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OBJECTIVES: The benefits of using a fibrin sealant to reinforce the pancreaticojejunal anastomosis are still contentious, a fact that justifies the study of its effects on clinical outcomes and costs of pancreaticoduodenectomy. METHODS: Study of 62 consecutive patients submitted to pancreaticoduodenectomy, divided into two groups of 31 patients each: GWS = group with sealant and GWOS = group without sealant that were compared according to demographic, clinical, laboratory aspects, the incidence of postoperative pancreatic fistula (POPF), according to the definition of the International Study Group on Pancreatic Fistula, updated in 2016, and its postoperative complications categorized according to the Clavien classification, as well as hospital costs evaluated by the absorption costing method (with the exception of those related to medications). RESULTS: The groups were homogeneous and there were no significant differences in the postoperative clinical course or in the indicators of hospital care between them. Hard texture of pancreatic tissue was the only protective factor against the development of POPF (RR = 0.29 (95%CI:0,12-0,68); p = 0.005). Moreover, hospital costs were higher in GWS than in GWOS (p < 0.0001). CONCLUSIONS: The use of fibrin sealant to reinforce pancreaticojejunal anastomosis did not improve the clinical and healthcare outcomes and, in addition, increased hospital costs.

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The overweight population is growing in the world, and the search for obesity-associated mechanisms is important for a better understanding of this disease. Few studies with the FTO gene and miRs show how they associate to obesity and how they can impact this disease. The aim of this study was to verify the relationship between the FTO gene and the hsa-miR-150-5p expression with overweight/obesity, lipid profile, and fast blood glucose. Men and women (18 years older or above), with body mass index ≥ 18.5 kg/m2, were enrolled in the present study and the FTO gene and hsa-miR-150-5p expression, biochemical parameters of blood and anthropometric measurements were analyzed. The results highlight that the FTO gene expression is associated to obesity (p 0.029), LDL-C (p 0.02) and fasting blood glucose (p 0.02), but not with triglycerides (p 0.69), total cholesterol (p 0.21), and HDL-C (p 0.24). The hsa-miR-150-5p is not associated to obesity (p 0.84), triglycerides (p 0.57), total cholesterol (p 0.51), HDL-C (p 0.75), LDL-C (p 0.32), and fasting blood glucose (p 0.42). The FTO gene expression is related to obesity, LDL-C and blood fasting glucose, representing a good molecular marker for obesity.

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O centro cirúrgico, por suas particularidades e características, constitui uma das unidades mais complexas do ambiente hospitalar. Assim, percebe-se que o bom desempenho de um centro cirúrgico está diretamente relacionado com a qualidade de seus próprios processos e com os processos dos serviços que o apoiam. Em Julho de 2012, com a portaria 194 – HCRP (5), é estabelecido as Diretrizes Gerais de Funcionamento do Bloco Cirúrgico do HC campus.O objetivo do presente estudo é avaliar o impacto do novo modelo gerencial do Bloco Cirúrgico do Campus implantado.Trata-se de séria histórica descritiva e retrospectiva com análise de alguns indicadores comparando anova gestão com a fase prévia.Nota-se melhora progressiva em alguns indicadores analisados, alcançando metas estipuladas pelo próprio Planejamento estratégico vigente.O presente estudo pode ilustrar o impacto de um modelo gerencial dentro do Centro Cirúrgico de um Hospital Escola Terciário de grande porte, mostrando os avanços alcançados e os pontos com oportunidades de melhoria...

The surgical center, by their features and characteristics, is one of the drives more complex hospitalenvironment. Thus, it is clear that the good performance of a surgical center is directly related to thequality of their own processes and with the processes of the services that support it. In July 2012, with ordinance 194 - HCRP, is established General guidelines for the Operation of Block Círurgico HC campus. The objective of this study is to evaluate the impact of the new management model of Surgical Block the HCRP-campus deployed. It would be historic descriptive and retrospective analysis of some indicators comparing the new management with the prior phase. Note progressive improvement in some indicators analyzed, reaching targets set by the strategic Planning current. The present study may serve to illustrate the impact of a management model with in the Surgical Center of a Hospital Tertiary School large, showing the progress made and the points with opportunities for improvement...

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Objetivo: Este trabalho visa estabelecer a relação mais precisa do uso da glutamina na regeneração hepática. Métodos: Foram utilizados 37 ratos da linhagem Wistar, fêmeas, com idade de 120 dias e peso entre 345 ±80 gramas os quais foram divididos em um grupocontrole (C), com 17 animais, e um grupo de experimento (E), com 20 animais. Aproximadamente 70% do fígado foi cirurgicamente removido nos dois grupos. Administraram-se 50μg de glutamina/dia, via oral, diluído em 1 ml de água destilada, administrado por sondagem orogástrica diária no grupo de experimentação...

