40 results on '"Lobato, Cirley"'
Search Results
2. Long‐term outcome of hepatitis delta in different regions world‐wide: Results of the Hepatitis Delta International Network.
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Wranke, Anika, Lobato, Cirley, Ceausu, Emanoil, Dalekos, George N., Rizzetto, Mario, Turcanu, Adela, Niro, Grazia A., Keskin, Onur, Gherlan, George, Abbas, Minaam, Ingiliz, Patrick, Muche, Marion, Buti, Maria, Jachs, Mathias, Vanwolleghem, Thomas, Cornberg, Markus, Abbas, Zaigham, Yurdaydin, Cihan, Dörge, Petra, and Wedemeyer, Heiner
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Background and Aims Methods Results Conclusions Chronic hepatitis delta represents a major global health burden. Clinical features of hepatitis D virus (HDV) infection vary largely between different regions worldwide. Treatment approaches are dependent on the approval status of distinct drugs and financial resources.The Hepatitis Delta International Network (HDIN) registry involves researchers from all continents (Wranke, Liver International 2018). We here report long‐term follow‐up data of 648 hepatitis D patients recruited by 14 centres in 11 countries. Liver‐related clinical endpoints were defined as hepatic decompensation (ascites, encephalopathy and variceal bleeding), liver transplantation, hepatocellular carcinoma or liver‐related death.Patient data were available from all continents but Africa: 22% from Eastern Mediterranean, 32% from Eastern Europe and Central Asia, 13% from Central and Southern Europe, 14% from South Asia (mainly Pakistan) and 19% from South America (mainly Brazil). The mean follow‐up was 6.4 (.6–28) years. During follow‐up, 195 patients (32%) developed a liver‐related clinical event after 3.5 (±3.3) years. Liver cirrhosis at baseline and a detectable HDV RNA test during follow‐up were associated with a worse clinical outcome in multivariate regression analysis while patients receiving interferon alfa‐based therapies developed clinical endpoints less frequently. Patients from South Asia developed endpoints earlier and had the highest mortality.The HDIN registry confirms the severity of hepatitis D and provides further evidence for HDV viraemia as a main risk factor for disease progression. Hepatitis D seems to take a particularly severe course in patients born in Pakistan. There is an urgent need to extend access to antiviral therapies and to provide appropriate education about HDV infection. [ABSTRACT FROM AUTHOR]
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- 2024
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3. The vision of bioethical principles regarding immunization
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de Lima, Alessandre Gomes, primary, da Costa, Ruth Silva Lima, additional, Júnior, João José Albuquerque de Sousa, additional, Campos, Gilvana de Jesus do Vale, additional, Júnior, Laércio Medeiros Silva, additional, Davalos, Leuda Maria da Silva, additional, Júnior, Osvaldo de Sousa Leal, additional, Lobato, Cirley Maria de Oliveira, additional, Ribeiro, Dilza Terezinha Ambros, additional, and Nunes, Rui Manuel Lopes, additional
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- 2022
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4. Bioethical principles and their application against Hepatitis B virus infection
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de Lima, Alessandre Gomes, primary, da Costa, Ruth Silva Lima, additional, Júnior, João José Albuquerque de Sousa, additional, Campos, Gilvana de Jesus do Vale, additional, Júnior, Laércio Medeiros Silva, additional, davalos, Leuda maria da silva, additional, Júnior, Osvaldo de Sousa Leal, additional, Lobato, Cirley Maria de Oliveira, additional, Ribeiro, Dilza Terezinha Ambros, additional, and Nunes, Rui Manuel Lopes, additional
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- 2022
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5. Direct antiviral therapy for treatment of hepatitis C: A real-world study from Brazil
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de Souza Paiva Ferreira, Adalgisa, Salcedo, Juan Miguel Villalobos, de Lucca Schiavon, Leonardo, de Almeida Lopes, Edmundo Pessoa, Pessôa, Mário Guimarães, Gonçalves, Luciana Lofêgo, Souto, Francisco José Dutra, Hyppolito, Elodie Bomfim, Pereira, Gustavo Henrique Santos, Mattos, Angelo A., de Cássia Martins Alves Silva, Rita, de Lourdes Candolo Martinelli, Ana, Ivantes, Claudia Alexandra Pontes, Mello, Carlos Eduardo Brandão, Gomide, Geisa Perez Medina, Sette Junior, Hoel, de Tarso Aparecida Pinto, Paulo, Romeiro, Fernando Gomes, de Castro Lima, José Milton, Altikes, Isaac, Lyra, André Castro, Garcia, Raquel Francine Liermann, Villela-Nogueira, Cristiane Alves, Cuminale, Renata Cruvinel Cabral, de Omena, Andrea Magalhães Agra, Schiavon, Janaina Luz Narciso, Batista, Andrea Doria, de Liz Pellegrim Sanchez Lermen, Rafaela, Coral, Gabriela Perdomo, Paraná, Raymundo, Tovo, Cristiane Valle, Terrabuio, Débora Raquel Benedita, Filgueira, Norma Arteiro, de Paula Pessoa, Francisco Sergio Rangel, de Araújo, Fernando Antônio Barreiros, Strauss, Edna, Rocha, Cristina Melo, Ferreira, Paulo Roberto Abrão, Ruffeil, Nilma Lucia Sampaio, Lobato, Cirley Maria de Oliveira, Codes, Liana, Silva, Giovanni Faria, Souza, Aécio Flávio Meirelles, Coelho, Henrique Sérgio Moraes, Pedroso, Maria Lucia Alves, Parise, Edison Roberto, Lima, Leila Maria Soares Tojal de Barros, Borba, Luiz Augusto, Evangelista, Andreia Silva, Rezende, Rosamar Eulira Fontes, Cheinquer, Hugo, Kuniyoshi, Aline Satie Oba, Aires, Rodrigo Sebba, Quintela, Eloiza Helena Dias, Mendes, Liliana Sampaio Costa, Nascimento, Fábio Carneiro Vosqui, Medeiros Filho, José Eymard Moraes de, Ferraz, Maria Lúcia Cardoso Gomes, Abdala, Edson, and Bittencourt, Paulo Lisboa
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- 2019
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6. SOLUÇÃO DE BICARBONATO DE SÓDIO NO TRATAMENTO DA COVID-19 NA AMAZÔNIA OCIDENTAL: CASO CLINICO
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Fontes, Tawã do Nascimento, primary, Silva, Maria da Conceição Silva da, additional, Prado, Úrsula Mendonça, additional, Dantas, Thiago Cordeiro, additional, Soares, Laura Elisa Pontes, additional, Saraiva, Deiver Jeronimo, additional, Almeida, Angélica Bento de, additional, Goncalves, Jordanna Sabryna Radespiel Martins de Oliveira, additional, Brilhante, Andreia Fernandes, additional, Lobato, Cirley Maria de Oliveira, additional, and Soares, Carolina Pontes, additional
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- 2020
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7. A autonomia do adolescente em relação ao direto de imunização contra infecções sexualmente transmissíveis: revisão bibliográfica
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Gomes de Lima, Alessandre, primary, Silva Lima da Costa, Ruth, additional, Ferreira Bortolini, Cristiane Sores, additional, Pinho de Assis Pereira Roque, Carolina, additional, Ferreira, Beatriz, additional, Leocadio de Oliveira, Vitor Hugo, additional, Ribeiro, Ianca, additional, Reis Ferreira, Fábio, additional, de Oliveira Lobato, Cirley Maria, additional, Ambros Ribeiro, Dilza Terezinha, additional, and Nunes, Rui, additional
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- 2023
