Ricardo Terra

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Primary tracheal malignant melanomas are uncommon neoplasms: only five cases have been reported. Different therapeutic approaches are described, with a short life expectancy observed. We report a case of a young woman with a primary tracheal malignant melanoma who underwent complete tracheal resection and is free of disease 4 years after surgical treatment.
Enteral nutrition (EN) and total parenteral nutrition (TPN) may provide life-sustaining therapy for surgical patients. The duration of nutritional therapy (enteral or parenteral) implies distinct access routes. We review the main aspects related to access routes for nutrient delivery. The enteral route, whenever feasible, is preferred. For EN lasting less(More)
In this article, the authors compare and illustrate the use of three static architecture-conformance techniques: dependency-structure matrices, source code query languages, and reflexion models. To highlight the similarities and differences between these three techniques, they describe how to apply some of the techniques' available supporting tools to(More)
BACKGROUND The purpose of this study was to analyze the effectiveness and safety of silver nitrate pleurodesis (SNP) in patients with recurrent malignant pleural effusion (RMPE) when performed in an outpatient setting. MATERIALS AND METHODS Prospective study including patients with RMPE recruited in a tertiary university-based hospital from February 2008(More)
This paper presents a domain-specific dependency constraint language that allows software architects to restrict the spectrum of structural dependencies that can be established in object-oriented systems. The ultimate goal is to provide architects with means to define acceptable and unacceptable dependencies according to the planned architecture of their(More)
OBJECTIVES Severe glottic/subglottic stenosis (complex laryngotracheal stenosis) is a rare but challenging complication of endotracheal intubation. Laryngotracheal reconstruction with cartilage graft and an intralaryngeal stent is a procedure described for complex laryngotracheal stenosis management in children; however, for adults, few options remain. Our(More)
OBJECTIVES To evaluate the effectiveness and safety of pleurodesis carried out entirely on an outpatient basis in patients with recurrent malignant pleural effusions and Karnofsky Performance Status scores <70. METHODS This study was a prospective trial comprising patients with symptomatic recurrent malignant pleural effusion and Karnofsky Performance(More)
BACKGROUND AND OBJECTIVE Pleurodesis is one of the best methods of controlling malignant pleural effusions (MPE), a distressing complication of metastatic disease. In recent studies of a wide range of pleural diseases, iodopovidone was used as a sclerosing agent for pleurodesis and demonstrated good results with low morbidity. The aim of this study was to(More)
STUDY OBJECTIVES To analyze and compare radiologic lung expansion after talc pleurodesis performed either by videothoracoscopy or chest tube and correlate it with clinical outcome. Secondary end points evaluated were as follows: clinical efficacy; quality of life; safety; and survival. METHODS Prospective randomized study that included 60 patients (45(More)
Architectural erosion is a recurrent problem faced by software architects. Despite this fact, the process is usually tackled in ad hoc way, without adequate tool support at the architecture level. To address this issue, we describe the preliminary design of a recommendation system whose main purpose is to provide refactoring guidelines for developers and(More)