CELSO RICARDO FERNANDES DE CARVALHO

(Fonte: Lattes)
Índice h a partir de 2011
27
Projetos de Pesquisa
Unidades Organizacionais
Departamento de Fisioterapia, Fonoaudiologia e Terapia Ocupacional, Faculdade de Medicina - Docente
LIM/20 - Laboratório de Terapêutica Experimental, Hospital das Clínicas, Faculdade de Medicina
LIM/54 - Laboratório de Bacteriologia, Hospital das Clínicas, Faculdade de Medicina - Líder

Resultados de Busca

Agora exibindo 1 - 10 de 22
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    Comparison of incentive spirometers on thoracoabdominal mechanics and inspiratory muscular activity in elderly
    (2012) LUNARDI, Adriana; BARBOSA, Renata; PAISANI, Denise; SILVA, Cibele Marques da; CANO, Desideiro; CELSO, Carvalho
  • article 40 Citação(ões) na Scopus
    Weakness of expiratory muscles and pulmonary complications in malnourished patients undergoing upper abdominal surgery
    (2012) LUNARDI, Adriana C.; MIRANDA, Camila S.; SILVA, Karoline M.; CECCONELLO, Ivan; CARVALHO, Celso R. F.
    Background and objective: Malnutrition is prevalent in hospitalized patients and causes systemic damage including effects on the respiratory and immune systems, as well as predisposing to infection and increasing postoperative complications and mortality. This study aimed to assess the impact of malnutrition on the rate of postoperative pulmonary complications, respiratory muscle strength and chest wall expansion in patients undergoing elective upper abdominal surgery. Methods: Seventy-five consecutive candidates for upper abdominal surgery (39 in the malnourished group (MNG) and 36 in the control group (CG)) were enrolled in this prospective controlled cohort study. All patients were evaluated for nutritional status, respiratory muscle strength, chest wall expansion and lung function before surgery. Postoperative pulmonary complications (pneumonia, tracheobronchitis, atelectasis and acute respiratory failure) before discharge from hospital were also evaluated. Results: The MNG showed expiratory muscle weakness (MNG 65 +/- 24 vs CG 82 +/- 22 cm H2O; P < 0.001) and decreased chest wall expansion (P < 0.001), whereas inspiratory muscle strength and lung function were preserved (P > 0.05). The MNG also had a higher incidence of postoperative pulmonary complications compared with the CG (31% and 11%, respectively; P = 0.05). In addition, expiratory muscle weakness was correlated with BMI in the MNG (r = 0.43; P < 0.01). The association between malnutrition and expiratory muscle weakness increased the likelihood of postoperative pulmonary complications after upper abdominal surgery (P = 0.02). Conclusions: These results show that malnutrition is associated with weakness of the expiratory muscles, decreased chest wall expansion and increased incidence of pulmonary complications in patients undergoing elective upper abdominal surgery.
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    Aerobic exercise training cannot be prescribed based on predictive heart rate equations in moderate or severe asthmatic patients
    (2012) MENDES, Felipe; TEIXEIRA, Renata; PINTO, Andrezza; STELMACH, Rafael; CUKIER, Alberto; MARTINS, Milton; CARVALHO, Celso
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    Physical activity: Children with asthma and without asthma
    (2012) SOUSA, Andrey; CARVALHO, Celso; MARTINS, Milton; CABRAL, Anna
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    A unique session of aerobic exercise does not decrease pulmonary inflammation in a murine mice model of asthma
    (2012) SILVA, Ronaldo Aparecido da; ALMEIDA, Francine Maria; OLIVO, Clarice Rosa; SARAIVA, Beatriz Mangueira; MARTINS, Milton A.; CARVALHO, Celso Ricardo Fernandes
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    Aerobic training inhibits leukocytes production of oxidants, pro-inflammatory and pro-fibrotic factors reducing asthmatic phenotype
    (2012) VIEIRA, Rodolfo Paula; SILVA, Ronaldo Aparecido; OLIVEIRA, Ana Paula Ligeiro; MARTINS, Milton Arruda; CARVALHO, Celso Ricardo Fernandes
  • article 2 Citação(ões) na Scopus
    Occurrence of asthma symptoms and of airflow obstruction in amateur swimmers between 8 and 17 years of age
