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Article ; Online: ACERTO PROJECT: IMPACT ON ASSISTANCE OF A PUBLIC EMERGENCY HOSPITAL.

Sampaio, Mauricio Adam Feitosa / Sampaio, Simone Losekann Pereira / Leal, Plinio da Cunha / Moura, Ed Carlos Rey / Alvares, Lívia Goreth Galvão Serejo / DE-Oliveira, Caio Marcio Barros / Torres, Orlando Jorge Martins / Martins, Marília da Glória

Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery

2021 Volume 33, Issue 3, Page(s) e1544

Abstract: Background: In Brazil, the goal-based approach was named Project ACERTO and has obtained good results when applied in elective surgeries with shorter hospitalization time, earlier return to activities without increased morbidity and mortality.: Aim: ... ...

Abstract	Background: In Brazil, the goal-based approach was named Project ACERTO and has obtained good results when applied in elective surgeries with shorter hospitalization time, earlier return to activities without increased morbidity and mortality. Aim: To analyze the impact of ACERTO on emergency surgery care. Methods: An intervention study was performed at a trauma hospital. Were compared 452 patients undergoing emergency surgery and followed up by the general surgery service from October to December 2018 (pre-ACERTO, n=243) and from March to June 2019 (post-ACERTO, n=209). Dietary reintroduction, volume of infused postoperative venous hydration, duration of use of catheters, probes and drains, postoperative analgesia, prevention of postoperative vomiting, early mobilization and physiotherapy were evaluated. Results: After the ACERTO implantation there was earlier reintroduction of the diet, the earlier optimal caloric intake, earlier venous hydration withdrawal, higher postoperative analgesia prescription, postoperative vomiting prophylaxis and higher physiotherapy and mobilization prescription were achieved early in all (p<0.01); in the multivariate analysis there was no change in the complication rates observed before and after ACERTO (10.7% vs. 7.7% (p=0.268) and there was a decrease in the length of hospitalization after ACERTO (8,5 vs. 6,1 dias (p=0.008). Conclusion: The implementation of the ACERTO project decreased the length of hospital stay, improved medical care provided without increasing the rates of complications evaluated.
MeSH term(s)	Adult ; Aged ; Aged, 80 and over ; Brazil ; Clinical Protocols ; Elective Surgical Procedures/statistics & numerical data ; Emergency Service, Hospital/statistics & numerical data ; Female ; Hospitals, Public ; Humans ; Length of Stay/statistics & numerical data ; Male ; Middle Aged ; Patient Discharge/statistics & numerical data ; Postoperative Complications/epidemiology ; Postoperative Complications/prevention & control ; Recovery of Function ; Surgical Procedures, Operative/standards ; Time Factors ; Treatment Outcome ; Young Adult
Language	Portuguese
Publishing date	2021-01-15
Publishing country	Brazil
Document type	Journal Article
ISSN	2317-6326
ISSN (online)	2317-6326
DOI	10.1590/0102-672020200003e1544
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Article ; Online: Terapia Antibiótica na Prevenção do Parto Pré-Termo

Martins Marília da Glória

Revista Brasileira de Ginecologia e Obstetrícia, Vol 24, Iss 5, Pp 350-

Estudo Prospectivo Aleatório e Duplo-Cego

2002 Volume 350

Keywords	Gynecology and obstetrics ; RG1-991 ; Medicine ; R ; DOAJ:Gynecology and Obstetrics ; DOAJ:Medicine (General) ; DOAJ:Health Sciences
Language	Portuguese
Publishing date	2002-01-01T00:00:00Z
Publisher	Federação Brasileira das Sociedades de Ginecologia e Obste
Document type	Article ; Online
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Article: Prenatal diagnosis and postnatal findings of bronchogenic cyst.

Rios, Livia Teresa Moreira / Araujo Júnior, Edward / Nardozza, Luciano Marcondes Machado / Moron, Antonio Fernandes / Martins, Marília da Glória

Case reports in pulmonology

2013 Volume 2013, Page(s) 483864

Abstract: Bronchogenic cysts arise from abnormal buds from the primitive esophagus and tracheobronchial tree, which do not extend to the site where alveolar differentiation occurs. Bronchogenic cysts are typically unilocular mucus field lesions arising from ... ...