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8. Abordagem epidemiológica e considerações bioéticas sobre a infecção pelo vírus da hepatite b em crianças e adolescentes no estado do acre, Brasil
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Gomes de Lima, Alessandre, primary, Silva Lima da Costa, Rut, additional, Sores Ferreira Bortolini, Cristiane, additional, Pinho de Assis Pereira Roque, Carolina, additional, Ferreira, Beatriz, additional, Leocadio de Oliveira, Vitor Hugo, additional, Ribeiro, Ianca, additional, Ferreira, Fábio Reis, additional, de Oliveira Lobato, Cirley Maria, additional, Ambros Ribeiro, Dilza Terezinha, additional, and Nunes, Rui, additional
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- 2023
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9. FATORES RELACIONADOS AO ABANDONO DO TRATAMENTO DA TUBERCULOSE EM RIO BRANCO-AC 2016
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Gómez, Luis Fernando Borja, primary and Lobato, Cirley Maria de Oliveira, additional
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- 2020
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10. The Omicron Lineages BA.1 and BA.2 (Betacoronavirus SARS-CoV-2) Have Repeatedly Entered Brazil through a Single Dispersal Hub
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Lamarca, Alessandra P., primary, Souza, Ueric José Borges de, additional, Moreira, Filipe Romero Rebello, additional, Almeida, Luiz G. P. de, additional, Menezes, Mariane Talon de, additional, Souza, Adrieli Barboza de, additional, Ferreira, Alessandro Clayton de Souza, additional, Gerber, Alexandra L., additional, Lima, Aline B. de, additional, Guimarães, Ana Paula de C., additional, Cavalcanti, Andréa Cony, additional, Silva, Aryel B. Paz e, additional, Lima, Bruna Israel, additional, Lobato, Cirley, additional, Silva, Cristiane Gomes Da, additional, Mendonça, Cristiane P. T. B., additional, Queiroz, Daniel Costa, additional, Zauli, Danielle Alves Gomes, additional, Menezes, Diego, additional, Possebon, Fábio Sossai, additional, Cardoso, Franciano Dias Pereira, additional, Malta, Frederico Scott Varella, additional, Braga-Paz, Isabela, additional, Silva, Joice do Prado, additional, Ferreira, Jorge Gomes Goulart, additional, Galvão, Jucimária Dantas, additional, Souza, Leandro Magalhães de, additional, Ferreira, Leonardo, additional, Possuelo, Lia Gonçalves, additional, Cavalcante, Liliane Tavares de Faria, additional, Alvim, Luige B., additional, Souza, Luiz Fellype Alves de, additional, Santos, Luiza C. G. de Araújo E, additional, Dias, Rillery Calixto, additional, Souza, Rutilene Barbosa, additional, Castro, Thaís Regina y, additional, Valim, Andréia Rosane de Moura, additional, Campos, Fabrício Souza, additional, Araujo, João Pessoa, additional, Trindade, Priscila de Arruda, additional, Aguiar, Renato S., additional, Michael Delai, Robson, additional, and Vasconcelos, Ana Tereza R de, additional
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- 2023
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11. Avaliação do risco de quedas nos idosos cadastrados em uma unidade de saúde da família no conjunto universitário Rio Branco – Acre
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Campos, Katia Fernanda Constância Ferrão, primary, Lobato, Cirley Maria de Oliveira, additional, and O'Donnell, Ana Flávia Galarça Lemos, additional
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- 2023
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12. SÍFILIS CONGÊNITA COMO AGRAVO NA SAÚDE PÚBLICA E OS CAMINHOS DA ELIMINAÇÃO NA AMÉRICA LATINA E BRASIL
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Gaio, Yonara Pereira de Araújo, primary, Abreu, Luiz Carlos de, additional, Lima, Marcos Venicius Malveira de, additional, and Lobato, Cirley Maria de Oliveira, additional
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- 2019
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13. The use of Sodium Bicarbonate Inhaled Solution in Moderate/Severe Cases of Covid-19 in the City of Aquidauana, Mato Grosso do Sul, Brazil
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Carmo, Beatriz Bispo do, primary, Oliveira, Giovanna Bernardi Gonçalves, additional, Menezes, Juliana Emanuele, additional, Melo, Jaqueline Lopes de, additional, Neves, Lorena Moreira, additional, Nascimento, Claudia de Arruda, additional, Lima, Paola da Silva Ruiz de, additional, Mequi, Carmen Sandra, additional, Oliveira, Fernanda Coelho de, additional, Matos, Sabrina Rodrigues de, additional, Camargo, Josiane Montovani Bertolin, additional, Assis, Leticia Furtado, additional, Furtado, Cydia de Menezes, additional, Lobato, Cirley Maria de Oliveira, additional, Almeida, Angélica Bento de, additional, and Soares, Carolina Pontes, additional
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- 2023
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14. Utilização da solução de bicarbonato de sódio na COVID-19 através do telemonitoramento
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Marques, Rubens de Cassio Reis, primary, Filho, Alberto Alves, additional, Bispo, Beatriz do Carmo, additional, Cavalcante, Willian da Silva, additional, Oliveira, Elizangela Barbosa de Lima, additional, Moura, Hemeson Lira de, additional, Lobato, Cirley Maria de Oliveira, additional, Pereira, Rita de Cássia Ribeiro, additional, Pardo, Leticia, additional, Costa, Joicely Melo da, additional, Reis, Luciano Patrocínio dos, additional, Andrade, Maíra Garcia, additional, Furtado, Cydia de Menezes, additional, Fontes, Tawã do Nascimento, additional, Almeida, Angélica Bento de, additional, and Soares, Carolina Pontes, additional
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- 2022
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15. A visão dos princípios bioéticos a respeito da imunização
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Lima, Alessandre Gomes de, primary, Costa, Ruth Silva Lima da, additional, Sousa Júnior, João José Albuquerque de, additional, Bortolini, Cristiane Sores Ferreira, additional, Silva Júnior, Laércio Medeiros, additional, Davalos, Leuda Maria da Silva, additional, Leal Júnior, Osvaldo de Sousa, additional, Lobato, Cirley Maria de Oliveira, additional, Ribeiro, Dilza Terezinha Ambros, additional, and Nunes, Rui, additional
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- 2022
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16. Princípios bioéticos e sua aplicação frente a infecção pelo vírus da Hepatite B
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Lima, Alessandre Gomes de, primary, Costa, Ruth Silva Lima da, additional, Sousa Júnior, João José Albuquerque de, additional, Lobato, Cirley Maria de Oliveira, additional, Ribeiro, Dilza Terezinha Ambros, additional, and Nunes, Rui, additional
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- 2022
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17. La visión de los principios bioéticos en torno a la inmunización
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Lima, Alessandre Gomes de, Costa, Ruth Silva Lima da, Sousa Júnior , João José Albuquerque de, Bortolini, Cristiane Sores Ferreira, Silva Júnior, Laércio Medeiros, Davalos, Leuda Maria da Silva, Leal Júnior, Osvaldo de Sousa, Lobato, Cirley Maria de Oliveira, Ribeiro, Dilza Terezinha Ambros, and Nunes, Rui
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Autonomia ,Autonomía ,Justicia ,Justice ,Vacinação ,Vaccination ,Bioethics ,Vacunación ,Bioética ,Autonomy ,Justiça - Abstract
