ABSTRACT
FUNDAMENTO: O Acidente Vascular Cerebral é uma das principais causas de morte no Brasil. O conhecimento sobre a etiologia do AVC é fundamental para uma adequada abordagem dessa doença. OBJETIVO: Avaliar se existe relação entre o subtipo de AVC isquêmico com o prognóstico dele e os fatores de risco. MÉTODOS: Foram avaliados 86 casos de AVC isquêmico no Ambulatório de Neurologia do Hospital Universitário da cidade de Canoas-RS, no período de outubro de 2018 a novembro de 2019. Foi analisada a relação do prognóstico (mRankinS) com fatores de risco de AVC e TOAST. RESULTADOS: Avaliando 86 pacientes com 60.5 (±10.1) anos (40 homens), identificamos que oclusão de pequenos vasos apresentou melhor prognóstico (p: 0.031) e cardioembolia um pior prognóstico de acordo com mRankinS (p< 0.001). Diabetes mellitus também apresentou um pior prognóstico (p: 0.021). CONCLUSÃO: Pacientes com AVC isquêmico secundário a oclusão de pequenos vasos apresentam melhor prognóstico de acordo com mRs. Mecanismos cardioembólicos e a presença de DM estão associados com o pior prognóstico neurológico
BACKGROUND: Stroke is one of the main causes of death in Brazil. Knowledge about the etiology of stroke is essential for an adequate approach to this disease. OBJECTIVE: To assess whether there is a relationship between the ischemic stroke subtype and its prognosis and risk factors. METHODS: 86 cases of ischemic stroke were evaluated at the Neurology Outpatient Clinic of the University Hospital in the city of Canoas-RS, from October 2018 to November 2019. The relationship between prognosis (mRankinS) and stroke risk factors and TOAST. RESULTS: Evaluating 86 patients aged 60.5 (±10.1) years (40 men), we identified that small vessel occlusion had a better prognosis (p: 0.031) and cardioembolism a worse prognosis according to mRankinS (p <0.001). Diabetes mellitus also had a worse prognosis (p: 0.021). CONCLUSION: Patients with secondary ischemic stroke small vessel occlusion have a better prognosis according to mRs. Cardioembolic mechanisms and the presence of DM are associated with a worse neurological prognosis
Subject(s)
Humans , Male , Female , Middle Aged , Ischemic Stroke/diagnosis , Ischemic Stroke/physiopathology , Prognosis , Risk Factors , Diabetes Mellitus , Ischemic Stroke/therapy , HypertensionABSTRACT
PURPOSE: Female stress urinary incontinence (SUI), the involuntary leakage of urine, is a highly prevalent social and hygiene problem, and various surgical techniques have been developed to correct it. This study used the technique of an aponeurosis sling made from the rectus abdominis muscle as a standard and compared the technique to a sling made with a polypropylene mesh, (Marlex®). MATERIALS AND METHODS: From 2000 to 2007, 158 women who underwent surgery for SUI with an aponeurosis sling, (average age 55 years), were used as a standard for comparison with 316 women who underwent surgery with a polypropylene sling (average age 55 years). RESULTS: The mean follow-up period was 3.65 and 3.56 years for the respective groups. The aponeurosis group showed a cure of SUI in 128 (81.0 percent), improvement in 23 (14.6 percent), and failure in 7 (4.4 percent). The polypropylene group showed a cure in 281 (88.9 percent), improvement in 23 (7.3 percent), and failure in 10 (3.2 percent) (p = 0.083). Urgency was observed in 19 (12 percent) of the aponeurosis group, and 28 (8.9 percent) in the polypropylene group (p = 0.320). CONCLUSIONS: This study showed that the polypropylene mesh is an effective alternative to construct a sling for SUI in women. The results and rates of complication were comparable to the fascial sling from the rectus abdominis muscle aponeurosis.
Subject(s)
Adult , Aged , Female , Humans , Middle Aged , Biocompatible Materials/chemistry , Polypropylenes/chemistry , Rectus Abdominis/surgery , Suburethral Slings , Surgical Mesh , Urinary Incontinence, Stress/surgery , Fascia/surgery , Materials Testing , Treatment Outcome , Urinary Bladder/surgery , Vagina/surgeryABSTRACT
O implante da protese peniana e um procedimento relativamente simples e cujos resultados sao satisfatorios. A anestesia local tem se mostrado eficaz para tal tipo de cirurgia, onde a infiltracao local e intracavernosa permitem a realizacao da mesma. Relatamos aqui a tecnica empregada em 64 pacientes...
Subject(s)
Humans , Male , Anesthesia, Local , Penile Prosthesis/rehabilitationABSTRACT
Nos ultimos 8 anos, o diagnostico e tratamento da impotencia sexual masculina sofreram uma mudanca substancial pela introducao da injecao intracavernosa. O teste de erecao farmaco-induzida (TEFI) tem se mostrado util na avaliacao de pacientes com impotencia neurogenica, associada ou nao a vasculopatia arterial e/ou doenca veno-oclusiva. Os autores apresentam as drogas usadas atualmente, as diretrizes gerais para a realizacao de TEFI e o protocolo vigente no departamento de urologia da FFFCMPA.
Subject(s)
Humans , Male , Penile Erection , Erectile Dysfunction/therapy , Papaverine/therapeutic use , Prostaglandins/therapeutic use , Clinical Protocols/standardsABSTRACT
Relatamos o caso de um paciente homossexual portador do virus da Sindrome da Imunodeficiencia Adquirida e Teratocarcinoma de testiculo, com rapida e fatal evolucao. Este caso de tumor testicular serve para aumentar o quadro de neoplasias infrequentes que ocorrem em pacientes jovens e homossexuais que apresentam anormalidades imunocelulares adquiridas.