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Editorial
In the February 2009 Issue of Clinics
Mauricio Rocha-e-Silva
Hospital das Clínicas, Faculdade de Medicina da Universidade de São Paulo – São Paulo/SP, Brazil
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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="para10" class="elsevierStylePara elsevierViewall">In this issue of CLINICS we are publishing the first report on organ transplants from Hospital das Cl&#237;nicas&#44; covering the period of 2002 to 2007&#46; We intend to follow up this article with annual reports starting early 2010&#46; In this article <span class="elsevierStyleBold">Azeka et al&#46;</span> report on a total of 3&#44;321 solid organ and tissue transplants at the institution&#46; The 5-year survival curve ranged from 53&#37; to 88&#37;&#44; and shows that solid organ and tissue transplants are feasible within the institution&#44; and leads one to expect that the quality of transplantants should improve over the coming years&#46;</p><p id="para20" class="elsevierStylePara elsevierViewall">We are also publishing an Editorial commenting on a review article published in our January 2009 issue&#44; eight more original clinical science articles&#44; and one basic research article&#44; as well as 3 case reports&#46;</p><p id="para30" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleBold">Salluh et al&#46;</span> describe outcomes and thrombotic events in a series of 18 critically ill cancer patients positive for antiphospholipid antibodies&#46; Measurements were performed up to 48 hours after the occurrence of acrocyanosis or arterial&#47;venous thrombotic events&#46; All patients developed MOF during the ICU stay&#44; and intra-hospital death occurred in 13&#47;18 &#40;72&#37;&#41; of the patients&#46; Of the 5 discharged patients&#44; 3 were alive 90 days later&#46; Authors conclude that the coexistence of sepsis or SIRS and aPL antibodies was often associated with MOF and death&#46;</p><p id="para40" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleBold">Furtado et al&#46;</span> developed and validated a Brazilian-Portuguese version of the Gesture Behavior Test for patients with non-specific chronic low back pain&#46; Translation into Portuguese was performed by a rheumatologist fluent in the language of origin &#40;French&#41;&#44; and skilled in the validation of questionnaires&#46; The translated version was back-translated into French by a native-speaking teacher of the language&#46; The two translators then created a final consensual version in Portuguese&#46; They conclude that the Brazilian version proved to be a reproducible and valid instrument&#46; In addition&#44; according to the questionnaire results&#44; more disabled patients were found to exhibit more protective gesture behavior related to low-back&#46;</p><p id="para50" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleBold">Ruano et al&#46;</span> report on their experience using selective fetoscopic laser photocoagulation of superficial placental anastomoses for the treatment of 19 monochorionic diamniotic twin pregnancies complicated by severe twin-twin transfusion syndrome&#46; A 1&#46;0 mm fetoscopic laser was employed for this therapy and showed results similar to those reported in the literature for larger endoscopes&#46;</p><p id="para60" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleBold">Greve et al&#46;</span> compared radial shockwaves and conventional physiotherapy for treating plantar fasciitis in 32 patients equally divided between conventional treatment &#40;10 physiotherapy sessions each&#44; consisting of ultrasound&#44; kinesiotherapy and instruction for stretching exercises at home&#41; and a test group &#40;undergoing 3 applications of radial shockwaves&#44; once a week&#44; plus instruction for stretching exercises at home&#41;&#46; They found that both treatments were effective for pain reduction and for improving the functional abilities of patients with plantar fasciitis&#44; but that the effect of the shockwaves appeared sooner than physiotherapy after the onset of treatment&#46;</p><p id="para70" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleBold">Torquato et al&#46;</span> quantified the interaction between intra-abdominal pressure and positive-end expiratory pressure in 30 mechanically ventilated ICU patients with a fixed tidal volume&#59; respiratory system plateau and abdominal pressure were measured at a Positive-End Expiratory Pressure level of zero and 10 cm H<span class="elsevierStyleInf">2</span>O&#44; with and without a 5 kg weight placed over their stomachs&#46; They conclude that the addition of the weight onto the abdomen increased both abdominal pressure and airway plateau pressure&#44; confirming that intra-abdominal hypertension elevates the plateau pressure&#46; However&#44; they add&#44; plateau pressure should not be taken as a good detector of elevated intra-abdominal pressure in patients under mechanical ventilation using PEEP&#44; adding that intra-abdominal pressure must also be measured&#46;</p><p id="para80" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleBold">Bacarin et al&#46;</span> investigated and compared the influence of a previous history of foot ulcers on plantar pressure variables during gait of patients with diabetic neuropathy&#46; The study included 20 controls&#59; 17 diabetic neuropathy patients without foot ulcers&#44; and 10 diabetic neuropathy patients with at least one healed foot ulcer within the last year&#44; and concludes that foot ulcers in the clinical history of diabetic neuropathy influenced plantar pressure distribution&#44; resulting in an increased load under the midfoot and rearfoot and an increase in the variability of plantar pressure during barefoot gait&#44; whereas the progression of diabetic neuropathy was not found to influence plantar pressure distribution&#46;</p><p id="para90" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleBold">Lopes et al&#46;</span> compared self-report and interview administration methods of the Western Ontario Rotator Cuff Index and the Disabilities of Arm&#44; Shoulder and Hand Questionnaires in 30 male and female patients with rotator cuff disorders in 30 male and female patients over 18 years of age with rotator cuff disorders &#40;tendinopathy or rotator cuff tear&#41; and Brazilian Portuguese as their primary language&#46; The majority &#40;n&#61;26&#41; had a complete college degree or higher&#46; Mean questionnaire scores and administration times were not significantly different &#40;p&#60;0&#46;05&#41; between the two groups procedures&#46; There were statistically significant correlations &#40;p&#60;0&#46;05&#41; between the 2 procedures and strong correlations were found between the questionnaires in both groups&#44; with no differences between them with regard to administration time or correlations between the 2 questionnaires&#46;</p><p id="para100" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleBold">Duarte et al&#46;</span> measured the prevalence of thyroid dysfunction in 399 elderly cardiology patients with mild excessive iodine intake in the urban area of S&#227;o Paulo&#46; They found that elderly patients have a higher prevalence of both hypo- and hyperthyroidism as well as thyroid nodules when compared with the general population&#59; about one-third of the older patients had elevated urinary secretion of iodine and a higher prevalence of chronic Hashimoto&#8217;s thyroiditis&#46; Authors recommend that ultrasonographic studies&#44; tests for thyroid function and autoimmunity should be performed in elderly patients&#46;</p><p id="para110" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleBold">&#221;rk&#246;r&#252;c&#252; et al&#46;</span> analyzed the formation of adherences in 50 Wistar male rats undergoing median laparotomy and standardized abrasion of the visceral and parietal peritoneum&#44; Phosphatidylcholine&#44; Seprafilm II&#44; and t-PA alone and phosphatidylcholine and t-PA in combination were tested&#46; Seven days after surgery&#44; a relaparotomy for adhesion grading showed that adhesion was less pronounced in the study groups&#44; even more so in the combination group&#46; In the t-PA group and the combination group&#44; six and two rats&#44; respectively&#44; developed hematomas locally on the cecum&#46;</p></span>"
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Article information
ISSN: 18075932
Original language: English
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