Abstract	Bronchogenic cysts arise from abnormal buds from the primitive esophagus and tracheobronchial tree, which do not extend to the site where alveolar differentiation occurs. Bronchogenic cysts are typically unilocular mucus field lesions arising from posterior membranous wall of the air way. The prenatal diagnosis usually is realized by two-dimensional ultrasound showing the large unilocular cystic image in the chest fetus. The prenatal percutaneous aspiration can reduce the risk of heart compression and permit better respiratory conditions to newborn. We present a case of a primiparous pregnant 23 year-old-woman prenatal ultrasound showed a large unilocular cyst in the left hemithorax with compression of the normal left lung tissue and contralateral mediastinal shift. This cyst was percutaneously aspirated without subsequent reaccumulation of fluid. The newborn did not have respiratory distress and the computed tomography scan confirmed the finding of a fluid-filled cyst in the left chest. The chest X-ray showed the displacement of the heart and the mediastinum from the left to the right. The prenatal diagnosis of bronchogenic cyst is very important to assess the degree of the compression of the normal lung and the mediastinum shift. Furthermore, the prenatal diagnosis permits planning delivery in the tertiary hospital with multidisciplinary team because of the risk of respiratory distress.
Language	English
Publishing date	2013-05-23
Publishing country	United States
Document type	Journal Article
ZDB-ID	2666707-1
ISSN	2090-6854 ; 2090-6846
ISSN (online)	2090-6854
ISSN	2090-6846
DOI	10.1155/2013/483864
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Article ; Online: Inadequação do conteúdo da assistência pré-natal e fatores associados em uma coorte no nordeste brasileiro.

Goudard, Marivanda Julia Furtado / Simões, Vanda Maria Ferreira / Batista, Rosângela Fernandes Lucena / Queiroz, Rejane Christine de Souza / Alves, Maria Tereza Seabra Soares de Brito E / Coimbra, Liberata Campos / Martins, Marília da Glória / Barbieri, Marco Antônio / Nathasje, Ian Favero

Ciencia & saude coletiva

2016 Volume 21, Issue 4, Page(s) 1227–1238

Abstract: The scope of this study was to analyze the content of prenatal care in São Luís, Maranhão, Brazil, and the factors associated with its inadequacy. A cross-sectional study was conducted based on data from the birth cohort of São Luís in 2010. The content ... ...

Title translation	Inadequacy of the content of prenatal care and associated factors in a cohort in the northeast of Brazil.
Abstract	The scope of this study was to analyze the content of prenatal care in São Luís, Maranhão, Brazil, and the factors associated with its inadequacy. A cross-sectional study was conducted based on data from the birth cohort of São Luís in 2010. The content of prenatal care was defined as inadequate when it did not meet the criteria of the Program for Humanization of Prenatal and Delivery Care, which establishes early initiation of prenatal care, minimum number of medical consultations, basic laboratory tests, tetanus vaccination and obstetric procedures. Poisson regression was used to observe associations of the variables with the outcome. The inadequacy rate was high (60.2%). The variables associated with inadequacy were: class C socioeconomic status (PR = 1.39; CI = 1.26-1.55); class D/E socioeconomic status (PR = 1.60; CI = 1.43-1.79); unqualified/unemployed mother (PR = 1.24; CI = 1.11-1.37); 5-8 years of schooling (PR = 1.12; CI = 1.06-1.19); 0-4 years of schooling (PR = 1.13; CI = 1.01-1.26); not being religious (PR = 1.10; CI = 1.04-1.17); alcohol use during pregnancy (PR = 1.13; CI = 1.06-1.20), and being attended by the public service (PR = 1.75; CI = 1.54-2.00). The results showed inadequacy and inequality of prenatal care, revealing that women of lower socioeconomic status received lower quality care.
MeSH term(s)	Adult ; Brazil ; Cross-Sectional Studies ; Female ; Healthcare Disparities ; Humans ; Pregnancy ; Prenatal Care/standards ; Social Class ; Socioeconomic Factors
Language	Portuguese
Publishing date	2016-04
Publishing country	Brazil
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2078799-6
ISSN	1678-4561 ; 1413-8123
ISSN (online)	1678-4561
ISSN	1413-8123
DOI	10.1590/1413-81232015214.12512015
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Article ; Online: Associação de gravidez na adolescência e prematuridade.

