NAYARA IZABEL VIANA MOURA
Projetos de Pesquisa
Unidades Organizacionais
LIM/55 - Laboratório de Urologia, Hospital das Clínicas, Faculdade de Medicina
5 resultados
Resultados de Busca
Agora exibindo 1 - 5 de 5
- Nomograms using a small panel of genes for predicting the diagnosis and aggressiveness of prostate cancer(2020) LEITE, Katia R. M.; ORTEGA, Fabio L.; DAMIANI, Lucas P.; GUIMARAES, Vanessa; VIANA, Nayara; SILVA, Iran A.; REIS, Sabrina T.; PIMENTA, Ruan; ADONIAS, Sanarelly P.; CHAMMAS, Cristina; SROUGI, Miguel; NAHAS, Willian
- Digital application developed to evaluate functional results following robot-assisted radical prostatectomy* App for prostate cancer(2020) FARIA, Leandro F.; REIS, Sabrina T.; LEITE, Katia R.; CRUZ, Jose Arnaldo Shiomi da; PIMENTA, Ruan; I, Nayara Viana; AMARAL, Gabriela Q.; SANTOS, Gabriel A. G. D.; ILIAS, Daniel; FAKHOURI, Felipe; XAVIER, Geraldo; SROUGI, Miguel; PASSEROTTI, Carlo CamargoIntroduction: Mobile applications (""apps"") developed for smartphones and tablets are increasingly used in healthcare, allowing remote patient support or promoting self-health care. Prostate cancer (PC) screening allows for early-stage PC diagnosis, resulting in high rates of curative procedures such as radical prostatectomy. The main complications following surgery are urinary incontinence and erectile dysfunction. However, the exact numbers related to these morbidities are often missing due to brief interviews during consultations in the medical office. Therefore, the aim of this study was to create an app to determine whether response rates to preand post-surgical PC questionnaires will increase. Methods: The app was built using the IONIC framework system and provided to patients through a prospective randomized study. We included 100 patients divided into two groups: 1. first group used the app (n = 50); and 2. second group responded via validated printed questionnaires (control group) (n = 50). All patients received discharge counseling to respond to the questionnaires 1, 3, 6 and 12 months after the procedure. The app group received verbal guidance on how monitoring would occur, received an SMS containing a username and password providing access to the system and received reminder alerts to respond to the questionnaires. Results: The new app is called UroHealth and is available for download in the Apple App Store or at www.urohealth.com.br . When we evaluated the response rates, we found that 42.9% of the patients answered the preoperative questionnaire in the app group, while 16% responded in the control group (p = 0.003). By the end of the follow-up, we found that 24.5% of the patients answered the questionnaire in the app group, while 4% responded in the control group (p = 0.003). Conclusion: This app enabled almost 6 times more patients to answer long-term follow-up questions after surgical procedures, providing high-quality information regarding morbidity related to treatment. Although our initial results indicate that this app may become a useful tool in obtaining more frequent and realistic answers, thus helping to improve surgical techniques, other ways of reaching the patient should be tested to achieve higher response rates.
- Urinary biomarkers of inflammation and tissue remodeling may predict bladder dysfunction in patients with benign prostatic hyperplasia(2020) CONTI, Paulo Sajovic de; BARBOSA, Joao Arthur Brunhara Alves; REIS, Sabrina Thalita; I, Nayara Viana; GOMES, Cristiano Mendes; BORGES, Leonardo; NUNES, Marco; NAHAS, William C.; SROUGI, Miguel; ANTUNES, Alberto AzoubelPurpose To evaluate the expression of urinary biomarkers of inflammation and tissue remodeling in patients with BPH undergoing surgery and evaluate the association of biomarkers with postoperative urodynamic outcomes Materials and methods We analyzed urine samples from 71 patients treated with TURP from 2011 to 2017. Urinary levels of epidermal growth factor (EGF), matrix-metalloproteinase-1 (MMP-1), interleukin-6 (IL-6), nerve growth factor (NGF) and monocyte-chemoattractant protein-1 (MCP-1) (by commercial ELISA kit) were measured, adjusted by urinary creatinine (Cr) and analyzed according to patients clinical and urodynamic characteristics (baseline and 12-month postoperative urodynamic) Results MMP-1/Cr levels were significantly higher among subjects with higher detrusor pressure on preoprative urodynamic. MCP-1/Cr levels were significantly higher amongs subjects with preoperative DO. Preoperative levels of NGF/Cr (0.13 vs 0.08,p = 0.005) and MMP-1/Cr (0.11 vs 0.04,p = 0.021) were predictors of persistent DO 12 months after surgery. The following factors were shown to be useful for predicting the persistence of DO in the postoperative period: NGF/Cr, with an AUC of 0.77 (95% CI 0.62-0.92) (p = 0.006), and MMP-1/Cr, with an AUC of 0.72 (95% CI 0.56-0.88) (p = 0.022). Conclusions MMP-1/Cr was associated with higher detrusor pressure and MCP-1/CR with DO. NGF/Cr and MMP-1/Cr were shown to be predictors of persistent postoperative DO.
conferenceObject ANALYS MICRORNAS EXPRESSION IN CYSTINURIA PATIENTS(2020) AYRES, Daniel; SANTOS, Gabriel; PIMENTA, Ruan; VIANA, Nayara; GUIMARAES, Vanessa; SILVA, Iran; MARCHINI, Giovanni; BATAGELLO, Carlos; TORRICELLI, Fabio; VICENTINI, Fabio; DANILOVIC, Alexandre; LEITE, Katia; REIS, Sabrina; NAHAS, William; SROUGI, Miguel; MAZZUCCHI, EduardoconferenceObject DETRUSOR PRESSURES ARE ASSOCIATED WITH COLLAGEN TYPE III EXPRESSION IN THE DETRUSOR OF PATIENTS WITH BENIGN PROSTATIC HYPERPLASIA(2020) BELLUCCI, Carlos; HEMERLY, Thiago; GUIMARAES, Vanessa; VIANA, Nayara; CAMARGO, Gabriel; REIS, Sabrina; BRUSCHINI, Homero; SROUGI, Miguel; LEITE, Katia; GOMES, Cristiano