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[PMID]:29364902
[Au] Autor:Friedlander AM; Ballesteros E; Bell TW; Giddens J; Henning B; Hüne M; Muñoz A; Salinas-de-León P; Sala E
[Ad] Endereço:Pristine Seas, National Geographic Society, Washington DC, United States of America.
[Ti] Título:Marine biodiversity at the end of the world: Cape Horn and Diego Ramírez islands.
[So] Source:PLoS One;13(1):e0189930, 2018.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The vast and complex coast of the Magellan Region of extreme southern Chile possesses a diversity of habitats including fjords, deep channels, and extensive kelp forests, with a unique mix of temperate and sub-Antarctic species. The Cape Horn and Diego Ramírez archipelagos are the most southerly locations in the Americas, with the southernmost kelp forests, and some of the least explored places on earth. The giant kelp Macrocystis pyrifera plays a key role in structuring the ecological communities of the entire region, with the large brown seaweed Lessonia spp. forming dense understories. Kelp densities were highest around Cape Horn, followed by Diego Ramírez, and lowest within the fjord region of Francisco Coloane Marine Park (mean canopy densities of 2.51 kg m-2, 2.29 kg m-2, and 2.14 kg m-2, respectively). There were clear differences in marine communities among these sub-regions, with the lowest diversity in the fjords. We observed 18 species of nearshore fishes, with average species richness nearly 50% higher at Diego Ramírez compared with Cape Horn and Francisco Coloane. The number of individual fishes was nearly 10 times higher at Diego Ramírez and 4 times higher at Cape Horn compared with the fjords. Dropcam surveys of mesophotic depths (53-105 m) identified 30 taxa from 25 families, 15 classes, and 7 phyla. While much of these deeper habitats consisted of soft sediment and cobble, in rocky habitats, echinoderms, mollusks, bryozoans, and sponges were common. The southern hagfish (Myxine australis) was the most frequently encountered of the deep-sea fishes (50% of deployments), and while the Fueguian sprat (Sprattus fuegensis) was the most abundant fish species, its distribution was patchy. The Cape Horn and Diego Ramírez archipelagos represent some of the last intact sub-Antarctic ecosystems remaining and a recently declared large protected area will help ensure the health of this unique region.
[Mh] Termos MeSH primário: Biodiversidade
Biologia Marinha
[Mh] Termos MeSH secundário: Animais
Chile
Ecossistema
Peixes
Kelp
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180221
[Lr] Data última revisão:
180221
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180125
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0189930


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[PMID]:28448455
[Au] Autor:Correa-Burrows P; Rodríguez Y; Blanco E; Gahagan S; Burrows R
[Ad] Endereço:Institute of Nutrition and Food Technology, University of Chile, Santiago 7830490, Chile. paulina.correa@inta.uchile.cl.
[Ti] Título:Snacking Quality Is Associated with Secondary School Academic Achievement and the Intention to Enroll in Higher Education: A Cross-Sectional Study in Adolescents from Santiago, Chile.
[So] Source:Nutrients;9(5), 2017 Apr 27.
[Is] ISSN:2072-6643
[Cp] País de publicação:Switzerland
[La] Idioma:eng
[Ab] Resumo:Although numerous studies have approached the effects of exposure to a Western diet (WD) on academic outcomes, very few have focused on foods consumed during snack times. We explored whether there is a link between nutritious snacking habits and academic achievement in high school (HS) students from Santiago, Chile. We conducted a cross-sectional study with 678 adolescents. The nutritional quality of snacks consumed by 16-year-old was assessed using a validated food frequency questionnaire. The academic outcomes measured were HS grade point average (GPA), the likelihood of HS completion, and the likelihood of taking college entrance exams. A multivariate analysis was performed to determine the independent associations of nutritious snacking with having completed HS and having taken college entrance exams. An analysis of covariance (ANCOVA) estimated the differences in GPA by the quality of snacks. Compared to students with healthy in-home snacking behaviors, adolescents having unhealthy in-home snacks had significantly lower GPAs ( difference: -40.1 points, 95% confidence interval (CI): -59.2, -16.9, = 0.41), significantly lower odds of HS completion (adjusted odds ratio (aOR): 0.47; 95% CI: 0.25-0.88), and significantly lower odds of taking college entrance exams (aOR: 0.53; 95% CI: 0.31-0.88). Unhealthy at-school snacking showed similar associations with the outcome variables. Poor nutritional quality snacking at school and at home was associated with poor secondary school academic achievement and the intention to enroll in higher education.