Martins, Marília da Glória / dos Santos, Graciete Helena Nascimento / Sousa, Márcia da Silva / da Costa, Janne Eyre Fernandes Brito / Simões, Vanda Maria Ferreira

Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia

2012 Volume 33, Issue 11, Page(s) 354–360

Abstract: Purpose: To analyze the association of pregnancy in adolescence and prematurity.: Methods: The study included all the patients who delivered at a teaching hospital in Maranhão State, from July to December 2006. The patients were divided into two ... ...

Title translation	Association of pregnancy in adolescence and prematurity.
Abstract	Purpose: To analyze the association of pregnancy in adolescence and prematurity. Methods: The study included all the patients who delivered at a teaching hospital in Maranhão State, from July to December 2006. The patients were divided into two groups: adolescents (10 to 19 years old) and adults (20 to 34 years old). The variables studied were: educational level, marital status, number of prenatal visits, gestational age at the onset of prenatal care, duration of gestation, delivery route and birth weight. Statistical analysis was performed using the Epi-Info software, version 3.4.1, and the associations between variables were analyzed by the odds ratio (OR), with a 95% confidence interval (CI). Models of logistic regression were also used. The level of significance adopted was 0.05. Results: The study evaluated 1,978 patients. The frequency of deliveries in adolescents was 25.4%. This group presented low educational level, no mates, low number of prenatal visits, late onset of prenatal care, low birth weight and prematurity. In the analysis of prematurity as the outcome variable, there was a clear association with low number of prenatal visits (OR 3.0; 95%CI 2.2-4.0) and late onset of prenatal care (OR 1.9; 95%CI 1.3-2.6) and low educational level (OR 1.9; 95%CI 1.4-2.5) related to adolescence (OR 1.5; 95%CI 1.1-1.9). The incidence of caesarean delivery was significantly lower among adolescents (33.3%) than among adults (49.4%), with a lower association with pre-eclampsia and cephalo-pelvic disproportion. Conclusions: Pregnancy in adolescence was associated with late onset of prenatal care and low number of visits, as well as low educational level, low birth weight, prematurity and a lower incidence of cephalo-pelvic disproportion and pre-eclampsia.
MeSH term(s)	Adolescent ; Adult ; Age Distribution ; Age Factors ; Child ; Female ; Humans ; Pregnancy ; Premature Birth/epidemiology ; Risk Factors ; Young Adult
Language	Portuguese
Publishing date	2012-01-18
Publishing country	Brazil
Document type	Comparative Study ; English Abstract ; Journal Article
ZDB-ID	2105176-8
ISSN	1806-9339 ; 0100-7203
ISSN (online)	1806-9339
ISSN	0100-7203
DOI	10.1590/s0100-72032011001100006
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Article ; Online: Prenatal and Postnatal Schizencephaly Findings by 2D and 3D Ultrasound: Pictorial Essay.

Rios, Lívia Teresa Moreira / Araujo Júnior, Edward / Nardozza, Luciano Marcondes Machado / Caetano, Ana Carolina Rabachini / Moron, Antonio Fernandes / Martins, Marília da Glória

Journal of clinical imaging science

2012 Volume 2, Page(s) 30

Abstract: Schizencephaly is a brain-destructive lesion relating to clefts in the fetal brain that usually communicate with the ventricular system, subarachnoid space, or both. It presents as two types: Type I (closed) and Type II (open). During pregnancy, it may ... ...

Abstract	Schizencephaly is a brain-destructive lesion relating to clefts in the fetal brain that usually communicate with the ventricular system, subarachnoid space, or both. It presents as two types: Type I (closed) and Type II (open). During pregnancy, it may be suspected in the course of ultrasonography, which highlights ventricular dilatation and brain abnormalities. Usually, the diagnosis is confirmed postnatally using trans-fontanel ultrasonography. The etiology of schizencephaly is still unknown, but it may be derived from a primary disorder of brain development or from bilateral middle cerebral artery occlusion. Many causative agents including vascular insult, infections, toxins, and medications have been associated with this malformation. We present a pictorial essay of six cases of schizencephaly that were suspected on prenatal ultrasound scans and confirmed postnatally by trans-fontanel, two-dimensional and three-dimensional ultrasonography.
Language	English
Publishing date	2012-05-23
Publishing country	United States
Document type	Journal Article
ZDB-ID	2601233-9
ISSN	2156-5597 ; 2156-7514
ISSN (online)	2156-5597
ISSN	2156-7514
DOI	10.4103/2156-7514.96546
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Article ; Online: Prenatal diagnosis of sacrococcygeal teratoma using two and three-dimensional ultrasonography.