Objective: The aim of this work is to establish a precise relation between the use of glutamine and hepatic regeneration. Methods: 37 rats of the Wistar ancestry were used, females,with age of 120 days and weight between 345±80 grams, which were divided in a control group (C), with 17 animals, and an experimental group (E), with 20 animals. Approximately 70% of the liver was surgically removed in these two groups. 50 μg of utamine/day was managed, orally, diluted in 1 ml of distilled water, managed by daily gavage in the experimental group. In thecontrol group, distilled water was managed in equivalent volume. The contings were made in the periods of 24 hours and 7 days, by 3 methods: Formula of KWON et al to recognize volume gain, mitoses fi gures counting in 5 fi elds and PCNA positive nucleus percentage in 5 fields...

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OBJECTIVE: To determine the opinion and knowledge of the population of Curitiba about organ donation and transplantation. METHODS: The opinion and knowledge about organ donation and transplantation of 1,000 subjects over 18 years of age were determined. The subjects responded to a questionnaire of 20 queries. Respondents had age, gender, social-economic, and education distributions similar to those of the Brazilian population, as defined by the Brazilian Institute of Geography and Statistics (IBGE). RESULTS: Eighty-seven percent of respondents were in favor of organ donation. There was no difference in the percentage of respondents in favor of donation in relation to gender, marital status, religion, and income. The main reasons in favor of donation were to save life, to help other persons and to donate life. The main reasons against donation were distrust towards medicine or the Brazilian transplantation organization, the existence of organ sale, and fear of body mutilation. Most respondents believed that wealthy people have a better chance to receive an organ than poor people, that sales of organs exists in Brazil, and that misdiagnosis of brain death may occur. CONCLUSION: Most respondents are in favor of organ donation and have a good knowledge of organ donation and transplantation. The majority distrusts Brazilian organization of organ distribution and brain death diagnosis.

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OBJETIVOS: Determinar a opinião e o conhecimento, de uma amostra da população da cidade de Curitiba, sobre doação e transplante de órgãos. MÉTODOS: A opinião e o conhecimento sobre doação e transplante de órgãos de mil pessoas, com idade superior a 18 anos, foram determinados através de um questionário de 20 perguntas. Os entrevistados avaliados tinham uma distribuição similar em idade, sexo e padrão socioeconômico, e escolaridade à população brasileira, determinada pelo IBGE. RESULTADOS: A maioria dos entrevistados (87,8 por cento) era favorável à doação de órgãos. Não houve diferença na percentagem da população favorável à doação de órgãos com a relação a sexo, estado civil, religião e rendimentos. Os principais motivos para serem favoráveis à doação de órgãos foram para salvar vida, ajudar o próximo e doar vida. Os principais motivos para não serem favoráveis à doação foram falta de confiança na medicina ou no sistema de captação e distribuição de órgãos, por haver comércio de órgãos e temor de mutilação do corpo. A maioria dos entrevistados respondeu que os ricos tinham mais chances de serem transplantados do que os pobres, que existe venda de órgãos no Brasil e que existe possibilidade de erro no diagnóstico de morte encefálica estabelecido pelo médico. CONCLUSÃO: A maioria da população deste estudo é favorável à doação de órgãos e tem um bom conhecimento sobre doação e transplante de órgãos. A maioria demonstrou não confiar no sistema de distribuição de órgãos e no diagnóstico de morte encefálica.

OBJECTIVE: To determine the opinion and knowledge of the population of Curitiba about organ donation and transplantation. METHODS: The opinion and knowledge about organ donation and transplantation of 1,000 subjects over 18 years of age were determined. The subjects responded to a questionnaire of 20 queries. Respondents had age, gender, social-economic, and education distributions similar to those of the Brazilian population, as defined by the Brazilian Institute of Geography and Statistics (IBGE). RESULTS: Eighty-seven percent of respondents were in favor of organ donation. There was no difference in the percentage of respondents in favor of donation in relation to gender, marital status, religion, and income. The main reasons in favor of donation were to save life, to help other persons and to donate life. The main reasons against donation were distrust towards medicine or the Brazilian transplantation organization, the existence of organ sale, and fear of body mutilation. Most respondents believed that wealthy people have a better chance to receive an organ than poor people, that sales of organs exists in Brazil, and that misdiagnosis of brain death may occur. CONCLUSION: Most respondents are in favor of organ donation and have a good knowledge of organ donation and transplantation. The majority distrusts Brazilian organization of organ distribution and brain death diagnosis.

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