Advances in science have made many contributions to human development. Vaccines are one of the best examples of this, working as a tool capable of preventing infectious diseases. Objective: to analyze the principles of bioethics regarding the offer of vaccination to the population. Method: This is an integrative literature review, carried out through a survey of studies published in databases of the Electronic Science Library Online (ScIELO), Virtual Health Library (BVS), Brazilian Journal of Nursing (REBEn), in the period from 2016 to 2022. Results. The different authors discussed the relationship between the offer of mass vaccination and bioethics, showing that this practice can lead to non-observance of bioethical principles, since the common good that is the fact of offering immunization to all, can be understood as respect for the principle of justice, more than it can directly interfere with the principle of individual autonomy, since compulsory vaccination is defended based on the principle that, in the scope of collective health, the protection of the population must prevail over the autonomy of the individual. However, for this, the vaccine needs to have its effectiveness proven, in order to respect the principle of beneficence and non-maleficence in the act of its application. Conclusion: One of the ways to ensure respect for bioethical principles regarding vaccination is to choose the path of health education for the population so that they can understand the importance and make their own choices, thus respecting the bioethical principle of autonomy. Los avances en la ciencia han hecho muchas contribuciones al desarrollo humano. Las vacunas son uno de los mejores ejemplos de ello, funcionando como una herramienta capaz de prevenir enfermedades infecciosas. Objetivo: analizar los principios de la bioética en cuanto a la oferta de vacunación a la población. Método: Se trata de una revisión integrativa de la literatura, realizada a través de un levantamiento de estudios publicados en bases de datos de la Biblioteca Electrónica de Ciencias en Línea (ScIELO), Biblioteca Virtual en Salud (BVS), Revista Brasileña de Enfermería (REBEn), en el período de 2016 a 2022. Resultados. Los diferentes autores discutieron la relación entre la oferta de vacunación masiva y la bioética, mostrando que esta práctica puede conducir a la inobservancia de los principios bioéticos, ya que el bien común que es el hecho de ofrecer la inmunización a todos, puede entenderse como el respeto a la principio de justicia, más que puede interferir directamente con el principio de autonomía individual, ya que la vacunación obligatoria se defiende con base en el principio de que, en el ámbito de la salud colectiva, la protección de la población debe prevalecer sobre la autonomía del individuo. Sin embargo, para ello, la vacuna necesita tener probada su eficacia, a fin de respetar el principio de beneficencia y no maleficencia en el acto de su aplicación. Conclusión: Una de las formas de garantizar el respeto de los principios bioéticos en relación con la vacunación es elegir el camino de la educación en salud de la población para que pueda comprender la importancia y tomar sus propias decisiones, respetando así el principio bioético de autonomía. Os avanços da ciência trouxeram muitas contribuições para o desenvolvimento humano. As vacinas são um dos melhores exemplos disso, funcionando como uma ferramenta capaz de prevenir doenças infecciosas. Objetivo: analisar os princípios da bioética frente a oferta de vacinação para a população. Método: Trata-se de uma revisão integrativa da literatura, realizada por meio de levantamento de estudos publicados em bases de dados da Biblioteca Eletrônica de Ciências Online (ScIELO), Biblioteca Virtual em Saúde (BVS), Revista Brasileira de Enfermagem (REBEn), no período de 2016 a 2022. Resultados. Os diferentes autores discorreram sobre a relação da oferta da vacinação em massa e a bioética, evidenciando-se que essa prática pode levar a não observância de princípios bioéticos, uma vez que o bem comum que é o fato da oferta de imunização para todos, pode ser entendido como respeito ao princípio da justiça, mais que pode interferir diretamente no princípio da autonomia do indivíduo uma vez que a vacinação compulsória é defendida amparada no princípio de que no âmbito da saúde coletiva a proteção da população deve prevalecer sobre a autonomia do indíviduo. No entanto, para isso a vacina precisa ter sua eficácia comprovada, afim de respeitar o princípio da beneficência e não maleficência no ato da sua aplicação. Conclusão: Uma das formas de se garantir o respeito aos principios bioéticos frente a vacinação, é optar pelo caminho da educação em saúde da população para que ela possa entender a importância e fazer suas próprias escolhas, respeitando assim o princípio bioético da autonomia.
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- 2022
18. Principios bioéticos y su aplicación frente a la infección por el virus de la Hepatitis B
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Lima, Alessandre Gomes de, Costa, Ruth Silva Lima da, Sousa Júnior , João José Albuquerque de, Lobato, Cirley Maria de Oliveira, Ribeiro, Dilza Terezinha Ambros, and Nunes, Rui
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Hepatitis B ,Infección ,Hepatite B ,Bioethics ,Infection ,Bioética ,Infecção - Abstract
Bioethics has the function of ensuring the well-being of people, guaranteeing and avoiding possible damages that may occur to their interests, providing the professional and those who are served by him, the right to respect and will, respecting their beliefs and values. Objective: to highlight the bioethical principles and their application against Hepatitis B virus infection in the light of the literature. Methods; This is a review of mixed studies, published in the bases of the National Library of Medicine (PUBMED), Latin American and Caribbean Literature on Health Sciences (LILACS) and Scientific Electronic Library Online (SCIELO), in the chronological period between 2012 to 2022. Results: It was evidenced that chronic HBV infection is the main cause of Liver Cirrhosis and hepatocellular carcinoma and that vaccination is an effective way to change this scenario. The vaccine contemplates the bioethical principle of justice and scientific evidence supports beneficence, however, adverse effects interfere with non-maleficence. However, side effects result in conflicts involving the principle of non-maleficence. These consequences are intensified when they are associated with individual and/or collective factors, which can interfere with the individual's autonomy in adhering to such a prevention measure. Conclusion: The treatment and prevention of Hepatitis B should be widely discussed in association with bioethical principles, developing health actions that can guarantee the individual the principles of autonomy, beneficence, non-maleficence and justice. La bioética tiene la función de velar por el bienestar de las personas, garantizando y evitando los posibles perjuicios que puedan ocasionarse a sus intereses, otorgando al profesional y a quienes por él sirve, el derecho al respeto y la voluntad, respetando sus creencias y valores. Objetivo: destacar los principios bioéticos y su aplicación frente a la infección por el virus de la Hepatitis B a la