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Journal of Behavioral and Brain Science 2018年第1期8卷 26-40页

作者： josé humberto cardoso resende Alfredo Nasser College (UNIFAN) Goiania Brazil

It is a syndrome with a set of signs and symptoms distinct from depression or panic syndrome, which is not characterized by the fear of dying, but by the desire to die in the form of suicide or in another quick way. Unlike depression or panic, it occurs more frequently between 60 and 80 years of age, according to the World Health Organization (WHO) report, which puts Brazil in eighth place among the countries with the highest incidence of suicides in the age range of 70 years. The report estimates a death every 40 seconds in the world, with India ranking first among the countries surveyed, according to the United Nations agency, in the WHO 2012 registries. It can occur in any person, regardless of color, religion, social class or schooling, being more common, however, among men, in the ratio of nine men to two women. It is very common among health practitioners or the self-employed. Causes are related to the general delusion involving body and mind, focusing on the lack of care. By the description of the dictionary, soul is the union of body and spirit, which some prefer to call mind. “Empty Soul” represents the lack of the very essence of life, a total void of wills, a finding of abandonment. For these symptoms or illness, the treatment has followed the line of “antidepressants” aimed at the reuptake of serotonin, such as SSRIs, MAOIs, anxiolytics (benzodiazepines) and painless techniques that reach the brain, used in neurology and psychiatry. We suggest, as a therapeutic idea, the realization of “Healing Workshops”, with the support being given in the form of meetings with motivational orientations, through positive stimuli, daily and constant psychotherapies, which the client will attend until cure is verified. This degree of disorder has presented in alarming proportions, especially after 2015. This work is justified by to the dramaticity of the deaths, such as: knife, shot, fall of great height, hunger strikes and forced isolation in prisons or kidnappings. In

关键词： Depression Panic Suicide Soul Disillusionment

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Retrospective: Mammoplasty with Prosthesis after Video-Assisted Bariatric Surgery with Transverse Bipediculated Flap

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Modern Plastic Surgery 2013年第4期3卷 123-127页

作者： josé humberto cardoso resende Rossano Kepler Alvim Fiorelli General Surgery Federal University of the State of Rio de Janeiro Rio de Janeiro Brazil Plastic Surgery Federal Hospital for the Civil Servants of the State of Rio de Janeiro Rio de Janeiro Brazil

Objective: To assess the rate of mammary prosthesis extrusion after mammoplasty with prosthesis implantation, to verify the resulting shape and the degree of patient satisfaction after the use of a transverse bipediculated flap with lateral irrigations. Methods: 30 patients with a weight loss of 50 kg on average after video-assisted bariatric surgery, with ptosis and excessive volumes, who underwent mammoplasty with prosthesis placement with volumes ranging from 190 to 260 cc, using a transverse flap with the aim of anchoring the silicone prosthesis. Results: In the patients’ evaluation, the few postoperative complaints did not amount to complications. Pains were minimal and the discomfort with the prosthesis was acceptable. Conclusion: the transverse flap, in addition to acting as the best anchor among the existing flaps for implanted prostheses, provided a youthful, natural, anatomical, aesthetic and longer lasting appearance for the breasts.

关键词： Mammoplasty Mastoplasty with Prosthesis Non-Aesthetic Female Mammary Plastic Surgery Post-Bariatric Mammoplasty

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Transit Bipartition with Duodeno-Ileal Anastomosis, without Duodenal Exclusion, as a First Stage of Bariatric Surgery in Severely Obese Patients: Case Report

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Surgical Science 2022年第11期13卷 497-505页

作者： Paulo Reis Esselin de Melo Thonya Cruz Braga Danilo Fossalussa Minari josé humberto cardoso resende Instituto Paulo Reis Goi&#226nia Brazil UNIFAN-Centro Universitário Alfredo Nasser Aparecida de Goi&#226nia Goi&#225s Brazil

Obesity is a difficult disease to control;bariatric surgery is one of the tools used to treat obesity and its comorbidities. The present case was chosen because it concerns a very obese patient whose proposed surgery—duodenal switch—resulted in traoperatively difficult to the medical team because the esophagogastric junction could not be reached due to the presence of hepatomegaly. Due to this unfavorable condition, we decided to perform a duodeno-ileal anastomosis with gastric preservation and without duodenal exclusion. The patient has been under follow-up for 14 years. She has lost 55 kg and maintains the comorbidities controlled to date.