    (2012) FIKS, Iara Nely; ALBUQUERQUE, Andre Luis Pereira de; DIAS, Leonardo; CARVALHO, Celso Ricardo Fernandes de; CARVALHO, Carlos Roberto Ribeiro de
    Objective: To determine the prevalence of asthma symptoms and of airflow obstruction in amateur swimmers between 8 and 17 years of age, as well as to assess the awareness of asthma and asthma management among these swimmers, their parents, and their coaches. Methods: Our sample comprised 1,116 amateur swimmers who completed a modified version of the International Study of Asthma and Allergies in Childhood written questionnaire, to which questions regarding the reasons to initiate swimming and regarding asthma management had been added. In addition, the participants underwent spirometry prior to a swimming competition. Results: The prevalence of asthma symptoms in the last 12 months was 11.5%, and 327 (29.4%) of the participants reported ""wheezing or whistling"" in the past. Of the 223 swimmers who reported ""asthma ever"" or ""bronchitis ever"", only 102 (45.7%) reported having ever been treated: the most common ""treatment"" was swimming (in 37.3%), and only 12.7% used inhaled corticosteroids. Of the 254 participants (22.7%) with airflow obstruction, only 52 (20.5%) reported having asthma symptoms. Conclusions: Asthma symptoms are present in amateur swimmers, and a considerable number of such swimmers have airflow obstruction without symptoms. It is therefore likely that the prevalence of asthma is underestimated in this population. It is worrisome that, in our study sample, the swimmers previously diagnosed with asthma were not using the recommended treatments for asthma. The clinical implications of these findings underscore the importance of implementing educational measures for amateur swimmers, as well as for their parents and coaches, to help them recognize asthma symptoms and the consequent risks in the sports environment, in order to allow prompt diagnosis and early clinical intervention.
  • article 21 Citação(ões) na Scopus
    Preoperative 6-min walking distance does not predict pulmonary complications in upper abdominal surgery
    (2012) PAISANI, Denise M.; FIORE JR., Julio F.; LUNARDI, Adriana C.; COLLUCI, Daniela B. B.; SANTORO, Ilka Lopes; CARVALHO, Celso R. F.; CHIAVEGATO, Luciana Dias; FARESIN, Sonia Maria
    Background and objective: Field exercise tests have been increasingly used for pulmonary risk assessment. The 6-min walking distance (6MWD) is a field test commonly employed in clinical practice; however, there is limited evidence supporting its use as a risk assessment method in abdominal surgery. The aim was to assess if the 6MWD can predict the development of post-operative pulmonary complications (PPCs) in patients having upper abdominal surgery (UAS). Methods: This prospective cohort study included 137 consecutive subjects undergoing elective UAS. Subjects performed the 6MWD on the day prior to surgery, and their performance were compared with predicted values of 6MWD (p6MWD) using a previously validated formula. PPCs (including pneumonia, tracheobronchitis, atelectasis with clinical repercussions, bronchospasm and acute respiratory failure) were assessed daily by a pulmonologist blinded to the 6MWD results. 6MWD and p6MWD were compared between subjects who developed PPC (PPC group) and those who did not (no PPC group) using Student's t-test. Results: Ten subjects experienced PPC (7.2%) and no significant difference was observed between the 6MWD obtained in the PPC group and no PPC group (466.0 +/- 97.0 m vs 485.3 +/- 107.1 m; P = 0.57, respectively). There was also no significant difference observed between groups for the p6MWD (100.7 +/- 29.1% vs 90.6 -/+ 20.9%; P > 0.05). Conclusions: The results of the present study suggest that the 6-min walking test is not a useful tool to identify subjects with increased risk of developing PPC following UAS.
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    Comparison of the impact of laparoscopy and laparotomy on thoracoabdominal mechanics
    (2012) PAISANI, Denise de Moraes; LUNARDI, Adriana Claudia; PORRAS, Desiderio Cano; CARVALHO, Celso Ricardo Fernandes