luz de la literatura. Métodos; Se trata de una revisión de estudios mixtos, publicados en las bases de la Biblioteca Nacional de Medicina (PUBMED), Literatura Latinoamericana y del Caribe en Ciencias de la Salud (LILACS) y Scientific Electronic Library Online (SCIELO), en el período cronológico comprendido entre 2012 a 2022. Resultados: Se evidenció que la infección crónica por VHB es la principal causa de Cirrosis Hepática y carcinoma hepatocelular y que la vacunación es una vía efectiva para cambiar este escenario. La vacuna contempla el principio bioético de justicia y la evidencia científica apoya la beneficencia, sin embargo, los efectos adversos interfieren con la no maleficencia, sin embargo, los efectos colaterales resultan en conflictos que involucran el principio de no maleficencia. Estas consecuencias se intensifican cuando se asocian a factores individuales y/o colectivos, que pueden interferir en la autonomía del individuo en la adhesión a tal medida de prevención. Conclusión: El tratamiento y la prevención de la Hepatitis B deben ser ampliamente discutidos en asociación con los principios bioéticos, desarrollando acciones de salud que puedan garantizar al individuo los principios de autonomía, beneficencia, no maleficencia y justicia. A bioética tem a função de assegurar o bem-estar das pessoas, garantindo e evitando possíveis danos que possam ocorrer aos seus interesses, proporcionando ao profissional e aos que são atendidos por ele, o direito ao respeito e a vontade, respeitado suas crenças e valores. Objetivo: evidenciar os princípios bioéticos e sua aplicação frente a infecção pelo vírus da Hepatite B a luz da literatura. Métodos: trata-se de uma revisão estudos mistos, publicados nas bases da National Library of Medicine (PUBMED), Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS) e Scientific Eletrônic Library Online (SCIELO), no período cronológico compreendido entre 2012 a 2022. Resultados: evidenciou-se que a infecção crônica pelo VHB é a principal causa de Cirrose Hepática e carcinoma hepatocelular e que a vacinação é um meio eficaz para a mudança desse cenário. A vacina, contempla o princípio bioético da justiça e, evidências cientificas embasam a beneficência, no entanto, os efeitos adversos, interferem na não-maleficência., entretanto, os efeitos colaterais, resultam em conflitos que envolvam o princípio da não-maleficência. Estas consequências intensificam-se, quando são associadas a fatores individuais e/ou coletivos, os quais podem interferir na autonomia do indivíduo em aderia tal medida de prevenção. Conclusão: a condução do tratamento e prevenção da Hepatite B deve ser amplamente discutida em associação com os princípios bioéticos, desenvolvendo ações em saúde, que possam garantir ao indivíduo, os princípios da autonomia, beneficência, não-maleficência e justiça.
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- 2022
19. Alcohol associated hepatitis in Latin America: results from the AH-LATIN study
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Arnold, Jorge, primary, Diaz, Luis Antonio, additional, Idalsoaga, Francisco, additional, Ayares, Gustavo, additional, Fuentes, Eduardo, additional, Ramirez, Carolina, additional, Medel, María Paz, additional, Ferreccio, Catterina, additional, Lazo, Mariana, additional, Roblero, Juan Pablo, additional, Brahmania, Mayur, additional, Carbonetti, Rodolfo, additional, Marciano, Sebastián, additional, Mendizabal, Manuel, additional, Bessone, Fernando, additional, Romero, Gustavo, additional, Palazzo, Ana, additional, Manero, Estela Florencia, additional, Dirchwolf, Melisa, additional, Piombino, Diego, additional, Valverde, María Ayala, additional, Cairo, Fernando, additional, Gracia Villamil, Maria Alejandra, additional, Rodriguez Gazari, Maria Mercedes, additional, Gallardo, Patricia, additional, Ramos, Geraldine, additional, Guerra, Patricia, additional, Silveira, Fabio, additional, Chaves, Roberta, additional, Silva, Giovanni, additional, Lobato, Cirley, additional, Lemos, Jozelda, additional, Alves, Rogério, additional, Pereira, Gustavo, additional, de Cássia Martins Alves da Silva, Rita, additional, Costa Mendes, Liliana Sampaio, additional, Couto, Cláudia Alves, additional, Rocha, Cristina Melo, additional, Lazarte, Raul, additional, Yaquich, Pamela, additional, Norero, Blanca, additional, Jure, Camila, additional, Dominguez, Alejandra, additional, Vicar, Marta Mac, additional, Rivas, Violeta, additional, Arancibia, Juan Pablo, additional, Sierralta, Armando, additional, Valera, Jose, additional, Diaz, Sebastian, additional, Sanchez, Carlos, additional, Toro, Luis, additional, Varon, Adrian, additional, Correa, Elizabeth, additional, Restrepo, Juan Carlos, additional, Tapias, Monica, additional, Rosales, Ricardo Aguilera, additional, Infante, Mirtha, additional, Pazmiño, Galo, additional, Armijos, Xiimena, additional, Carrera, Enrique, additional, Ligoria, Regina, additional, Avila, Gerson, additional, Sanchez, Abel, additional, Sánchez, Marco, additional, Mejia, Scherezada, additional, Cordova, Jacqueline, additional, De Fatima Higuera de La Tijera, Maria, additional, Contreras, Raul, additional, Solis, Francisco, additional, Varela, Jesus, additional, Jacobo, Janett, additional, Velarde-Ruiz Velasco, Jose Antonio, additional, Quezada, Julissa Lombardo, additional, Veramendi, Esther, additional, Vela, Victor, additional, Pamo, Claudia, additional, Puma, Donny, additional, Marcelo, Julio, additional, Tenorio, Laura, additional, Cabrera, Maria, additional, Rivera, Jose, additional, Montes, Pedro, additional, Bataller, Ramon, additional, Louvet, Alexandre, additional, Shah, Vijay, additional, Kamath, Patrick S., additional, Singal, Ashwani, additional, Arrese, Marco, additional, and Arab, Juan Pablo, additional
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- 2022
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20. Quality of life evaluation of emergency professionals of public units of reference / Avaliação da qualidade de vida dos profissionais de emergência de unidades públicas de referência
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Monteiro, Quíria Ribeiro da Silva, primary, Lobato, Cirley Maria de Oliveira, additional, Amaral, Tathiana Lameira Maciel, additional, Costa, Jeane Maria Moura, additional, Boas, Andreia Cristina Vilas, additional, Monteiro, Ismael de Lima, additional, and Silva, Romeu Paulo Martins, additional
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- 2022
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21. ÍNDICE BEA: VIABILIDADE E APLICABILIDADE NA AMAZÔNIA OCIDENTAL
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Lobato, Cirley Maria de Oliveira, Filho, Alberto Alves, Marques, Rubens de Cássio Reis, and de Sousa, José Cleidison
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- 2022
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22. The use of sodium bicarbonate solution in the treatment of respiratory syndromes in COVID-19 in pediatric patients in Tarauacá, Acre
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Gadelha, Helen, primary, Santana, Ana Karolina, additional, da Silva, Maria da Conceição Silva, additional, Prado, Úrsula Mendonça, additional, Dantas, Thiago Cordeiro, additional, Borges, Darla Lourenço, additional, Soares, Laura Elisa Pontes, additional, Saraiva, Deiver Jerônimo, additional, Carmo, Beatriz Bispo do, additional, Lobato, Cirley Maria de Oliveira, additional, Pereira, Rita de Cássia Ribeiro, additional, Almeida, Angélica Bento de, additional, Reis, Luciano Patrocínio dos, additional, Furtado, Cydia de Menezes, additional, and Soares, Carolina Pontes, additional
