Navegando por Assunto "Survival"

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Acesso aberto (Open Access)
Adenocarcinoma gástrico T4b: experiência de 12 anos em Hospital Universitário
(2013-12) FAVACHO, Bernard Costa; COSTA, Carleno da Silva; MAGALHÃES, Thamer Costa; ASSUMPÇÃO, Paulo Pimentel de; ISHAK, Geraldo
Gastric neoplasia is a heterogeneous and multifactorial disease and its incidence and mortality vary widely based on geographic location. Approximately 60% of the diagnoses of patients from occidental countries were made on the stages III and IV. The best treatment still is to realize a surgical procedure. AIM: Identify the epidemiological aspects of the patients diagnosed with T4b gastric adenocarcinoma. METHODS: The study was observational, transversal and retrospective; it was also based on secondary sources from patients diagnosed with T4b gastric adenocarcinoma, through pathologic stages. A total of 815 charts were analyzed and 27 patients studied. The variables were: demographic aspects, main symptoms, risk factors, access to health system, surgical aspects, morbidity, mortality and survival. RESULTS: Were included 22 men (81,5%) and five woman (18,5%), in the age group between 38 and 87 years old - median age of 58. The time, in months, to access the health system varied from one to 120, average of 12,5 months. The most prevalent signs and symptoms were: weight loss 23 (85,2%), epigastric pain 22 (81,5%), vomit 16 (59,3%) and gastric fullness 12 (44,4%). The frequency of the affected adjacent body structures was: pancreas 8 (29,6%), liver 7 (25,9%), transverse colon 6 (22,2%), small intestine 6 (22,2%), mesocolon 3 (11,1%), spleen 1 (3,7%) and gallbladder 1 (3,7%). Postoperative morbidity occurred in 51, 85% of the patients. There were a significative association between surgical mortality and the occurrence of fistula/ dehiscence, septic shock and bleeding. The survival rate after six months was 63,27%. CONCLUSION: The mean time between onset of symptoms and access to specialized health services was high. More than half of the patients had postoperative morbidities. Patients who had fistula / dehiscence, bleeding and septic shock were significantly associated with surgical mortality. The survival rate after six months was 63.27%.
Acesso aberto (Open Access)
Capoeira: sobrevivência e resistência na sociedade do capital
(Universidade Federal do Pará, 2023-08-14) SILVA, Francisco Márcio Costa da; SILVA, Élido Santiago da; http://lattes.cnpq.br/3584642268601018; https://orcid.org/0000-0003-2545-0860
The present study within its scope brings forth notes that outline the current configurations of Capoeira and its functions in the everyday social context. From the premise that Capoeira is a practice originating from the diaspora as a means to resist an oppressive system (ABIB, 2004), and it was consolidated in Brazil during the period of slavery (Rego, 1968), it still endures and has both national and international reach, being present in over 150 countries across the five continents according to the latest survey by IPHAN (2014). The central concern of this research endeavor lies in comprehending the resilience of a longstanding practice stemming from the era of enslavement in the context of the contemporary capitalist system. As posited by Mészáros (2005), which commodifies all aspects of existence. References employed for this study include Marx (2007, 2008, 2011, 2013), Mészáros (2005, 2015), Antunes (2009), Vasquez (2011), and various others, thereby providing foundational insights into the workings of the aforementioned system were used. Regarding Capoeira, this study draws upon the works of Rego (1968), Brito and Granada (2021), Khol (2014), Araújo (2006, 2008), Campos (2001, 2009), Falcão (2004, 2011), Abib (2004), among others, to elucidate the conditions and various facets through which Capoeira has evolved as a sporting and cultural practice, persevering over time and in response to structural changes driven by capitalism. In pursuit of comprehending how Capoeira endures to the present day and the dimensions it encompasses, an extensive search was conducted both nationally and internationally to engage with individuals who have been practitioners of Capoeira for a minimum of ten years. They were queried about the ways in which Capoeira manifests itself within their respective contexts. As a result, it was observed that there have been numerous changes in this practice since its inception. However, it is its ability to undergo metamorphosis that has enabled it to adapt to social demands, transforming itself into a pluralistic practice. However, its condition as a commodity was emphasized as predominant. This path has ensured other possibilities for survival within the capitalist system, with labor (both in its formative and subsistence aspects) serving as the foundation that has facilitated its longevity and continuity to the present day, reaffirming Capoeira's embryonic role as a form of resistance in diverse circumstances.
