Navegando por Autor "Oliveira, Rodrigo Azevedo de"
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Artigo Adynamic bone disease(Jornal Brasileiro de Nefrologia, 2021-06-14) Oliveira, Rodrigo Azevedo de; Gueiros, Ana Paula Santana; Carvalho, Aluizio Barbosa; 0000-0003-1617-6759Deve-se suspeitar de doença óssea adinâmica (DOA) em pacientes idosos, diabéticos, paratireoidectomizados, tratados intensivamente com calcimiméticos, calcitriol ou análogos, naqueles expostos ao alumínio ou à sobrecarga de cálcio, quer seja por via oral ou pelo dialisato com alta concentração de cálcio (3,5mEq/L) por tempo prolongado (Evidência). A doença óssea adinâmica (DOA) representa uma entidade clínica bem definida dentre os distúrbios do metabolismo mineral e ósseo da doença renal crônica (DMODRC).Artigo Anunusual case of bilateral macular detachment preceding renal failure(National Center for Biotechnology Information, 2021) Oliveira, Rodrigo Azevedo de; Garcia Filho, Carlos A. de Amorim; Meirelles, Rodrigo L.; Lima, Luiz H.; Balaratnasingam, Chandrakumar; Agarwal, Anita; Garcia, Carlos A. de AmorimA 58-year-old woman presented with a for 4-month history of prograssively decreasing visual acuity in both eyes and not other ophthalmic or systemic symptoms. Her medical history was relevant only for moderately controlled systemic hypertension.Dissertação Efeitos do treino resistido na capacidade funcional e na reatividade pressórica em pacientes intradialíticos(Universidade Federal do Rio Grande do Norte, 2015-06-01) Figueirôa, Natália Maria Conceição; Souza, Dyego Leandro Bezerra de; ; http://lattes.cnpq.br/9953301230987878; ; http://lattes.cnpq.br/9677921833641606; Almeida, Gilmara Celli Maia de; ; http://lattes.cnpq.br/5694096571543495; Oliveira, Rodrigo Azevedo de; ; http://lattes.cnpq.br/6614813674878856Pacientes com doença renal crônica (DRC) submetidos ao treinamento resistido durante a hemodiálise apresentam benefícios substanciais dos sistemas muscular e cardiovascular, da capacidade funcional e da sua qualidade de vida. Entretanto, as melhorias na reatividade pressórica ainda não estão bem esclarecidas. O objetivo foi analisar o efeito do treino resistido na melhora da capacidade funcional e da reatividade pressórica em pacientes hemodialisados, em Natal/RN no ano de 2014. Trata-se de um ensaio clínico controlado e randomizado, com amostra de 64 pacientes, com média de idade de 42,28 (±11,48) anos, distribuídos em grupo experimental (GE) e controle (GC). Para mensurar os ganhos de força de membros inferiores foram utilizados os testes de sentar e levantar e de levantar e caminhar, já para a reatividade pressórica o teste cold pressor, em ambos os grupos antes e após a intervenção. Além disso, apenas o GE participou do treinamento resistido durante a hemodiálise em 16 semanas, composto por 3 sessões semanais, 3 séries de 10 repetições máximas (RM) estimadas (para extensores de joelho e flexores de quadril e joelho), entre 50 a 70% de 10 RM. Para a intensidade do treinamento foi utilizada a escala de Borg entre 11 a 14 durante as seções. Os dados foram analisados utilizando o Teste t para amostras independentes (inter-grupos) bem como para comparar a diferença das médias nos grupos pré e pós-intervenção (intra-grupos) a partir do Teste t para amostras repetidas. Para todas as variáveis foi considerada a significância estatística de 5% executados no software SPSS® 20.0. O estudo foi aprovado pelo comitê de ética do Hospital Universitário Onofre Lopes (HUOL - UFRN) número 37992214.2.0000.5292. Após a intervenção, verificou-se que os pacientes do GE tiveram um desempenho melhor nos testes de força (p<0,001) em comparação ao GC. Resultado também observado na pressão arterial sistólica e diastólica (PAS e PAD) ambas de repouso que apresentaram redução dos níveis pressóricos apenas no GE (p<0,001). Na reatividade pressórica tanto nos períodos pré bem como após 2 minutos também demonstraram reduções estatisticamente significativas do GE (p<0,001 e p=0,012) respectivamente quando comparado ao GC. Conclui-se que o treinamento resistido melhorou desempenho nos testes de força de membros inferiores beneficiando a capacidade funcional dos pacientes em hemodiálise, como também a pressão arterial de repouso e os níveis de reatividade pressórica obtiveram reduções significativas de seus valores após a intervenção. Além disso, este tipo de treinamento também pode ser utilizado como uma estratégia de proteção aos fatores de risco cardiovascular em pacientes renais crônicos.Artigo Mucormycosis-induced hypercalcemia: a case report(Springer, 2023-05-15) Oliveira, Rodrigo Azevedo de; Lucena, Larissa Araújo de; Oliveira, Fernanda Gurgel de; Andrade, Maíra Medeiros Pacheco de; Paula, Kalyanne Cabral de; Praxedes, Marcel Rodrigues Gurgel; 0000-0003-1617-6759Hypercalcemia is a vital laboratory marker because it can show underlying severe diseases like cancer and infections. Of all the causes of hypercalcemia, primary hyperparathyroidism, and malignancies are the most common, but granulomatous diseases, such as certain fungal infections, can also be the cause. Here we describe the case of a 29-year-old woman, an insulin-dependent diabetic, found unconscious and tachypneic at home. In the emergency room, the medical team diagnosed diabetic ketoacidosis (DKA) and acute kidney injury (AKI). During hospitalization, despite resolving acidemia, persistent hypercalcemia