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- 2022
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23. Redução da dispnéia relacionado ao uso da solução de bicarbonato de sódio em indígenas infectados com SARS-CoV-2 no estado do Acre, Amazônia Brasileira / Dyspnea reduction related to the use of the sodium bicarbonate solution in SARS-CoV-2 infected indigenous in the state of Acre, Brazilian Amazon
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De Almeida, Angélica Bento, primary, Diniz, Aline Moreira, additional, De Carvalho, Sebastião Melo, additional, Brilhante, Andréia Fernandes, additional, Santos, Leandro Cavalcante, additional, Do Carmo, Beatriz Bispo, additional, Lobato, Cirley Maria de Oliveira, additional, Matos, Aline da Rocha, additional, Soares, Laura Elisa Pontes, additional, Prado, Patrícia Rezende, additional, Rodriguez, Anselmo Fortunato Ruiz, additional, Furtado, Cydia de Menezes, additional, Fontes, Tawa do Nascimento, additional, Viana, Larissa Vanessa Machado, additional, and Soares, Carolina Pontes, additional
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- 2021
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24. Preliminary observation of the use of sodium bicarbonate solution as an adjunct in the treatment of coronavirus 2019 disease (COVID-19): prognosis improvement in patients requiring intensive care / Observação preliminar do uso de solução de bicarbonato de sódio como coadjuvante no tratamento da doença coronavírus 2019 (COVID-19): melhora do prognóstico na necessidade de terapia intensiva
- Author
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Soares, Carolina Pontes, primary, Da Silva, Simone Aparecida Fernandes, additional, Soares, Fernanda Farias, additional, Monteiro, Edna Lopes, additional, De Souza, Socorro Elizabeth Rodrigues, additional, Brilhante, Andréia Fernandes, additional, Pereira, Rita de Cássia Ribeiro, additional, Costa, Joicely Melo, additional, Santos, Leandro Cavalcante, additional, De Moura, Hemeson Lira, additional, Lima, Ildercílio Mota de Souza, additional, Viana, Larissa Vanessa Machado, additional, Furtado, Cydia de Menezes, additional, Rodriguez, Anselmo Fortunato Ruiz, additional, Prado, Patrícia Rezende, additional, Lobato, Cirley Maria de Oliveira, additional, and De Almeida, Angélica Bento, additional
- Published
- 2021
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25. Direct antiviral therapy for treatment of hepatitis C: A real-world study from Brazil
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Lobato, Cirley Maria de Oliveira, primary, Codes, Liana, additional, Silva, Giovanni Faria, additional, Souza, Aécio Flávio Meirelles, additional, Coelho, Henrique Sérgio Moraes, additional, Pedroso, Maria Lucia Alves, additional, Parise, Edison Roberto, additional, Lima, Leila Maria Soares Tojal de Barros, additional, Borba, Luiz Augusto, additional, Evangelista, Andreia Silva, additional, Rezende, Rosamar Eulira Fontes, additional, Cheinquer, Hugo, additional, Kuniyoshi, Aline Satie Oba, additional, Aires, Rodrigo Sebba, additional, Quintela, Eloiza Helena Dias, additional, Mendes, Liliana Sampaio Costa, additional, Nascimento, Fábio Carneiro Vosqui, additional, Medeiros Filho, José Eymard Moraes de, additional, Ferraz, Maria Lúcia Cardoso Gomes, additional, Abdala, Edson, additional, Bittencourt, Paulo Lisboa, additional, de Souza Paiva Ferreira, Adalgisa, additional, Salcedo, Juan Miguel Villalobos, additional, de Lucca Schiavon, Leonardo, additional, de Almeida Lopes, Edmundo Pessoa, additional, Pessôa, Mário Guimarães, additional, Gonçalves, Luciana Lofêgo, additional, Souto, Francisco José Dutra, additional, Hyppolito, Elodie Bomfim, additional, Pereira, Gustavo Henrique Santos, additional, Mattos, Angelo A., additional, de Cássia Martins Alves Silva, Rita, additional, de Lourdes Candolo Martinelli, Ana, additional, Ivantes, Claudia Alexandra Pontes, additional, Mello, Carlos Eduardo Brandão, additional, Gomide, Geisa Perez Medina, additional, Sette Junior, Hoel, additional, de Tarso Aparecida Pinto, Paulo, additional, Romeiro, Fernando Gomes, additional, de Castro Lima, José Milton, additional, Altikes, Isaac, additional, Lyra, André Castro, additional, Garcia, Raquel Francine Liermann, additional, Villela-Nogueira, Cristiane Alves, additional, Cuminale, Renata Cruvinel Cabral, additional, de Omena, Andrea Magalhães Agra, additional, Schiavon, Janaina Luz Narciso, additional, Batista, Andrea Doria, additional, de Liz Pellegrim Sanchez Lermen, Rafaela, additional, Coral, Gabriela Perdomo, additional, Paraná, Raymundo, additional, Tovo, Cristiane Valle, additional, Terrabuio, Débora Raquel Benedita, additional, Filgueira, Norma Arteiro, additional, de Paula Pessoa, Francisco Sergio Rangel, additional, de Araújo, Fernando Antônio Barreiros, additional, Strauss, Edna, additional, Rocha, Cristina Melo, additional, Ferreira, Paulo Roberto Abrão, additional, and Ruffeil, Nilma Lucia Sampaio, additional
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- 2019
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26. Direct antiviral therapy for treatment of hepatitis C : a real-world study from Brazil
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Lobato, Cirley Maria de Oliveira, Cheinquer, Hugo, and Bittencourt, Paulo Lisboa
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Cirrhosis ,Direct antiviral agents ,Hepatite C crônica ,Chronic hepatitis C ,Hepatic fibrosis ,Antivirais ,Cirrose hepática - Abstract
Introduction and objectives Direct antiviral agents (DAAs) including sofosbuvir (SOF), daclatasvir (DCV), simeprevir (SIM) and ombitasvir, paritaprevir and dasabuvir were introduced 2015 in Brazil for treatment of hepatitis C virus (HCV) infection. The aims of this study were to assess effectiveness and safety of HCV treatment with DAA in real-life world in a highly admixed population from Brazil. Materials and methods All Brazilian reference centers for HCV treatment were invited to take part in a web-based registry, prospectively conducted by the Brazilian Society of Hepatology, to assess outcomes of HCV treatment in Brazil with DAAs. Data to be collected included demographics, disease severity and comorbidities, genotype (GT), viral load, DAA regimens, treatment side effects and sustained virological response (SVR). Results 3939 patients (60% males, mean age 58 ± 10 years) throughout the country were evaluated. Most had advanced fibrosis or cirrhosis, GT1 and were treated with SOF/DCV or SOF/SIM. Overall SVR rates were higher than 95%. Subjects with decompensated cirrhosis, GT2 and GT3 have lower SVR rates of 85%, 90% and 91%, respectively. Cirrhosis and decompensated cirrhosis in GT1 and male sex and decompensated cirrhosis in GT3 were significantly associated with no SVR. Adverse events (AD) and serious AD occurred in 18% and 5% of those subjects, respectively, but less than 1% of patients required treatment discontinuation. Conclusion SOF-based DAA regimens are effective and safe in the heterogeneous highly admixed Brazilian population and could remain an option for HCV treatment at least in low-income countries.