[Mh] Termos MeSH primário: Sucesso Acadêmico
Lanches
[Mh] Termos MeSH secundário: Adolescente
Comportamento do Adolescente
Chile
Estudos Transversais
Inquéritos sobre Dietas
Ingestão de Energia
Feminino
Seres Humanos
Masculino
Valor Nutritivo
Razão de Chances
Instituições Acadêmicas
Estudantes
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180221
[Lr] Data última revisão:
180221
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170428
[St] Status:MEDLINE


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[PMID]:29304181
[Au] Autor:Lemos Teixeira D; Larraín R; Melo O; Hötzel MJ
[Ad] Endereço:Departamento de Ciencias Animales, Facultad de Agronomía e Ingeniería Forestal, Pontificia Universidad Católica de Chile, Santiago, Chile.
[Ti] Título:Public opinion towards castration without anaesthesia and lack of access to pasture in beef cattle production.
[So] Source:PLoS One;13(1):e0190671, 2018.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Recent publications have shown that citizens in developing nations are gaining interest in farm animal welfare. The aims of this study were to assess the opinion of Chilean citizens about surgical castration without anaesthesia and lack of access to pasture in beef cattle production, to investigate how involvement in livestock production influences opinions, and to evaluate if different types of information would affect their opinion towards these management practices. The study was carried out in the Metropolitan Region of Santiago, Chile, and consisted of two surveys with 400 participants in each study. The first one used an online, self-administered questionnaire and the second one used a face to face questionnaire. The second questionnaire had four information treatments assigned randomly to survey participants (no information; negative information; negative and positive information; positive information). Most participants were aware that the two management practices are common in beef production systems and were opposed to them. Involvement in animal production was associated with greater acceptance of both management practices and participants that had visited a beef production farm before the study were more likely to support castration without anaesthesia in Survey 1. Belonging to any socioeconomic group and providing negative or positive information had no impact on participants' opinion. The results show a disconnection between the views of participants recruited for this study and beef production systems that do not provide pain control for male cattle surgical castration or provide little or no access to pasture.
[Mh] Termos MeSH primário: Anestesia
Orquiectomia/métodos
Opinião Pública
Carne Vermelha
[Mh] Termos MeSH secundário: Animais
Conscientização
Bovinos
Chile
Masculino
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180215
[Lr] Data última revisão:
180215
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180106
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0190671


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Registro de Ensaios Clínicos
Registro de Ensaios Clínicos
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[PMID]:29237420
[Au] Autor:Momany MC; Martinez-Gutierrez J; Soto M; Capurro D; Ciampi F; Thompson B; Puschel K
[Ad] Endereço:School of Medicine, University of Washington, Seattle, Washington, USA.
[Ti] Título:Development of mobile technologies for the prevention of cervical cancer in Santiago, Chile study protocol: a randomized controlled trial.
[So] Source:BMC Cancer;17(1):847, 2017 12 13.
[Is] ISSN:1471-2407
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: In Chile, more than 500 women die every year from cervical cancer, and a majority of Chilean women are not up-to-date with their Papanicolau (Pap) test. Mobile health has great potential in many health areas, particularly in health promotion and prevention. There are no randomized controlled trials in Latin America assessing its use in cervical cancer screening. The 'Development of Mobile Technologies for the Prevention of Cervical Cancer in Santiago, Chile' study aims to determine the efficacy of a text-message intervention on Pap test adherence among Chilean women in the metropolitan region of Santiago. METHODS/DESIGN: This study is a parallel randomized-controlled trial of 400 Chilean women aged 25-64 who are non-adherent with current recommendations for Pap test screening. Participants will be randomly assigned to (1) a control arm (usual care) or (2) an intervention arm, where text and voice messages containing information and encouragement to undergo screening will be sent to the women. The primary endpoint is completion of a Pap test within 6 months of baseline assessment, as determined by medical record review at community-based clinics. Medical record reviewers will be blinded to randomization arms. The secondary endpoint is an evaluation of the implementation and usability of the text message intervention as a strategy to improve screening adherence. DISCUSSION: This intervention using mobile technology intends to raise cervical cancer screening adherence and compliance among a Chilean population of low and middle-low socioeconomic status. If successful, this strategy may reduce the incidence of cervical cancer. TRIAL REGISTRATION: Clinicaltrials.gov NCT02376023 Registered 2/17/2015. First participant enrolled Feb 22nd 2016.
