Vera Fernandes

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INTRODUCTION Development of acute kidney injury (AKI) during the perioperative period is associated with increases in morbidity and mortality. Our aim was to evaluate the incidence and determinants of postoperative AKI after major noncardiac surgery in patients with previously normal renal function. METHODS This retrospective cohort study was carried out(More)
INTRODUCTION Delirium is an acute disturbance of consciousness and cognition that has been shown to be associated with poor outcomes, including increased mortality. We aimed to evaluate outcome after postoperative delirium in a cohort of surgical intensive care unit (SICU) patients. METHODS This prospective study was conducted over a 10-month period in a(More)
Cowden syndrome (CS) is a rare dominantly inherited multisystem disorder, characterized by an extraordinary malignant potential. In 80% of cases, the human tumor suppressor gene phosphatase and tensin homolog (PTEN) is mutated. We present a case of a 17-year-old boy with genetically confirmed CS and Graves' disease (GD). At the age of 15, he presented with(More)
–Northwest Africa (NWA) 4734 is an unbrecciated basaltic lunar meteorite that is nearly identical in chemical composition to basaltic lunar meteorites NWA 032 and LaPaz Icefield (LAP) 02205. We have conducted a geochemical, petrologic, mineralogic, and Sm-Nd, Rb-Sr, and Ar-Ar isotopic study of these meteorites to constrain their petrologic relationships and(More)
BACKGROUND Aorto-bifemoral bypass (AFB) is commonly performed to treat aorto-iliac disease and a durable long-term outcome is achieved. Most studies documenting beneficial outcomes after AFB have been limited to mortality and morbidity rates, costs and length of hospital stay (LOS). Few studies have examined the dependency of patients and how their(More)
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