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- 2019
27. Treating chronic hepatitis delta: The need for surrogate markers of treatment efficacy
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Yurdaydin, Cihan, Abbas, Zaigham, Buti, Maria, Cornberg, Markus, Esteban, Rafael, Etzion, Ohad, Gane, Edward J., Gish, Robert G., Glenn, Jeffrey S., Hamid, Saeed, Heller, Theo, Koh, Christopher, Lampertico, Pietro, Lurie, Yoav, Manns, Michael, Parana, Raymundo, Rizzetto, Mario, Urban, Stephan, Wedemeyer, Heiner, Wranke, Anika, Pinheiro Borzacov, Lourdes M., Lobato, Cirley Maria de Oliveira, Hamid, Saeed Sadiq, Ceausu, Emanoil, Dalekos, George N., Turcanu, Adela, Niro, Grazia Anna, Lubna, Farheen, Abbas, Minaam, Ingiliz, Patrick, Ferenci, Péter, Vanwolleghem, Thomas, Hayden, Tonya, Dashdorj, Naranjargal R., Motoc, Adriana, Hardtke, Svenja, Hepatitis Delta International Network (HDIN), Yurdaydın, Cihan, Abbas, Zaigham, Buti, Maria, Cornberg, Markus, Esteban, Rafael, Etzion, Ohad, Ganes, Edward J., Gish, Robert G., Glenn, Jeffrey S., Hamids, Saeed, Heller, Theo, Koh, Christopher, Lampertico, Pietro, Lurie, Yoav, Manns, Michael, Parana, Raymundo, Rizzetto, Mario, Urban, Stephan, Wedemeyer, Heiner, Wranke, A., Borzacov, Pinheiro L. M., Lobato, C., Hamid, S., Ceausu, E., Dalekos, G. N., Turcanu, A., Niro, G. A., Lubna, F., Abbas, M., Ingiliz, P., Ferenci, P., Vanwolleghem, T., Hayden, T., Dashdorj, N., Motoc, A., Hardtke, S., School of Medicine, and Department of Internal Medicine
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0301 basic medicine ,Medicine ,Gastroenterology and hepatology ,Hepatitis D, Chronic ,Polymers ,Pyridines ,viruses ,Medizin ,Virus ,03 medical and health sciences ,Lipopeptides ,0302 clinical medicine ,Chronic hepatitis ,Piperidines ,Nucleic Acids ,Clinical endpoint ,Humans ,Clinical Trials as Topic ,Hepatitis B Surface Antigens ,Hepatology ,business.industry ,Surrogate endpoint ,virus diseases ,biochemical phenomena, metabolism, and nutrition ,medicine.disease ,Hepatitis D ,Treatment efficacy ,Clinical trial ,030104 developmental biology ,Treatment Outcome ,Liver ,Treatment endpoints ,Surrogate marker ,New treatment approaches ,Immunology ,RNA, Viral ,030211 gastroenterology & hepatology ,business ,Viral hepatitis ,Biomarkers - Abstract
Chronic hepatitis delta represents the most severe form of chronic viral hepatitis. The current treatment of hepatitis delta virus (HDV) infection consists of the use of interferons and is largely unsatisfactory. Several new compounds are currently in development for the treatment of HDV infection. However, surrogate markers that can be used to develop clinical endpoints in HDV infection are not well defined. In the current manuscript, we aimed to evaluate the existing data on treatment of HDV infection and to suggest treatment goals (possible "trial endpoints") that could be used across different clinical trials., NA
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- 2018
28. Intrafamilial prevalence of hepatitis B virus in Western Brazilian Amazon region: Epidemiologic and biomolecular study
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Lobato, Cirley, Tavares-Neto, José, Rios-Leite, Márcio, Trepo, Christian, Vitvitski, Ludmila, Parvaz, Parviz, Zoulim, Fabien, DʼOliveira, Argemiro, Jr, and Paraná, Raymundo
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- 2006
29. Fatores preditivos de resposta ao tratamento com inibidores de protease em um centro na Amaz�nia ocidental
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Yasuo Tomita Nicacio, Miguel, primary, Pereira Firmino Filho, Alberto, additional, Felipe do Vale Ara�jo, Everton, additional, Brunno Mateus de Matos, Melquior, additional, Medeiros Milhomem, Thayrine, additional, and Maria de Oliveira Lobato, Cirley, additional
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- 2019
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30. Non‐F HBV/HDV‐3 coinfection is associated with severe liver disease in Western Brazilian Amazon
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Melo Da Silva, Edinete, primary, Kay, Alan, additional, Lobato, Cirley, additional, Muwonge, Richard, additional, Zoulim, Fabien, additional, Brites, Carlos, additional, Parana, Raymundo, additional, and Trepo, Christian, additional
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- 2019
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31. Effectiveness of first-wave protease inhibitors in hepatitis C virus genotype 1 infection: a multicenter study in Brazil
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Lobato, Cirley Maria de Oliveira, primary, Balassiano, Natalia, additional, Hyppolito, Elodie Bomfim, additional, Sanchez-Lermen, Rafaela Liz Pellegrim, additional, Signorelli, Izabelle Venturini, additional, Nicacio, Miguel Yasuo Tomita, additional, Firmino Filho, Alberto Pereira, additional, Andrade, Thais Guaraná de, additional, Lima, José Milton de Castro, additional, Arruda, Talita Amorim de, additional, Coutinho, Fernanda Schwanz, additional, Araujo, Everton Felipe do Vale, additional, Esmeraldo, Ticiana Mota, additional, Cortez, Erlon, additional, Capeli, Rafaela Lorenzon Aragão, additional, Matos, Melquior Brunno Mateus de, additional, Pessoa, Francisco Sérgio Rangel, additional, Oliveira, Hélder Cássio de, additional, Arruda, Érico Antônio Gomes de, additional, Gonçalves, Patrícia Lofêgo, additional, Araújo Filho, Antônio Haroldo, additional, Esberard, Eliane Bordalo Cathalá, additional, and Souto, Francisco José Dutra, additional
- Published
- 2018
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32. Liver transplantation in a patient with hepatitis B, C and D coinfection associated with hepatocellular carcinoma: a management strategy for a rare condition. Case report
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Dantas,Lucas Carvalho, Genzini,Tércio, Miranda,Marcelo Perosa de, Santos,Regina Gomes dos, Siqueira,Nilton Ghiotti de, Weirich,Judith, and Lobato,Cirley Maria de Oliveira
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surgical procedures, operative ,Liver transplantation ,Carcinoma, hepatocellular ,Hepatitis B ,Hepatitis C ,Hepatitis D - Abstract
CONTEXT: Orthotopic liver transplantation (OLT) is the treatment of choice for end-stage liver disease. Cirrhosis due to hepatitis C infection is the leading indication for liver transplantation worldwide. However, patients who are given transplants because of viral liver diseases often present clinical coinfections, including hepatitis B together with hepatitis D. Currently, different strategies exist for patient management before and after liver transplantation, and these are based on different protocols developed by the specialized transplantation centers. CASE REPORT: We present a rare case of a 58-year-old man with chronic hepatitis B, C and D coinfection. The patient developed cirrhosis and hepatocellular carcinoma. His treatment comprised antiviral therapy for the three viruses and OLT. The patient's outcome was satisfactory. CONCLUSION: OLT, in association with antiviral therapy using entecavir, which was administered before and after transplantation, was effective for sustained clearance of the hepatitis B and D viruses. A recurrence of hepatitis C infection after transplantation responded successfully to standard treatment comprising peginterferon alfa-2A and ribavirin.