[Mh] Termos MeSH primário: Detecção Precoce de Câncer/métodos
Ensaios Clínicos Controlados Aleatórios como Assunto
Neoplasias do Colo do Útero/diagnóstico
Neoplasias do Colo do Útero/prevenção & controle
[Mh] Termos MeSH secundário: Adulto
Telefone Celular
Chile
Feminino
Seres Humanos
Programas de Rastreamento
Meia-Idade
Teste de Papanicolaou/estatística & dados numéricos
Aceitação pelo Paciente de Cuidados de Saúde/estatística & dados numéricos
Esfregaço Vaginal/estatística & dados numéricos
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180207
[Lr] Data última revisão:
180207
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171215
[Cl] Clinical Trial:ClinicalTrial
[St] Status:MEDLINE
[do] DOI:10.1186/s12885-017-3870-8


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[PMID]:29211105
[Au] Autor:Tapia-Garay V; Figueroa DP; Maldonado A; Frías-Laserre D; Gonzalez CR; Parra A; Canals L; Apt W; Alvarado S; Cáceres D; Canals M
[Ad] Endereço:Universidad de Chile, Facultad de Medicina, Escuela de Salud Pública, Programa de Salud Ambiental, Santiago, Chile.
[Ti] Título:Assessing the risk zones of Chagas' disease in Chile, in a world marked by global climatic change.
[So] Source:Mem Inst Oswaldo Cruz;113(1):24-29, 2018 Jan.
[Is] ISSN:1678-8060
[Cp] País de publicação:Brazil
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Vector transmission of Trypanosoma cruzi appears to be interrupted in Chile; however, data show increasing incidence of Chagas' disease, raising concerns that there may be a reemerging problem. OBJECTIVE: To estimate the actual risk in a changing world it is necessary to consider the historical vector distribution and correlate this distribution with the presence of cases and climate change. METHODS: Potential distribution models of Triatoma infestans and Chagas disease were performed using Maxent, a machine-learning method. FINDINGS: Climate change appears to play a major role in the reemergence of Chagas' disease and T. infestans in Chile. The distribution of both T. infestans and Chagas' disease correlated with maximum temperature, and the precipitation during the driest month. The overlap of Chagas' disease and T. infestans distribution areas was high. The distribution of T. infestans, under two global change scenarios, showed a minimal reduction tendency in suitable areas. MAIN CONCLUSION: The impact of temperature and precipitation on the distribution of T. infestans, as shown by the models, indicates the need for aggressive control efforts; the current control measures, including T. infestans control campaigns, should be maintained with the same intensity as they have at present, avoiding sylvatic foci, intrusions, and recolonisation of human dwellings.
[Mh] Termos MeSH primário: Mudança Climática
Insetos Vetores/parasitologia
Triatoma/parasitologia
Trypanosoma cruzi/isolamento & purificação
[Mh] Termos MeSH secundário: Animais
Doença de Chagas/transmissão
Chile
Seres Humanos
Modelos Biológicos
Fatores de Risco
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180131
[Lr] Data última revisão:
180131
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171207
[St] Status:MEDLINE


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[PMID]:28966023
[Au] Autor:Gouveia N; Junger WL; ESCALA investigators
[Ad] Endereço:Departamento de Medicina Preventiva, Faculdade de Medicina, FMUSP, Universidade de São Paulo, Av Dr Arnaldo, 455, Sao Paulo, 01246-903, Brazil. Electronic address: ngouveia@usp.br.