attracted attention. Laboratory tests showed decreased parathyroid hormone (PTH) levels, confirming non-PTH-dependent hypercalcemia. Computed tomography (CT) of the chest and abdomen demonstrated no alterations, but an upper digestive endoscopy revealed an ulcerated and infiltrative lesion in the stomach. A biopsy showed a granulomatous infiltrate due to mucormycosis infection. The patient received liposomal amphotericin B for 30 days and isavuconazonium for two months. Serum calcium levels improved during treatment. Inquiry of the etiology of hypercalcemia should begin with the PTH assay; high levels are consistent with hyperparathyroidism; low levels, with calcium or vitamin D intoxication, malignancies, prolonged immobilization, and granulomatous diseases. In the latter cases, the overproduction of 1-alpha-hydroxylase by the granulomatous tissue increases the conversion of 25(OH)vitamin D into 1–25(OH)vitamin D, which causes the intestinal absorption of calcium. We have described the first hypercalcemia related to mucormycosis infection in a young diabetic patient, although case presentations associate other fungal infections with elevated serum calcium.Artigo Renovascular hypertension associated with an anomalous intrathoracic originated renal artery(Journal Of Medical Imaging And Case Reports, 2022-03-20) Oliveira, Rodrigo Azevedo de; Lucena, Larissa Araújo de; Guedes, Felipe L.; Oliveira, Eric S. R. de; Medeiros Júnior, Fabiano C. de; Oliveira, William S. R. de; Medeiros, Paulo José de; Freitas, Márcio V.; Alves, Guilherme T. A.; Paula, Priscila R. de; Almeida, José Bruno de; Oliveira, Rodrigo A. de; 0000-0003-1617-6759Renovascular disease (RVD) is responsible for 5.8% of secondary hypertension cases in young adults, caused mainly by obstructive lesions due to either atherosclerotic renal artery stenosis or fibromuscular dysplasia. Although the renal arteries’ supradiaphragmatic origin is exceedingly rare, up to date, three cases of secondary hypertension due to single ectopic renal arteries originating from the thoracic aorta have been reported in patients with customarily positioned kidneys. Herein we describe a case of a 21-year-old man with resistant hypertension whose investigation showed an ectopic right renal artery originated from the internal thoracic artery. Although both renal arteries were free of obstructive lesions, the right one was very long and tortuous, causing kidney hypoperfusion. A bypass surgery between the right renal artery and the aorta was performed uneventfully, leading to better blood press control. To the best of our knowledge, there are no previous reports of secondary hypertension due to renal artery arising from the internal thoracic artery.Artigo Supernumerary ectopic parathyroid located in the left carotid sheath(Archives of Head and Neck Surgery, 2018-10-25) Oliveira, Rodrigo Azevedo de; Souza, Ana Karenina Nobre Fonseca de; Lira, Liliane Queiroz de; 0000-0003-1617-6759A 34 years old male patient with chronic renal failure and history of total parathyroidectomy with parathyroid autotransplantation evolved with persistence of elevated PTH, bone pain. Cervical ultrasonography and parathyroid scintigraphy with sestaMIBI revealed changes in the topography of the left submandibular gland. He underwent cervical exploration showing supranumerary ectopic parathyroid, found in the left carotid sheath at I/IIA levels, with histopathological confirmation by frozen section biopsy. On the first postoperative day, serum PTH decreased by more than 95%, thus, confirming operative success. The symptoms improved along the follow up.Artigo Translumbar hemodialysis long-term catheters: an alternative for vascular access failure(Brazilian Journal Of Nephrology, 2019-01) Moura, Fernando; Guedes, Felipe Leite; Dantas, Yuri; Maia, Ana Helena; Oliveira, Rodrigo Azevedo de; Silva, Artur Quintiliano Bezerra daIntroduction: Vascular access (VA) in hemodialysis (HD) is essential to end-stage renal disease (ESRD) patients survival. Unfortunately, after some years in HD program, a significant number of patients may develop VA failure for many reasons. In this situation, arterial venous fistula (AVF) confection or catheters placement in traditional vascular sites (jugular, femoral or subclavian) are not feasible. In this scenario, translumbar tunneled dialysis catheter (TLDC) may be a salvage option. Objectives: To describe placement technic, complications, and patency of 12 TLDC. Methods: A retrospective study was performed to analyze 12 TLDC placement in an angiography suite using fluoroscopic guidance at the University Hospital of the Rio Grande do Norte Federal University from January 2016 to October 2017. The data collected of the total procedures performed consisted of demographic characteristics, success rates, observed complications, patient survival, and catheter patency. Results: All 12 TLDC were placed with success; there were only 2 significant periprocedure complications (major bleeding and extubation failure); 41.6% of patients presented a catheter-related first infection after 98 ± 72.1 (6-201) days, but catheter withdrawal was not necessary, mean total access patency was 315.5 (range 65 - 631) catheter-days, and catheter patency at 3, 6 and 12 months was 91 %, 75%, and 45%. Conclusion: TLDC is an option for patients with VA failure, improving survival and acting as a bridge for renal transplantation.