Rios, Livia Teresa Moreira / Araujo Júnior, Edward / Nardozza, Luciano Marcondes Machado / Moron, Antonio Fernandes / Martins, Marília da Glória

Case reports in obstetrics and gynecology

2012 Volume 2012, Page(s) 131369

Abstract: Sacrococcygeal teratoma accounts for half of all fetal tumors, with a prevalence of 1 : 40,000 births. It is believed to originate from pluripotent cells in Hensen's nodule. Although most are benign, they are associated with high morbidity and mortality ... ...

Abstract	Sacrococcygeal teratoma accounts for half of all fetal tumors, with a prevalence of 1 : 40,000 births. It is believed to originate from pluripotent cells in Hensen's nodule. Although most are benign, they are associated with high morbidity and mortality rates because the fetus develops congestive heart failure and hydrops. Factors leading to poor prognosis include solid components in the mass, and hydrops diagnosed before the 30th week. A case of prenatal sacrococcygeal teratoma diagnosed using B-mode and color Doppler two-dimensional ultrasonography (2DUS) is described, in which three-dimensional ultrasonography (3DUS) enabled characterization of the extent of fetal lesions and allowed the parents to understand the pathological condition better. A 20-year-old primigravida was referred with a solid mass diagnosed in the lumbosacral spine. Examinations performed at our institution revealed pregnancy of 23 weeks and 4 days, with a female fetus presenting a bulky solid mass with cystic components and calcifications, measuring 7.7 × 9.1 × 12.2 cm, starting from the sacral region, with internal flow seen on color Doppler. A new ultrasound confirmed fetal death at 25 weeks and 4 days. Postnatal findings confirmed the diagnosis of sacrococcygeal teratoma. 3DUS can be used in cases of sacrococcygeal teratoma to assess the development of tumor during the prenatal and to allow better understanding of this anomaly by the parents.
Language	English
Publishing date	2012-08-09
Publishing country	United States
Document type	Journal Article
ZDB-ID	2627654-9
ISSN	2090-6692 ; 2090-6684
ISSN (online)	2090-6692
ISSN	2090-6684
DOI	10.1155/2012/131369
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Article ; Online: Prenatal diagnosis of penoscrotal hypospadia in third trimester by two- and three-dimensional ultrasonography: a case report.

Rios, Lívia Teresa Moreira / Araujo Júnior, Edward / Nardozza, Luciano Marcondes Machado / Rolo, Liliam Cristine / Hatanaka, Alan Roberto / Moron, Antonio Fernandes / Martins, Marília da Glória

Case reports in urology

2012 Volume 2012, Page(s) 142814

Abstract: Hypospadia is an abnormal development of the corpus spongiosum, that involves cavernosa urethra, as a result of an inadequate fusion of the urethral folds. The incidence ranges from 0.2 to 4.1 per 1,000 live births. Among the markers of hypospadia, ... ...

Abstract	Hypospadia is an abnormal development of the corpus spongiosum, that involves cavernosa urethra, as a result of an inadequate fusion of the urethral folds. The incidence ranges from 0.2 to 4.1 per 1,000 live births. Among the markers of hypospadia, isolated ventral or lateral curvature of the penis associated with shortening are the most important markers and, in severe cases, can result in the classic "tulip sign." The diagnosis of hypospadia is uncommon unless there is a routine of detailed analysis of fetal genitalia morphology. The prenatal diagnosis is of great importance for genetic counseling and allows better planning of postnatal treatment. The three-dimensional ultrasonography (3DUS) in rendering mode enables better comprehension of the pathology by parents, facilitating postnatal planning. We report a case of penoscrotal hypospadia diagnosed at 33 weeks of gestation, suspected due to the absence of testicles in the scrotum and difficulty of penis visualization. We emphasize the findings of 3DUS and its importance in the pathology compression by parents.
Language	English
Publishing date	2012-12-12
Publishing country	United States
Document type	Journal Article
ZDB-ID	2627659-8
ISSN	2090-6978 ; 2090-696X
ISSN (online)	2090-6978
ISSN	2090-696X
DOI	10.1155/2012/142814
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Article ; Online: Prenatal diagnosis and postnatal findings of cephalothoracopagus janiceps disymmetros: a case report.

