CHU/UFPA - Complexo Hospital Universitário

URI Permanente desta comunidadehttps://repositorio.ufpa.br/handle/2011/17046

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Anna Turan Machado Falcão (1862-1940): a pioneira médica esquecida da Amazônia
(2012-03) MIRANDA, Aristóteles Guilliod de; ABREU JUNIOR, José Maria de Castro
This article outlines a biography of Anna Turan Machado Falcão. Born in 1862 in Igarapé-Miri, Pará State, Brazil, Dr. Anna Turan was Para's first physician. She graduated in the United States of America in 1887. After returning to Brazil and validating her diploma at the Faculdade de Medicina da Bahia, she worked in the states of Pará, Acre and São Paulo, where she died in 1940.
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Avaliação da retinopatia hipertensiva através do potencial oscilatório do eletrorretinograma
(2008-02) NEGRETTO, Alan Diego; ROSA, Alexandre Antonio Marques; NAKASHIMA, Augusto Akio; ORTEGA, Kátia Coelho; MION JÚNIOR, Décio; OYAMADA, Maria Kiyoko; NAKASHIMA, Yoshitaka
PURPOSE: To evaluate the behavior of the scotopic Oscillatory Potentials (OP) of total field electroretinogram (ERG) in hypertensive retinopathy. METHODS: Forty-four patients (n=44) were submitted to clinical evaluation and subdivided in to 2 groups: hypertensives (HT) and normotensives (NT). The hypertensives patients were maintained under placebo during the period of the study. Soon afterwards, they were submitted to ophthalmological evaluation and accomplishment of ERG. Total field electroretinogram (ERG), with recording of the answers: scotopic, maximum scotopic, OP scotopic, photopic and flicker.For analysis of the OP answer the latency of the first 2 peaks and the average value of the width of the first 3 peaks of the compound of 3 consecutive answers, denominated Oscillatory Index (OI) were considered. RESULTS: The sample was composed of 44 patients, with a mean age of 51.55 ± 7.2 range (34 to 68) years, 24 being females. Arterial hypertension affected 26 (59.1%) of the patients, while 18 (40.9%) were normotensives. The average of the obtained IO was 257.41 µv in the NT group and of 217.81 µv in HT (p=0.006). The averages of latencies obtained for peaks 1 (NT-18.42 and HT-17.91) and 2 (NT-24.54 and HT - 24.29) were not different between the groups (p>0.05). CONCLUSIONS: The hypertensive patients presented significantly smaller oscillatory index than the normotensives, suggesting that arterial hypertension might cause dysfunction of the internal retina.
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Câncer de vesícula biliar: experiência de 10 anos em um hospital de referência da Amazônia
(2011-04) ISHAK, Geraldo; RIBEIRO, Felipe Soares; COSTA, Daniel Souza da; BAHIA, Leandro Augusto Costa; DIAS, Everton Mesquita; ASSUMPÇÃO, Paulo Pimentel de
Objective: To evaluate the epidemiological aspects of surgical patients with gallbladder cancer (GC) enrolled in a University Hospital in Belém (State of Pará – PA), in the period 1999-2009. Methods: observational, retrospective, descriptive and analytical study of secondary sources of patients with GC in the period 1999-2009. We analyzed 75 medical records, with 34 patients studied. The information collected was used for the TNM tumor staging of GC and to characterize the clinical and surgical population. Results: 79% were female, mean age 66.2 ± 11 years and duration of symptoms was 10.8 ± 17.2 months, with no statistical relationship with the stage of disease. Pain in right upper quadrant, nausea and jaundice prevailed as signs / symptoms. Gallstones were present in 91% of cases and were positive in 100% of patients with stage I / II. The sensitivity of ultrasound to preoperatively suggest GC was 14.28%. The simplest operation performed was cholecystectomy, with the predominant intraoperative finding being hepatic invasion. Adenocarcinoma was the predominant histologic type, especially for stages III and IV. Conclusion: The present study showed high incidence of gallstone disease. Advanced stage adenocarcinoma was the most prevalent. This resulted in a low rate of operations with curative intent, in 30% of the patients, and a mortality rate of 21%. The appreciation of symptoms and early investigation by imaging could facilitate treatment in early stages of GC, providing a better prognosis for patients.
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As expedições da Liverpool School of Tropical Medicine e a Amazônia Brasileira
(2011-06) MIRANDA, Aristóteles Guilliod de; ABREU JUNIOR, José Maria de Castro
This paper describe the early years of the Liverpool School of Tropical Medicine, and the expeditions to Brasilian Amazon, to the Cities of Belém and Manaus describing also what happened with the reserchers involved Herbert Durhan, Walter Myers and Harold Wolferstan Thomas.
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Life quality assessment of patients after phacoemulsification or extracapsular cataract extraction
(2014-02) MENDONÇA, Paula Teixeira de; MENDONÇA, Leonardo Teixeira de; ROSA, Alexandre Antonio Marques; SILVEIRA, Luiz Carlos de Lima
