Objectives: Periprosthetic fractures, especially periprosthetic proximal femur are an increasingly important orthopaedic problem. The aim of this study is to evaluate long-term results, mortality and complications fractures. 
 Methods: Patients who had fracture were evaluated retrospectively. with Vancouver type B1 C treated plate-screw osteosynthesis patients B2 operated using revision fe...

Introdução Ferimento por arma de fogo no crânio é o mais letal das lesões penetrantes cerebrais, com taxas mortalidade relatadas a partir 85% 93%. Nas grandes cidades do Brasil, prevalência da violência urbana elevada, devido aos conflitos associados ao tráfico drogas nas comunidades periféricas, assim como os armados polícia. Objetivo Este estudo tem objetivo avaliar fatores preditivos morbida...

Prebiotic carbohydrates, in addition to their ability to influence the colonic microbiota, are also able to interfere with how pathogenic bacteria attach to the epithelial cells that line the intestinal tract. For Salmonella, Escherichia coli, and other enteric pathogens, adherence is a receptor-mediated event between bacterial adhesins and their complementary ligands located on the mucosal sur...

OBJECTIVE To evaluate the feasibility and safety of mild hypothermia treatment in patients with aneurysmal subarachnoid hemorrhage (SAH) who are experiencing intracranial hypertension and/or cerebral vasospasm (CVS). METHODS Of 441 consecutive patients with SAH, 100 developed elevated intracranial pressure and/or symptomatic CVS refractory to conventional treatment. Hypothermia (33-34 degrees...

The Glasgow Outcome Scale (GOS) is the primary endpoint for efficacy analysis of clinical trials in traumatic brain injury (TBI). Accurate and consistent assessment of outcome after TBI is essential to the evaluation of treatment results, particularly in the context of multicenter studies and trials. The inconsistent measurement or interobserver variation on GOS outcome, or for that matter, on ...

INTRODUCTION The objective of this study was to compare long-term neurological outcomes in low-risk patients with traumatic intracranial hemorrhage (tICH) admitted to the ICU (intensive care unit) versus patients admitted to the floor. METHODS This retrospective study was conducted at a Level 1 trauma center from October 1, 2008, to February 1, 2013. We defined low-risk patients as age less t...

Massive cerebral infarction is often accompanied by early death, secondary to brain edema and trans-tentorial herniation. Several reports indicate beneficial effects of decompressive craniectomy in this situation, but the efficacy of this procedure is still a matter of debate. A n experimental study in a period of3 years was done on2 3 patients with brain edema due to massive cerebral infa...

BACKGROUND Approximately 20% to 40% of patients with gastroesophageal reflux disease (GERD) are refractory to standard-dose proton-pump inhibitor (PPI) treatment. OBJECTIVE We compared the efficacy and quality-of-life effects of 20 mg once daily (QD) versus 10 mg twice daily (BID) rabeprazole (RPZ) in patients with refractory GERD-related symptoms and sleep disturbances. METHODS This multic...