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5 results on '"Garcia de Alencar, Júlio César"'

1. Euglycemic Diabetic Ketoacidosis in Pregnancy

Author

Garcia de Alencar, Júlio César, Wiebelling da Silva, Geovane, Correa da Costa Ribeiro, Sabrina, Meirelles Marchini, Júlio Flavio, Brandao Neto, Rodrigo Antonio, and Possolo de Souza, Heraldo

Abstract

The clinical presentation of diabetic ketoacidosis in pregnancy (DKP) is similar to that observed in nonpregnant women, although reports suggest the presenting blood glucose level may not be as high. It is hypothesized that lower, maternal fasting glucose levels are a result of both the fetus and the placenta consuming glucose. We report the case of a 38-year-old woman gravida 2, para 0, abortion 1 with type 1 diabetes who had euglycemic diabetic ketoacidosis and review the literature on DKP, with a focus on diagnosis, treatment, and monitoring of the mother and fetus.

Published
2020

2. Community-acquired pneumonia severity assessment tools in patients hospitalized with COVID-19: a validation and clinical applicability study

Author

Bortolotto, Alexandre Lemos, Müller Veiga, Alicia Dudy, Bellintani, Arthur Petrillo, Fantinatti, Beatriz Larios, Nicolao, Bianca Ruiz, Caldeira, Bruna Tolentino, Umehara Juck, Carlos Eduardo, Bueno, Cauê Gasparatto, Takamune, Diego Juniti, Guidotte, Diogo Visconti, D'Souza, Edwin Albert, Oliveira Silva, Emily Cristine, Brito Miyaguchi, Erika Thiemy, Gomes da Silva, Ester Minã, Santos Moreira, Everton Luis, Fonseca e Silva, Fernanda Máximo, de Paula Maroni Escudeiro, Gabriel, Travessini, Gabriel, Costa, Giovanna Babikian, Tibucheski dos Santos, Henrique, Omori, Isabela Harumi, Baptista, João Martelleto, Afonso Nascimento, João Pedro, de Góes Campos, Laura, Lima, Ligia Trombetta, Boscolo, Luiza, Adsuara Pandolfi, Manuela Cristina, de Oliveira Silva, Marcelo, Sanches, Marcelo Petrof, Saad Menezes, Maria Clara, Gonçalves Cimatti De Calasans, Mariana Mendes, Lima de Faria, Matheus Finardi, Bezerra Martins, Nilo Arthur, Albuquerque de Moura, Patricia, Araújo Simões, Pedro Antonio, Luna, Rafael Berenguer, Nishiaka, Renata Kan, Miléo, Rodrigo Cezar, de Souza Abreu, Rodrigo, Toccoli, Rodrigo Werner, Monsalvarga, Tales Cabral, Brito Medeiros, Vitor Macedo, Filippo Fernandes, Yasmine Souza, Simões, Ademar Lima, Tavares, Andrew Araujo, Carvalho de Alves Pereira, Clara, Ribeiro, Daniel Rodrigues, Dias de Francesco, Danilo, Emerenciano, Debora Lopes, Pires de Campos, Eduardo Mariani, Moreira, Felipe Liger, Bortoleto, Felipe Mouzo, Martinez, Gabriel, Wiebelling da Silva, Geovane, Martins, Gustavo Biz, Leite Fortes, Julio Cesar, Dias Barreto, Lucas Gonçalves, Silva de Rosa, Maria Lorraine, Ursoline do Nascimento, Mauricio, Pisciolaro, Rafael Faria, Xavier, Rodolfo Affonso, Barbosa de Souza, Stefany Franhan, Lisboa Netto, Thiago Areas, Ribeiro, Sabrina, Faria, Carine, Rahhal, Hassam, Padrão, Eduardo, Valente, Fernando, Padovan Chio, Yago Henrique, Gomez Gomez, Luz Marina, Lazar Neto, Felippe, Marino, Lucas Oliveira, Torres, Antoni, Cilloniz, Catia, Meirelles Marchini, Julio Flavio, Garcia de Alencar, Julio Cesar, Palomeque, Andrea, Albacar, Núria, Brandão Neto, Rodrigo Antônio, Souza, Heraldo Possolo, and Ranzani, Otavio T.

Published
2021
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3. Association Between Gut Microbiota and Delirium in Acutely Ill Older Adults

Author

Garcez, Flavia Barreto, primary, Garcia de Alencar, Júlio César, additional, Fernandez, Shirley Steffany Muñoz, additional, Avelino-Silva, Vivian Iida, additional, Sabino, Ester Cerdeira, additional, Martins, Roberta Cristina Ruedas, additional, Franco, Lucas Augusto Moysés, additional, Lima Ribeiro, Sandra Maria, additional, Possolo de Souza, Heraldo, additional, and Avelino-Silva, Thiago Junqueira, additional

Published
2023
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5. A Rare Case of Hyperlactatemia in The Emergency Department.

Author

Stumpf, Matheo Augusto Morandi, Lima Simões, Ademar, and Garcia de Alencar, Júlio César

Subjects
GLYCOGEN storage disease, HOSPITAL emergency services, HYPERLACTATEMIA, LACTIC acidosis, JUVENILE diseases, GLYCOGEN storage disease type II
Abstract

Glycogen storage disease type 1a is a rare autosomal recessive syndrome characterized by hypoglycemia, hyperuricemia, hyperlipidemia, hepatomegaly, among other features. Case report: A 31-year-old woman genetically diagnosed with this disease in childhood was admitted to the Emergency Department with tachypnea. Her arterial lactate was 179 mg/dL, bicarbonate of 2 mmol/L, pH of 7.0 and pCO2 2.2 mmHg. She received IV glucose, isotonic bicarbonate, and antibiotics. Her urine culture was positive for Escherichia coli. She had a complete recovery from acidosis in 12 hours and was discharged three days later. Conclusion: This case highlights a rare differential of lactic acidosis that can, sometimes, be present in the Emergency Department. [ABSTRACT FROM AUTHOR]

Published
2022
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