Acesso aberto (Open Access)
O efeito da salinidade no desenvolvimento larval do caranguejo-uçá, Ucides cordatus (Linnaeus, 1763) (Decapoda: Ocypodidae) no Norte do Brasil
(Instituto Nacional de Pesquisas da Amazônia, 2008) SIMITH, Darlan de Jesus de Brito; DIELE, Karen
The present work studied the effect of salinity on the survival and duration of larval development of the mangrove crab, Ucides cordatus (from the Caeté River estuary, North of Brazil) until the megalopal phase in seven salinity treatments (0, 5, 10, 15, 20, 25 e 30). Salinity significantly affected the survival of the zoea larvae, however it did not affect the duration of the larval development (20.77 ± 1.56 days). In salinity 0, 5 and 10 all zoea larvae died. Only from off salinity 15, complete development until the megalopal phase occurred. The survival rate was highest in salinity 30 (72%) and lowest in 15 (16%). The reduced survival rate of the U. cordatus zoea larvae, in low salinities, indicates the necessity of larval dispersion from the estuary to coastal waters, where salinity conditions for larval development are more favorable. Otherwise, if there was no dispersion, the reduced salinity of estuarine waters in the rainy season would cause a high mortality thereby affecting the recruitment, maintenance and growth of the U. cordatus population in the mangroves.
Acesso aberto (Open Access)
Perfil sociodemográfico, clínico e de sobrevida de pacientes adultos metastáticos
(Universidade Federal do Rio Grande do Sul, 2023) ESTUMANO, Vanessa Kelly Cardoso; SAGICA, Taís dos Passos; ALBUQUERQUE, Gisela Pereira Xavier; COSTA, Marta Solange Camarinha Ramos; PEREIRA, Odenilce Vieira; MELO, Edjane Marcia Linhares; SILVA, Sílvio Éder Dias da; RAMOS, Aline Maria Pereira Cruz
Objective: To characterize the sociodemographic, clinical and survival profile of adult metastatic patients.Method: Retrospective cross-sectional study, with secondary data from an oncology care unit, analyzed using logistic regression, Chi-Square test and Fisher’s exact test, Kaplan-Meier and Log-Rank tests.Results: From the 678 patients, male gender, mean age 59.54 years old and low education level prevailed. The mean time between diagnosis and initiation of treatment was 89.50 days (± 58.87). Increased risk of primary cancer in the digestive tract (OR 1.42). Prevalence of adenocarcinoma (OR 1.53) and metastasis to bone (OR 2.59), lymph nodes (OR 1.75), liver and peritoneum (OR 1.42). The mean overall survival was 4.16 months and a median of 3.0 months.Conclusion: The main primary site was the digestive system, and the identification of metastases was predominantly unifocal liver in both genders. Overall patient survival was reduced by cancer progression.
Acesso aberto (Open Access)
Testemunho da experiência da infância no exílio e sua representação no conto infanto-juvenil meninos sem pátria, de Luiz Puntel
(Universidade Federal do Pará, 2019-12) LOBATO, Ladyana dos Santos; SARMENTO-PANTOJA, Tânia Maria Pereira
We analyzed the testimony of the children of political militants of the Military Dictatorship of 1964, which reports on the experience of childhood in exile and the form with which that experience was represented in literary production. For this, we selected two objects of study: 1) The testimonial narrative “Why are you so sad?” by Marta Nehring, published in 2014 and; 2) The fictional narrative Homelass boys, by Luiz Puntel, published in 1988. We use testimony studies as a theoretical framework (SELIGMANN-SILVA, 2008, 2001); memory (SARLO, 2007; BASILE, 2019); testimony literature (MARCO, 2004; SELIGMANN-SILVA, 2003; LUQUE, 2003); exile (SAID, 2003; VIÑAR; VINÃR, 1992; ROLLEMBERG, 2007; BIROL, 2017; MONTAÑÉS, 2006); and utopia (SZACHI, 1972). We found that the selected narratives present a set of characteristics inherent to the children's exile experience, among them, the understanding of exile as a utopian place, a space of freedom, survival and resistance to authoritarianism in states of exception.