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Wednesday, August 10, 2022
3.097 - AMICOR (25)
3.097 - AMICOR (25)
Reencontrei (07/08/2022) o buquê que em 1987 ela tinha na mão. Imagem já publicada no AMICOR 3.074 do meio do mês de março do corrente ano.
King's Williams Island Finland 1987 - colhendo flores silvestres...
O jardim, era de fato uma reserva ecológica, agreste numa ilha fronteiriça a Helsinki. As flores silvestre que colhemos eu guardei , e até algum tempo se conservavam (secas) protegidas por um plástico. Espero pode reencontrá-las, mesmo que não consiga mais encontrar quem as colheu.
Ao encontrar artigo recente sobre esta doeneça, lembrei de um caso semelhante que esteve sob meus cuidados, em abril de 1960, enquanto Residente chefe no Serviço do Professor Eduardo Záccaro Faraco, da Cátedra de Terapêutica Clínica da Faculdade de Medicina da UFRGS.
Como a Enfermaria 38o da Santa Casa de Misericórdia (Pavilhão Cristo Redentor, 6o. andar)cuidava somente de homens, para que tivéssemos também experiência com pacientes femininas, cuidávamos também das pacientes da Enfermaria 02 (4o. andar) do Professor Thomaz Mariante.
Na época Dra. Valderês A. Robinson Achutti, minha esposa, estava cursando o último ano do Curso Médico, e no ano seguinte me acompanhou na Residência Médica.
A paciente era uma jovem de 27 anos, auxiliar de enfermagem, que notara os primeiros sintomas há quatro meses. Não conseguíamos enquadrar o caso em nenhuma nosologia comumente conhecida. Material do exame pos-mortem, também enviado aos dr. Davis e Saffir (autoridades mundiais no assunto) confirmou a raridade do caso.
Desta entidade mórbida, este foi considerado como o primeiro caso diagnosticado no Brasil, e foi publicado nos Arquivos Brasileiros de Cardiologia, e na revista Cor et Vasa (Elsevie - Amsterdam).
Mais detalhes relacionados com o título, mas de acesso restrito. (solicitar)
Agradecimentos à família da paciente, e aos co-autores do artigo, mesmo depois de 64 anos passados.
Endomyocardial fibrosis remains an important cause of restrictive cardiomyopathy despite the unsolved questions regarding the cause and therapeutic strategies. Worldwide prevalence is estimated at 10 to 12 million in 2008.1 Echocardiography is the standard modality for endomyocardial fibrosis diagnosis. Ventricular endocardial fibrosis with organized thrombus is the hallmark of advanced disease.2
In this case, a 70-year-old male patient was admitted with symptoms of right heart failure. ECG demonstrated atrial fibrillation and right bundle-branch block. Transthoracic, 2-dimensional, and 3-dimensional transesophageal echocardiography evidenced obliteration of the right ventricular (RV) apex, severe right atrial enlargement with a prominent aneurysm of fossa ovalis, and inferior vena cava dilatation (Figure, Movies I and II in the Data Supplement). Myocardial contrast echocardiography revealed marked RV apex and subtle left ventricular apex subendocardial delayed perfusion and a small perfusion defect over the RV endocardium (Figure, Movie III in the Data Supplement). Late gadolinium enhancement cardiac magnetic resonance imaging showed mild RV systolic dysfunction, apical thickening and obliteration, hypoperfusion at rest, and typical late double V enhancement, compatible with subendocardial fibrosis and thrombus (Figure, Movie IV in the Data Supplement). Left ventricular early involvement was demonstrated by the presence of hypoperfusion at rest and late subendocardial enhancement in its apex and apical lateral segment, as well as involvement of the mitral valve (Figure, Movie IV in the Data Supplement).
Figure.Echocardiography and cardiac magnetic resonance (CMR) images.A, Transthoracic echocardiography and (B) Transesophageal echocardiography (TEE) evidenced obliteration of the right ventricular (RV) apex (white arrows). C, Three-dimensional TEE confirmed the obliteration of RV apex (red arrow) and showed a prominent aneurysm of fossa ovalis (white arrow). D and E, Myocardial contrast echocardiography evidenced a subtle left ventricular (LV) apex and marked RV apex subendocardial delayed perfusion associated with a perfusion defect over the RV endocardium (white arrows). F, CMR showed RV apical thickening and obliteration, typical late double V enhancement compatible with subendocardial fibrosis and thrombus, besides the presence of LV late subendocardial enhancement in its apex and apical lateral segment (white arrows). The Data Supplement is available at https://www.ahajournals.org/doi/suppl/10.1161/CIRCIMAGING.120.012093.
#NATURE Recomendação da Dra. Maria Inês Reinert Azambuja Sobre efeito das mudandças climáticas sobre a saúde humana https://www.nature.com/articles/s41558-022-01426-1
#ASRM
#ACT-Promoção da Saúde
10/08/2022 Posse da nova diretoria e Conselhos
#ISCEP
Recebi da Prof. Dra. Kay Tee-Khaw, notícia para divulgação sobre o 52nd Ten-Day Seminar, programado para 11 dezembro em Kochi, na Índia. Candidatos até 16 setembro.
A Biochemist’s View of Life’s Origin Reframes Cancer and Aging
By VIVIANE CALLIER; Video by EMILY BUDER
The biochemist Nick Lane thinks life first evolved in hydrothermal vents where precursors of metabolism appeared before genetic information. His ideas could lead us to think differently about aging and cancer.
What Is Quantum Field Theory and Why Is It Incomplete?
Podcast hosted by STEVEN STROGATZ
Quantum field theory may be the most successful scientific theory of all time, but there’s reason to think it’s missing something. Steven Strogatz speaks with theoretical physicist David Tong about it.
Growing Support for a Muon Collider Support for a plan to build the world’s first muon collider is mounting in the US particle physics community, Elizabeth Gibney reports for Nature. At last month’s Snowmass conference, advocates for the idea were even selling muon-themed t-shirts. Muons offer an especially rich vein for particle physics research because understanding their properties could help uphold or disprove the Standard Model, Natalie Wolchover reported for Quanta last year.
The Itsy Bitsy Dream State New research suggests that jumping spiders experience something like REM sleep and may even dream, reports Betsy Mason for Scientific American. Scientists observed the arachnids twitching slightly while they slept, just like restless kittens or puppies. Studying the sleeping habits of invertebrates like spiders has helped researchers come to understand that sleep probably evolved before animal brains did, as Veronique Greenwood reported for Quanta last year. Previous studies have also hinted that arachnids lead surprisingly complex interior lives. In a Quanta story from 2017, Joshua Sokol wrote about how spiderwebs can function as an extension of a spider’s cognition.
#GDB
https://vizhub.healthdata.org/gbd-compare/
recomendado pela AMICOR Maria Inês Reinert Azambuja
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