[Ti] Título:Effects of air pollution on infant and children respiratory mortality in four large Latin-American cities.
[So] Source:Environ Pollut;232:385-391, 2018 Jan.
[Is] ISSN:1873-6424
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: Air pollution is an important public health concern especially for children who are particularly susceptible. Latin America has a large children population, is highly urbanized and levels of pollution are substantially high, making the potential health impact of air pollution quite large. We evaluated the effect of air pollution on children respiratory mortality in four large urban centers: Mexico City, Santiago, Chile, and Sao Paulo and Rio de Janeiro in Brazil. METHODS: Generalized Additive Models in Poisson regression was used to fit daily time-series of mortality due to respiratory diseases in infants and children, and levels of PM and O . Single lag and constrained polynomial distributed lag models were explored. Analyses were carried out per cause for each age group and each city. Fixed- and random-effects meta-analysis was conducted in order to combine the city-specific results in a single summary estimate. RESULTS: These cities host nearly 43 million people and pollution levels were above the WHO guidelines. For PM the percentage increase in risk of death due to respiratory diseases in infants in a fixed effect model was 0.47% (0.09-0.85). For respiratory deaths in children 1-5 years old, the increase in risk was 0.58% (0.08-1.08) while a higher effect was observed for lower respiratory infections (LRI) in children 1-14 years old [1.38% (0.91-1.85)]. For O , the only summarized estimate statistically significant was for LRI in infants. Analysis by season showed effects of O in the warm season for respiratory diseases in infants, while negative effects were observed for respiratory and LRI deaths in children. DISCUSSION: We provided comparable mortality impact estimates of air pollutants across these cities and age groups. This information is important because many public policies aimed at preventing the adverse effects of pollution on health consider children as the population group that deserves the highest protection.
[Mh] Termos MeSH primário: Poluição do Ar/estatística & dados numéricos
Exposição Ambiental/estatística & dados numéricos
Transtornos Respiratórios/mortalidade
[Mh] Termos MeSH secundário: Poluentes Atmosféricos/análise
Poluição do Ar/análise
Brasil/epidemiologia
Pré-Escolar
Chile/epidemiologia
Cidades/epidemiologia
Seres Humanos
Lactente
México/epidemiologia
Modelos Estatísticos
Saúde Pública
Política Pública
Transtornos Respiratórios/induzido quimicamente
Estações do Ano
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Air Pollutants)
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180123
[Lr] Data última revisão:
180123
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171003
[St] Status:MEDLINE


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[PMID]:28743619
[Au] Autor:Ubeda C; Miranda P; Vano E; Nocetti D; Manterola C
[Ad] Endereço:Medical Technology Department, Radiological Sciences Center, Health Sciences Faculty, Tarapaca University, Arica, Chile. Electronic address: cubeda@uta.cl.
[Ti] Título:Organ and effective doses from paediatric interventional cardiology procedures in Chile.
[So] Source:Phys Med;40:95-103, 2017 Aug.
[Is] ISSN:1724-191X
[Cp] País de publicação:Italy
[La] Idioma:eng
[Ab] Resumo:The aim of this study was to present the results of organ and effective doses for paediatric patients for different types of interventional cardiology procedures for age and weight groups, derived from a patient dosimetry pilot programme carried out in Chile, under the auspices of the International Atomic Energy Agency. Over seven years, a retrospective collection of demographic and patient dose data was obtained: age, gender, weight, height, number of cine series, total number of cine frames, fluoroscopy time, dose-area product (DAP) and cumulative dose at patient entrance reference point. Monte Carlo software was used to calculate organ and effective doses. 1506 procedures were divided into four age and seven weight groups. Organ doses (median values) for diagnostic and therapeutic procedures were: active bone marrow 0.90 and 0.64mGy; heart 1.99 and 1.46mGy; lungs 3.56 and 2.59mGy; thyroid 1.27 and 0.83; and breast (in the case of females) 1.78 and 1.36mGy. The ranges for effective doses (median values) and weight bands were 1.2-3.9mSv for diagnostic procedures and 1.0-2.5mSv for therapeutic procedures. The resulting conversion factors (median values) to estimate effective dose from DAP (in mSv/Gy.cm2) were: 1.70; 0.89; 0.58; and 0.40, for age groups of <1year, 1-<5years, 5-<10years and 10-<16years, respectively. The obtained set of dose values will enable comparisons with other imaging procedures (comparing the same age bands) for justification and optimization purposes.