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- 2015
33. Transplante hepático em paciente com coinfecção pelos vírus B, C e D associada a carcinoma hepatocelular: uma estratégia de tratamento para uma condição rara. Relato de caso
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Dantas, Lucas Carvalho, Genzini, Tércio, Miranda, Marcelo Perosa de, Santos, Regina Gomes dos, Siqueira, Nilton Ghiotti de, Weirich, Judith, and Lobato, Cirley Maria de Oliveira
- Subjects
surgical procedures, operative ,Liver transplantation ,Hepatite D ,Hepatite C ,Carcinoma, hepatocellular ,Hepatitis B ,Hepatite B ,Transplante de fígado ,Hepatitis C ,Carcinoma hepatocelular ,Hepatitis D - Abstract
CONTEXT: Orthotopic liver transplantation (OLT) is the treatment of choice for end-stage liver disease. Cirrhosis due to hepatitis C infection is the leading indication for liver transplantation worldwide. However, patients who are given transplants because of viral liver diseases often present clinical coinfections, including hepatitis B together with hepatitis D. Currently, different strategies exist for patient management before and after liver transplantation, and these are based on different protocols developed by the specialized transplantation centers. CASE REPORT: We present a rare case of a 58-year-old man with chronic hepatitis B, C and D coinfection. The patient developed cirrhosis and hepatocellular carcinoma. His treatment comprised antiviral therapy for the three viruses and OLT. The patient's outcome was satisfactory. CONCLUSION: OLT, in association with antiviral therapy using entecavir, which was administered before and after transplantation, was effective for sustained clearance of the hepatitis B and D viruses. A recurrence of hepatitis C infection after transplantation responded successfully to standard treatment comprising peginterferon alfa-2A and ribavirin. CONTEXTO: O transplante ortotópico de fígado (TOF) é o tratamento de escolha em pacientes com doença hepática terminal. A cirrose por hepatite C é a principal indicação de transplante hepático no mundo. No entanto, pacientes transplantados por hepatopatias virais frequentemente apresentam coinfecções, como hepatite B associada a hepatite D. Atualmente, existem diferentes estratégias de manejo em pacientes pré e pós-transplantados conforme diferentes protocolos de conduta de serviços especializados em transplante. RELATO DE CASO: Apresentamos o raro caso de um homem de 58 anos diagnosticado com as hepatites crônicas B, C e D. O paciente evoluiu com cirrose e carcinoma hepatocelular. O tratamento consistiu de terapia antiviral para os três vírus e de transplante ortotópico de fígado. O desfecho do paciente foi satisfatório. CONCLUSÃO: O transplante ortotópico de fígado, associado à terapia antiviral com entecavir antes e após o procedimento, foi eficaz na depuração sustentada dos vírus B e D. A recidiva do vírus C após o transplante respondeu com sucesso ao tratamento padrão com alfapeginterferon 2A e ribavirina.
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- 2015
34. Clinical and virological heterogeneity of hepatitis delta in different regions world‐wide: The Hepatitis Delta International Network (HDIN).
- Author
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Wranke, Anika, Pinheiro Borzacov, Lourdes M., Parana, Raymundo, Lobato, Cirley, Hamid, Saeed, Ceausu, Emanoil, Dalekos, George N., Rizzetto, Mario, Turcanu, Adela, Niro, Grazia A., Lubna, Farheen, Abbas, Minaam, Ingiliz, Patrick, Buti, Maria, Ferenci, Peter, Vanwolleghem, Thomas, Hayden, Tonya, Dashdorj, Naranjargal, Motoc, Adriana, and Cornberg, Markus
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HEPATITIS D virus ,INFECTION treatment ,TRAUMA severity indices ,GENOTYPE-environment interaction ,PATHOLOGICAL physiology - Abstract
Abstract: Background & Aims: Chronic hepatitis D (delta) is a major global health burden. Clinical and virological characteristics of patients with hepatitis D virus (HDV) infection and treatment approaches in different regions world‐wide are poorly defined. Methods: The Hepatitis Delta International Network (HDIN) registry was established in 2011 with centres in Europe, Asia, North‐ and South America. Here, we report on clinical/ virological characteristics of the first 1576 patients with ongoing or past HDV infection included in the database until October 2016 and performed a retrospective outcome analysis. The primary aim was to investigate if the region of origin was associated with HDV replication and clinical outcome. Results: The majority of patients was male (n = 979, 62%) and the mean age was 36.7 years (range 1‐79, with 9% of patients younger than 20 years). Most patients were HBeAg‐negative (77%) and HDV‐RNA positive (85%). Cirrhosis was reported in 48.7% of cases which included 13% of patients with previous or ongoing liver decompensation. Hepatocellular carcinoma (HCC) developed in 30 patients (2.5%) and 44 (3.6%) underwent liver transplantation. Regions of origin were independently associated with clinical endpoints and detectability of HDV RNA. Antiviral therapy was administered to 356 patients with different treatment uptakes in different regions. Of these, 264 patients were treated with interferon‐a and 92 were treated with HBV‐Nucs only. Conclusions: The HDIN registry confirms the severity of hepatitis delta but also highlights the heterogeneity of patient characteristics and clinical outcomes in different regions. There is an urgent need for novel treatment options for HDV infection. [ABSTRACT FROM AUTHOR]
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- 2018
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35. Liver transplantation in a patient with hepatitis B, C and D coinfection associated with hepatocellular carcinoma: a management strategy for a rare condition. Case report
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Dantas, Lucas Carvalho, primary, Genzini, Tércio, additional, Miranda, Marcelo Perosa de, additional, Santos, Regina Gomes dos, additional, Siqueira, Nilton Ghiotti de, additional, Weirich, Judith, additional, and Lobato, Cirley Maria de Oliveira, additional
- Published
- 2015
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36. American Journal of Tropical Medicine and Hygiene
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Paraná, Raymundo, Paiva, Tiago, Leite, Márcio Rios, Oliveira, Fabrizio Ney, Kali, Nardino, Lobato, Cirley, Dantas, Thor, and Tavares-Neto, José
- Abstract