Rios, Lívia Teresa Moreira / Araujo Júnior, Edward / Nardozza, Luciano Marcondes Machado / Nacaratto, Daniela Cristina / Moron, Antonio Fernandes / Martins, Marília da Glória

Case reports in medicine

2012 Volume 2012, Page(s) 273526

Abstract: Conjoined twins are rare variants of monozygotic twins, which result from an incomplete division of the embryonic disk. Cephalothoracopagus is a rare twin pregnancy described as imperfect fusion of the head and chest, but separated columns, limbs, and ... ...

Abstract	Conjoined twins are rare variants of monozygotic twins, which result from an incomplete division of the embryonic disk. Cephalothoracopagus is a rare twin pregnancy described as imperfect fusion of the head and chest, but separated columns, limbs, and pelvis. They occur with incidence rates that range from 1 per 50,000 to 1 per 100,000 births; however, the incidence of the cephalothoracopagus variety is 1 per 58 conjoined twins. In the case of identical and symmetric faces caused by the orientations of the 2 notochordal axes that are perfectly ventroventral, they are called janiceps disymmetros. We present a prenatal diagnosis of a typical case of cephalothoracopagus janiceps disymmetros and the diagnostic confirmation by image and pathology exams.
Language	English
Publishing date	2012-05-29
Publishing country	United States
Document type	Case Reports
ZDB-ID	2502642-2
ISSN	1687-9635 ; 1687-9627
ISSN (online)	1687-9635
ISSN	1687-9627
DOI	10.1155/2012/273526
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Article ; Online: Prenatal diagnosis and postnatal ultrasound findings of cloacal anomaly: a case report.

Rios, Lívia Teresa Moreira / Araujo Júnior, Edward / Nardozza, Luciano Marcondes Machado / Caetano, Ana Carolina Rabachini / Moron, Antonio Fernandes / Martins, Marília da Glória

Case reports in pediatrics

2012 Volume 2012, Page(s) 969860

Abstract: Cloacal malformation is an extremely rare fetal pathological condition that presents as a variety of defects. It predominantly affects females, with prevalence of 1 in 50,000 births. Prenatal ultrasonography on a 20-year-old caucasian woman (G4P1A2) at ... ...

Abstract	Cloacal malformation is an extremely rare fetal pathological condition that presents as a variety of defects. It predominantly affects females, with prevalence of 1 in 50,000 births. Prenatal ultrasonography on a 20-year-old caucasian woman (G4P1A2) at 33 weeks of pregnancy showed the fetus having a large cystic mass in the lower abdomen with a single septum, bilateral hydronephrosis, ambiguous genitalia, and a single umbilical artery. The pregnancy developed accentuated oligohydramnios, and presence of a fetal brain-sparing effect was diagnosed using arterial Doppler velocimetry. The newborn showed abdominal distension, ambiguous genitalia, and rectal atresia, with a single perineal opening. Pelvic ultrasound done on the first day after delivery revealed the presence of a large retrovesical septated cystic mass of dense content in the fetal abdomen, and bilateral hydronephrosis. Hysterotomy was performed, and 70 mL of dense liquid was drained through an abdominal colostomy. The infant died on the 27th day of life as a result of infectious complications. Prenatal diagnosing of female urogenital anomalies is usually difficult because of their rarity, different types of manifestation, and lack of characteristic ultrasound signs. Presence of a septated cyst with dense content in the fetal abdomen confirms the finding of hydrometrocolpos, thus raising clinical suspicion of a cloacal anomaly.
Language	English
Publishing date	2012-10-04
Publishing country	United States
Document type	Journal Article
ZDB-ID	2659094-3
ISSN	2090-6811 ; 2090-6803
ISSN (online)	2090-6811
ISSN	2090-6803
DOI	10.1155/2012/969860
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