[Mh] Termos MeSH primário: Cardiologia/métodos
Dose de Radiação
Radiologia Intervencionista
Radiometria
[Mh] Termos MeSH secundário: Adolescente
Criança
Pré-Escolar
Chile
Feminino
Fluoroscopia
Seres Humanos
Lactente
Masculino
Projetos Piloto
Estudos Retrospectivos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180119
[Lr] Data última revisão:
180119
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170727
[St] Status:MEDLINE


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Texto completo SciELO Colômbia
Texto completo SciELO Saúde Pública
[PMID]:28453142
[Au] Autor:Cardozo-Cruz M; Ramírez-Pereira M
[Ad] Endereço:Organización Panamericana de la Salud (OPS), Colombia.
[Ti] Título:[The dark rooms and the men who have sex with men: making the invisiblevisible].
[Ti] Título:Los cuartos oscuros y los hombres que tienen sexo con hombres: haciendo visible lo invisible..
[So] Source:Rev Salud Publica (Bogota);17(6):886-898, 2015 Dec.
[Is] ISSN:0124-0064
[Cp] País de publicação:Colombia
[La] Idioma:spa
[Ab] Resumo:Objective To design an explanatory model of social representations of men who have sex with men in the dark rooms of the city of Santiago de Chile during the second half of 2012. METHODOLOGY: Exploratory and explanatory qualitative research. The theoretical and methodological approach chosen was based on the founded theory. Data collection was conducted using in-depth interviews. RESULTS: During the first phase of the research open coding was carried out. Codes and related categories were identified: conception of the dark room, biosecurity, reasons for entering a dark room, valuation of the dark room, sex practices, sexual orientation and roles and ways of relating. CONCLUSIONS: The development of a public health policy that includes social determinants of health is an imperative. Three key points are identified to intervene positively in their health: discrimination and social rejection, the absence or reduction of risk perception against dark rooms and places for sexual encounters and the need for inspection, monitoring and control of such sites.
[Mh] Termos MeSH primário: Homossexualidade Masculina/psicologia
Sexo sem Proteção/psicologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Chile
Seres Humanos
Entrevistas como Assunto
Masculino
Meia-Idade
Teoria Psicológica
Pesquisa Qualitativa
Determinantes Sociais da Saúde
Discriminação Social/psicologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180117
[Lr] Data última revisão:
180117
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170429
[St] Status:MEDLINE


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[PMID]:29236755
[Au] Autor:Fonseca A; Ishoey T; Espinoza C; Pérez-Pantoja D; Manghisi A; Morabito M; Salas-Burgos A; Gallardo VA
[Ad] Endereço:Department of Pharmacology, University of Concepcion, Concepcion, Chile.
[Ti] Título:Genomic features of "Candidatus Venteria ishoeyi", a new sulfur-oxidizing macrobacterium from the Humboldt Sulfuretum off Chile.
