Current Status of Hepatopulmonary Syndrome in Liver Transplantation in Japan ‐ A Japanese Multicenter Analysis –

ConclusionAlthough LT is feasible for patients with HPS, early transplantation and avoiding hypo ‐oxygenemia immediately after transplantation are important.This article is protected by copyright. All rights reserved.
Source: Journal of Hepato-Biliary-Pancreatic Surgery - Category: Surgery Authors: Tags: Original Article Source Type: research

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RESUMO Objetivo O estudo prop ôs-se a avaliar diferentes domínios das funções executivas em adolescentes como preditores ao uso de álcool e cigarro. Métodos Utilizou-se um delineamento transversal. A amostra foi composta por 239 adolescentes com idade média de 15,34 (±2,32). Os testes Alcohol Use Disorders Identificati on Test (AUDIT) e Fagerstrom Test for Nicotine Dependence (FTND) avaliaram o uso de álcool e cigarro respectivamente. O Self-Reporting Questionnaire (SRQ-20) foi utilizado para rastreio de saúde mental. Os testes Iowa Gambling Task (IGT), W...
Source: Jornal Brasileiro de Psiquiatria - Category: Psychiatry Source Type: research
RESUMO O fen ómeno hikikomori, forma de isolamento social grave e prolongado, constitui um desafio diagnóstico. A nível conceptual, alguns autores diferenciam o hikikomori em primário e secundário. Este último conceito é utilizado quando está presente comorbilidade que, pelo menos parcialmente, explique a síndrome, enquanto na ausência de diagnóstico psiquiátrico denomina- se “ hikikomori prim ário ” . Os autores apresentam um caso cl ínico português com as mesmas características sociodemográfica...
Source: Jornal Brasileiro de Psiquiatria - Category: Psychiatry Source Type: research
Source: Clinical and Experimental Gastroenterology - Category: Gastroenterology Tags: Clinical and Experimental Gastroenterology Source Type: research
Herein we sinthesize and investigate Ir-based nanocatalysts (dispersed in carbon) in different atomic compositions combining two (IrRh) and three metals (IrRhSn). These materials were evaluated towards the ethanol electrooxidation in acidic electrolyte in presence of three ethanol concentrations using cyclic voltammetry, while the species produced during the reaction were monitored by in situ Fourier transform infrared spectroscopy (FTIR). Results show that IrRh binary electrocatalysts are selective to the production of CO2 from ethanol, but the catalytic activity is poor. This finding is interpreted in terms of a slow ads...
Source: Journal of the Brazilian Chemical Society - Category: Chemistry Source Type: research
Changes in indices of mineral metabolism, bone protein expression, and bone turnover were assessed between pre – and post–renal transplant bone biopsies obtained 12 months apart. Circulating sclerostin and fibroblast growth factor 23 (FGF-23) levels decreased, and a low bone turnover state was highly prevalent on follow-up. In contrast, bone sclerostin expression increased, whereas FGF-23 bone expression was unchanged/decreased. These findings underscore the limitations of circulating biomarkers and the critical role of bone biopsy to understand osteocyte biology in chronic kidney disease–mineral bone disorder.
Source: Kidney International - Category: Urology & Nephrology Authors: Tags: Commentary Source Type: research
A 63-year-old man was admitted 2 months after a deceased-donor kidney transplantation with an acute rise of his creatinine from a baseline of 1.9 mg/dl to 3.7 mg/dl. The patient had received basiliximab induction, followed by maintenance with belatacept, mycophenolic acid, and steroids. Physical examination and an ultrasound of the kidney transplant were unremarkable. Kidney biopsy revealed Banff acute cellular rejection grade IIB. Belatacept was replaced with tacrolimus, and steroid pulse and rabbit antithymocyte globulin were administered.
Source: Kidney International - Category: Urology & Nephrology Authors: Tags: Nephrology Image Source Type: research
A 36-year-old female recipient of simultaneous pancreas-kidney transplantation 2 months previously was admitted to the emergency room because of a fever of unknown origin. Physical examination was unremarkable. Klebsiella pneumoniae was isolated in urine culture and treated with ceftriaxone according to antibiogram. High-grade fever persisted despite the increase in antibiotic spectrum with meropenem. Blood cultures were negative (including mycobacteria), as were quantiferon, cytomegalovirus, BK virus, Epstein –Barr virus polymerase chain reaction, and Toxoplasma gondii serologies.
Source: Kidney International - Category: Urology & Nephrology Authors: Tags: Nephrology Image Source Type: research
CONCLUSIONS The subgroups with increased risk of developing multiple unhealthy behaviors and the most prevalent behaviors were identified. These findings are expected to contribute to the better targeting of health promotion and preventive care. It is worth noting that, for the adoption of healthy lifestyle habits, macro-social and inter-sectoral policies are more effective.RESUMO OBJETIVO Estimar a coocorr ência dos principais fatores de risco para doenças crônicas não transmissíveis em adultos (18 a 59 anos) e idosos ( ≥ 60 anos) residentes nas capitais dos estados brasileiros e Distri...
Source: Revista de Saude Publica - Category: International Medicine & Public Health Source Type: research
CONCLUSIONS This study contributed to the knowledge on the profile of confirmed cases of high severity yellow fever. The main factors associated with death were changes in renal excretion and elevated serum transaminases, especially ALT. High lethality emphasizes the need for early diagnosis and treatment, and the importance of increasing vaccination coverage.RESUMO OBJETIVO Descrever o perfil cl ínico-epidemiológico dos casos confirmados de febre amarela internados em hospital geral de referência para doenças infecciosas no estado do Rio de Janeiro, Brasil, de 11 de março de 2017 a 15 de ...
Source: Revista de Saude Publica - Category: International Medicine & Public Health Source Type: research
CONCLUSIONS The potential to support oral health promotion in schools in Brazilian capitals, assessed by the AEPSB indicator, was associated with contextual factors of schools, capitals and Brazilian regions.RESUMO OBJETIVO Avaliar o potencial de suporte do ambiente escolar para a promo ção da saúde bucal e fatores associados nas capitais brasileiras. MÉTODOS Os dados de 1.339 escolas públicas e privadas das 27 capitais brasileiras foram obtidos da Pesquisa Nacional de Saúde do Escolar (PeNSE) 2015. Os dados das capitais foram obtidos do Programa das Nações Unidas par...
Source: Revista de Saude Publica - Category: International Medicine & Public Health Source Type: research
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