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PURPOSE To demonstrate that assessing quality of informal care involves more than merely determining whether care recipient needs for assistance with activities of daily living (ADLs) are routinely satisfied. We investigated the extent to which potentially harmful behavior (PHB), adequate care, and exemplary care (EC) are empirically distinct dimensions of(More)
CC This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons. org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. Author contributions: BDC: conception and design,(More)
HTLV-1-associated myelopathy (HAM) is a classic neuro-logical disease, but cognitive impairment and altered signal intensity on MRI scans of the brain are described in the literature and suggest a more extensive neurological damage. This is a cross-sectional study, conducted between March 17 th and September 28 th , 2012 in the GIPH cohort, Brazil. HAM was(More)
Since 1997, the Interdisciplinary Research Group on HTLV-1/2 (GIPH) has been following individuals infected with HTLV in Minas Gerais, Brazil, in an open prospective cohort study. The HAM diagnosis is based on clinical parameters, with support of complementary exams to exclude other possible causes of myelopathy. The objective of this study was to evaluate(More)
Since the beginning of the 19 th century, coronary thrombosis has been a known cause of death. In the 20 th century, this knowledge led to revolutionary treatment and prevention methods for acute myocardial infarction (AMI) 1. The selective cineangiocardiography was introduced in 1958, and up to a few years ago was the only test available for coronary(More)
BACKGROUND The upper esophageal sphincter is composed of striated muscle. The stress of intubation and the need to inhibit dry swallows during an esophageal manometry test may lead to variations in basal pressure of this sphincter. Upper esophageal sphincter is usually only studied at the final part of the test. Was observed during the performance of high(More)
BACKGROUND An unbuffered postprandial proximal gastric acid pocket (PPGAP) has been noticed in the majority of normal individuals and patients with gastroesophageal reflux disease. The role of gastric anatomy, specifically the antrum, in the physiology of the PPGAP is not yet fully elucidated. This study aims to analyze the presence of PPGAP in patients(More)
Dissection of mucosa from the nasal septum during transphenoidal approach can lead to significant morbidity. We report our experience with sphenoidotomy approach to the sella. This procedure obviates this dissection and its complication as septal perfurations, anosmy and epistaxis. Sphenoidotomy can be done under the microscopic view, endoscopic techniques(More)
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