurosis of rectus muscles. Anesthetic block of this plane has proven useful in reducing pain and analgesic requirements in abdominal wall surgery. The identification of anatomical structures by ultrasound images simplifies the procedure by correctly and safely blocking innervation of the abdominal wall with the use of local anesthetics. The aim of this study was to highlight the importance of anatomical knowledge, and correlation of anatomical-clinical-surgical and ultrasound information in the interpretation of images obtained by ultrasonography. Further, to evaluate the effects of nerve block of the anterolateral abdominal wall by echo-guided puncture in reference to the need for postoperative analgesia in abdominal surgery. During the period January / 2012 to June / 2013, we conducted training for surgeons through practical observation of normal anatomy on cadavers, ultrasound and observation of the anterolateral abdominal wall with portable ultrasound and 7 MHz linear transducer in patients with, and without known pathology, and then interpreted and compared these for a period of 6 months. Puncture sites for blocking nerve plexus were identified and located by ultrasonography. Following training we considered patients with comorbid conditions that were surgically treated. We included 60 patients underwent surgery for abdominal wall pathology. They were classified considering surgery performed: 14 (23.34) umbilical hernioplasties, 33 (55%) inguinal hernioplasties, 6 (10%), epigastric hernioplasties, 4 (6.66%) femoral hernioplasties and 3 (5%) other hernias. We were able to identify anatomical structures and nerve block in 30 (90.91%) patients underwent surgery for inguinal hernias and 3 (75%) femoral hernioplasties. In the remaining patients block could not be performed due to physical characteristics and when ultrasound equipment was not available: 1 (25%) with femoral hernia and in 3 (9.09%) inguinal hernias. No post-puncture complications were detected. A reduced need for analgesics was observed in all patients during the immediate and midrange post-operative period. Thorough knowledge of anatomical structures and nerve endings, as well as the use of this complementary approach, significantly improve the management of postoperative pain and reduce the need for analgesics. Training in ultrasound and surgical anatomical-clinical correlation to identify these structures should be considered to improve the quality of care in patients with abdominal surgical pathologies.
    Keywords abdominal wall ; anatomy ; ultrasonographic ; anesthetic block ; Medicine (General) ; R5-920 ; Surgery ; RD1-811
    Subject code 610
    Language English
    Publishing date 2014-09-01T00:00:00Z
    Publisher Universidad Autonoma de Chile
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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