[So] Source:PLoS One;12(12):e0188371, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The Humboldt Sulfuretum (HS), in the productive Humboldt Eastern Boundary Current Upwelling Ecosystem, extends under the hypoxic waters of the Peru-Chile Undercurrent (ca. 6°S and ca. 36°S). Studies show that primeval sulfuretums held diverse prokaryotic life, and, while rare today, still sustain species-rich giant sulfur-oxidizing bacterial communities. We here present the genomic features of a new bacteria of the HS, "Candidatus Venteria ishoeyi" ("Ca. V. ishoeyi") in the family Thiotrichaceae.Three identical filaments were micro-manipulated from reduced sediments collected off central Chile; their DNA was extracted, amplified, and sequenced by a Roche 454 GS FLX platform. Using three sequenced libraries and through de novo genome assembly, a draft genome of 5.7 Mbp, 495 scaffolds, and a N50 of 70 kbp, was obtained. The 16S rRNA gene phylogenetic analysis showed that "Ca. V. ishoeyi" is related to non-vacuolate forms presently known as Beggiatoa or Beggiatoa-like forms. The complete set of genes involved in respiratory nitrate-reduction to dinitrogen was identified in "Ca. V. ishoeyi"; including genes likely leading to ammonification. As expected, the sulfur-oxidation pathway reported for other sulfur-oxidizing bacteria were deduced and also, key inorganic and organic carbon acquisition related genes were identified. Unexpectedly, the genome of "Ca. V. ishoeyi" contained numerous CRISPR repeats and an I-F CRISPR-Cas type system gene coding array. Findings further show that, as a member of an eons-old marine ecosystem, "Ca. V. ishoeyi" contains the needed metabolic plasticity for life in an increasingly oxygenated and variable ocean.
[Mh] Termos MeSH primário: Bactérias/metabolismo
Genoma Bacteriano
Enxofre/metabolismo
[Mh] Termos MeSH secundário: Bactérias/classificação
Bactérias/genética
Chile
DNA Bacteriano/genética
DNA Bacteriano/isolamento & purificação
Oxirredução
Filogenia
RNA Ribossômico 16S/genética
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (DNA, Bacterial); 0 (RNA, Ribosomal, 16S); 70FD1KFU70 (Sulfur)
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180104
[Lr] Data última revisão:
180104
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171214
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0188371


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[PMID]:29224749
[Au] Autor:Sedaghat S; Fredes F; Tapia M
[Ad] Endereço:Otolaryngologist at University of Concepcion and Hospital Guillermo Grant Benavente, Concepcion, Chile. Electronic address: sahbasedaghat@gmail.com.
[Ti] Título:Supraglottoplasty for laryngomalacia: The experience from Concepcion, Chile.
[So] Source:Int J Pediatr Otorhinolaryngol;103:113-116, 2017 Dec.
[Is] ISSN:1872-8464
[Cp] País de publicação:Ireland
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To review the clinical manifestations and outcomes of supraglottoplasty in patients with moderate to severe laryngomalacia at Guillermo Grant Benavente Hospital between January 2015 and January 2017. METHODS: Retrospective study of patients with laryngomalacia who underwent CO2 laser supraglottoplasty at a tertiary referral center. A review of medical records of these patients was performed. Epidemiological data along with symptoms, comorbidities, morphological type of laryngomalacia, synchronous airway lesions, surgery outcomes and satisfaction of parents after the procedure were recorded. Surgical success was defined as the resolution of the criteria of severity of laryngomalacia. RESULTS: Twenty-four patients were operated, 1 was excluded due to prior tracheostomy. Twenty-three patients were included, the median age at the time of surgery was 5.5 months. All the patients had stridor, 87% presented feeding difficulties, 34.8 % had cyanosis and 21.7% had failure to thrive. Six cases had congenital anomalies and four cases had nongenetic comorbidities. Fifteen patients (65.2%) had synchronous airway lesions. 17.4% had type I laryngomalacia and 82.6% were type 2. The postoperative average hospital stay was 1.3 days. The average follow-up was 14 months and no complications were reported. The overall success rate of surgery was 95%. CONCLUSIONS: Patients with laryngomalacia and any symptom of severity should undergo a full airway evaluation, to rule out synchronous airway lesions, and supraglottoplasty if needed, as it has been shown to be a safe and effective technique for the management of these patients.
[Mh] Termos MeSH primário: Laringomalácia/cirurgia
Lasers de Gás/uso terapêutico
Procedimentos Cirúrgicos Reconstrutivos/métodos
Supraglotite/cirurgia
[Mh] Termos MeSH secundário: Pré-Escolar
Chile
Feminino
Seres Humanos
Lactente
Masculino
Estudos Retrospectivos
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180104
[Lr] Data última revisão:
180104
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171212
[St] Status:MEDLINE



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