Purpose: To study the quality of life, treatment outcomes, and satisfaction in patients who have undergone cataract surgery Methods: This comparative case series study was conducted at the Ophthalmology Service of the Bettina Ferro de Souza University Hospital, Belém, Pará, Brazil. Totally, 60 patients with cataract were included; 50% underwent conventional extracapsular cataract extraction (ECEE) and 50% underwent cataract extraction by phacoemulsification (PHACO). Patients were interviewed using the Visual Function 14 (VF-14) questionnaire to determine the quality of life before and 30 days after surgery. The results of ophthalmological examination were recorded in the patients' files and were available throughout this study. One-way ANOVA, Tukey's post-hoc comparison, and the sign test were used for statistical analyses. Results: The mean VF-14 satisfaction index was 38.0 and 89.4 before and after surgery, respectively, for the ECEE group and 47.0 and 94.1, respectively, for the PHACO group. The improvement in patient quality of life after surgery was significant in both groups (p<0.0001), with a similar amount of improvement in both groups. Conclusions: The observed improvement in quality of life was significant (p<0.0001) and directly related to patient satisfaction with surgical outcomes, which was also significant (p<0.0001) as assessed using the VF-14. Satisfaction and quality of life are individual factors; consequently, patient responses to questions regarding improvements in the ability to perform each activity are subjective and depend uniquely on individual perception.
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A medicina no Estado do Pará, Brasil: dos primórdios à Faculdade de Medicina
(2010-09) MIRANDA, Aristóteles Guilliod de
The practice of medicine, the organization of health services and the start of medical education in Pará State, Brazil, are presented from a chronological perspective, from the first accounts after the arrival of Francisco Caldeira Castelo Branco in 1616 to the establishment of the Faculdade de Medicina e Cirurgia do Pará (Pará School of Medicine and Surgery), in 1919. Some historic facts are highlighted and contextualized, and certain individuals who effectively participated in the events described are mentioned. Aspects related to the teaching of medicine are also described, both at the national level and in Pará State, and its importance to the Amazon Region and part of northeastern Brazil is discussed.
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Paracoccidioidomicose em crianças em Belém do Pará
(1999-02) FONSECA, Eliane Regine de Souza da; PARDAL, Pedro Pereira de Oliveira; SEVERO, Luiz Carlos
During the period from January/85 to July/96, 102 cases of paracoccidioidomycosis were observed in a hospital in Belém, PA. Thirteen of these cases were children between 3 and 13 years of age, with a predominance of females (8:5). All patients presented the disseminated subacute form of the mycosis. The high prevalence of the mycosis in children in endemic areas of the Amazon region is discussed.
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Prevalência de hipertensão arterial em pacientes com oclusão do ramo da veia central da retina
(2008-04) ROSA, Alexandre Antonio Marques; ORTEGA, Kátia Coelho; MION JÚNIOR, Décio; NAKASHIMA, Yoshitaka
PURPOSE: To identify in patients with branch retinal vein occlusion using ambulatory blood pressure monitoring and clinical blood pressure measures: hypertension prevalence, and nocturnal profile of blood pressure. METHODS: Prospectively, 93 eyes of 83 patients with branch retinal vein occlusion were submitted to ophthalmological examination. Afterwards the patients were submitted to clinical evaluation and blood pressure monitoring. Non-dipper was defined as a fall in systolic blood pressure < 10%, and dipper when this value was higher. RESULTS: Disease affected one eye in 73 (88%) patients. The temporal superior branch was the site of occlusion in 61 (65.6%) eyes, while in the others the infero-temporal branch was affected. Seventy six (92%) patients were diagnosed as hypertensive after clinical evaluation. Ambulatory blood pressure monitoring identified 76 hipertensives, 5 normotensives, 1 white-coat hypertensive and one masked hypertensive subjects. The two latter were excluded from the analysis. Of the 81 analyzed patients, forty (49%) were dippers and 41 (51%) were non-dippers. Among the HT (n=76), 36 (47%) were dippers and 40 (53%) were non-dippers. CONCLUSION: Prevalence of hypertension in our series was extremely high (92%) which suggests that physiopathology of the disease has a close relationship with changes promoted by hypertension. A little more than half of the hypertensives were non-dippers (n=40; 52,6%). These evidences suggest that a 24-hour sustained level of blood pressure may be an additional risk factor for branch retinal vein occlusion.

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