Texto completo: acesso restrito. p. 165-169 Submitted by Suelen Reis (suziy.ellen@gmail.com) on 2014-03-13T12:54:37Z No. of bitstreams: 1 Raymundo Paraná.pdf: 77007 bytes, checksum: b1b440d4a57ef5b3fa1f6da2416fe6cd (MD5) Approved for entry into archive by Rodrigo Meirelles (rodrigomei@ufba.br) on 2014-09-09T15:02:45Z (GMT) No. of bitstreams: 1 Raymundo Paraná.pdf: 77007 bytes, checksum: b1b440d4a57ef5b3fa1f6da2416fe6cd (MD5) Made available in DSpace on 2014-09-09T15:02:45Z (GMT). No. of bitstreams: 1 Raymundo Paraná.pdf: 77007 bytes, checksum: b1b440d4a57ef5b3fa1f6da2416fe6cd (MD5) Previous issue date: 2007 Clinical and epidemiologic studies on the hepatitis C virus (HCV) in the western Brazilian Amazon region are scarce. However, reports of clinical cases of hepatitis or pathologies associated to the HCV infection are frequent. In the state of Acre, there have been no studies on the population with the greatest exposure to parenteral transmission of virus infection. The objective of this study was to determine the prevalence of HCV infection among health care workers (HCWs) in this region. Of 2,338 HCWs, 646 were randomly selected for this study. The presence of antibody to HCV was determined. If these persons were antibody positive, they were tested for HCV RNA and the viral genotype was determined. The seroprevalence of antibody to HCV was 4.8% (31 of 646), and 3.7% (24 of 646) of those tested had detectable HCV RNA. Among these 24 viremic cases, HCV genotype 1 was most common (n = 16), followed by genotypes 3 (n = 6), 2 (n = 1), and an unidentified genotype. Infection with HCV (identified by a polymerase chain reaction) was more frequent among those with lower educational levels and lower incomes, those who lived for a longer period in the city of Rio Branco, those who reported intravenous use of vitamin complexes, those with a history of dental treatment, those with alcoholism, and women with history of caesarian parturition. The high prevalence of patients with HCV observed among HCWs in the city of Rio Branco and risk factors indicate the need for prevention and control programs, in addition to assistance programs, because this region is also hyperendemic for hepatitis B virus and hepatitis D virus.
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- 2007
37. Hepatology
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Lobato, Cirley, Tavares-Neto, José, Leite, Márcio Rios, Trepo, Christian, Vitvitski, Ludmila, Parvaz, Parviz, Zoulim, Fabien, D'Oliveira Junior, Argemiro, and Paraná, Raymundo
- Abstract
RESTRITO Submitted by Santiago Fabio (fabio.ssantiago@hotmail.com) on 2012-07-31T20:03:21Z No. of bitstreams: 1 IIII.pdf: 83975 bytes, checksum: bb96a9d09d3d1c3f1d3c0a3ce09b1669 (MD5) Made available in DSpace on 2012-07-31T20:03:21Z (GMT). No. of bitstreams: 1 IIII.pdf: 83975 bytes, checksum: bb96a9d09d3d1c3f1d3c0a3ce09b1669 (MD5) Previous issue date: 2006 Background: Hepatitis B is endemic in the Amazon region. Methods: Serological markers for hepatitis B virus (HBV) were determined in 266 household members for hepatitis B surface antigen (HBsAg)-positive women (G1) and 395 household members for HBsAg-negative women (G2), randomly selected in Acre State Women’s Medical Care Program, in order to evaluate the prevalence of HBV in this population. Before blood sample collection an epidemiological questionnaire was applied. Results: The overall prevalence of HBV carriers (HBsAg) and exposed individuals (anti-HBc, IgG) was, respectively, 21.1% and 60.5% in G1 and 2.8% and 27.4% in G2 ( P < 0.0000001). The frequency of HBsAg was higher among siblings from group G1 (75%) compared to the absence of any HBsAg-positive sibling in G2 ( P < 0.00006). The HBV markers in other family members was as follows: G1 parents, 27.3% vs 4.5% ( P < 0.03), sexual partners, 21.1% vs 2.5% ( P < 0.04), and offspring, 10.4% vs 1.5% ( P < 0.04). A low prevalence of HBsAg and anti-HBc (IgG) was observed for the last offspring of G2 mothers compared to the high prevalence among children of G1 mothers (0% vs 18.2%, P < 0.01 and 2.3% vs 59.1%, P < 0.0000005, respectively), with children younger than 1 year being the most affected. The frequency of the habit of sharing toothbrushes and the presence of at least one HBsAg carrier were higher in G1 than in G2 ( P < 0.0001 and P < 0.000002), respectively. Genotypes A, D and G were found to be predominant by Innolipa test. There were cases that reacted to more than one genotype. Conclusion: Intrafamilial transmission of HBV is evident in the present study and is possibly associated with the presence of more than one HBV carrier in the family and the shared use of toothbrushes among household contacts. Genotype analysis confirms intrafamilial transmission. Salvador
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- 2006
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38. INFECTION WITH HEPATITIS C VIRUS AMONG HEALTH CARE WORKERS IN THE BRAZILIAN WESTERN AMAZON REGION (RIO BRANCO, STATE OF ACRE)
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PARANÁ, RAYMUNDO, primary, LEITE, MÁRCIO RIOS, additional, NETO, JOSÉ TAVARES, additional, KALI, NARDINO, additional, PAIVA, TIAGO, additional, DANTAS, THOR, additional, OLIVEIRA, FABRIZIO NEY, additional, and LOBATO, CIRLEY, additional
- Published
- 2007
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39. Weight-based combination therapy with peginterferon alpha-2b and ribavirin for Naïve, relapser and non-responder patients with chronic hepatitis C
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Gonçales Jr., Fernando Lopes, primary, Vigani, Aline, additional, Gonçales, Neiva, additional, Barone, Antonio Alci, additional, Araújo, Evaldo, additional, Focaccia, Roberto, additional, Oliveira, Umbeliana, additional, Coelho, Henrique Sérgio Morais, additional, Paixao, Jacqueline, additional, Perez, Renata, additional, Lobato, Cirley, additional, Weirich, Judith, additional, Rosa, Heitor, additional, Borges, Andrelina, additional, Vila, Ricardo, additional, Corrêa-Giannella, Maria Lúcia, additional, and Ferraz, Maria Lúcia Gomes, additional
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- 2006
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40. HDV GENOTYPES IN THE WESTERN BRAZILIAN AMAZON REGION: A PRELIMINARY REPORT
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PARANÁ, RAYMUNDO, primary, MOLINET, FELIX, additional, TAVARES-NETO, JOSÉ, additional, VIANA, SEBASTIÃO, additional, MATTEONI, LUCIANA, additional, LOBATO, CIRLEY, additional, OLIVEIRA, ARGEMIRO D’, additional, KAY, ALAN, additional, SILVA, LUCIANO KALABRIC, additional, RIOS-LEITE, MÁRCIO, additional, SALCEDO, JUAN MIGUEL, additional, TAUIL, PEDRO, additional, and TRÉPO, CHRISTIAN, additional
- Published
- 2006
- Full Text
- View/download PDF
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