关键词： Bariatric Surgery Biliopancreatic Diversion Gastric Bypass Duodenal Switch

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Oral Use of an Infusion of Leaves of Solanum paniculatumL., Jacaranda brasiliensisand Sonchus oleraceusfor Treatment of Vitiligo

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Journal of Cosmetics, Dermatological Sciences and Applications 2015年第4期5卷 317-331页

作者： josé humberto cardoso resende Georgia Saad Thomaz de Aquino Fábio Renato Ferreira do Nascimento Mayara Monteiro Aguiar Rossano Kepler Alvim Fiorelli Institute for Medical and Phytotherapeutic Research and UNIRIO Rio de Janeiro Brazil SBD Rio de Janeiro Brazil Institute for Medical and Phytotherapeutic Research Rio de Janeiro Brazil Volpharma Co. Rio de Janeiro Brazil UNIRIO Rio de Janeiro Brazil

Background: A healthy normal skin is essential for a person’s physical and mental well being. It is an important aspect of their sexual attractiveness, a sense of well being and a sense of self confidence. Vitiligo is an acquired depigmentation disorder of skin affecting 1% - 4% of the world population. Neither life threatening nor symptomatic (except that depigmented patches burn easily when exposed to the sun) the effects of vitiligo can be cosmetically and psychologically devastating. Because the disease is still not understood, there is a plethora of different treatments approaches, but they are largely unsatisfactory from patient’s perspective. Objective: To report the outcomes from oral use of an infusion of leaves of Solanum paniculatum L., Jacaranda brasiliensis and Sonchus oleraceus for treatment of vitiligo. Ethical issues: Study approved by the Research Ethics Committee of Hospital Federal dos Servidores do Estado do Rio de Janeiro (CAAE: 32143314.9.0000.5252). All participants confirmed the condition of volunteer by signing the Informed Consent Form. Methods: From October 2014 to October 2015 twelve subjects consumed daily four glasses (800 ml) of proposed phytotherapeutic preparation. Results: All subjects were highly satisfied about their outcomes. Total depigmentation was considered as a positive outcome because it is cosmetically acceptable. Total depigmentation was observed in presence of 80% or more of depigmenteted patches. Conclusions: The phytotherapeutic preparation proposed is effective on treatment of depigmenteted patches in vitiligo.

关键词： Solanum paniculatum L. Jacaranda brasiliensis Sonchus oleraceus Vitiligo

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The Body Suffering and Care Possibilities: A Reflective Look from the Health Economics

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Health 2016年第4期8卷 285-292页

作者： josé humberto cardoso resende Allan Peixoto de Assis Lucilia Feliciano Marques di Carlantônio Luiz Célio Martins Freitas Teresa Tonini Nébia Maria Almeida de Figueiredo Luiz Carlos Santiago Universidade Federal do Estado do Rio de Janeiro (UNIRIO) Rio de Janeiro Brazil

This article aimed to show ideas about the themes: body suffering, nursing and Medical care, and Health Economics. To this end, we tried to put together a kaleidoscope of references that converged on the promotion of autonomy and empowerment and, as a strategy for action, and then we can think of what to do to alleviate the suffering of patients.

关键词： Health Economics Nursing Medicine

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Gastric Bypass with Long Pouch and Transit Bipartition for Endoscopic Access to the Remaining Stomach

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Surgical Science 2022年第8期13卷 353-366页

作者： Paulo Reis Esselin de Melo Marcella Giovana Gava-Brandolis Thonya Cruz Braga Danilo Fossalussa Minari Ricardo Augusto Martins Bueno da Costa jose Geraldo Moraes Sampaio Neto Louise Flores Silva josé humberto cardoso resende Hospital Estadual Alberto Rassi Surgical Skills Coordinator Goi&#226nia Brazil UNIFAN Research Coordinator Aparecida de Goi&#226nia Brazil

Introduction: obesity has a complex and multifactorial etiology, difficult treatment and increasing incidence rates in recent decades. The treatment involves clinical and pharmacological approaches and, in case of lack of results, surgical interventions. Roux-en-Y gastric bypass (RYGB) is one of these surgical interventions in which the stomach is divided, creating a small pouch, and the remaining portion of the stomach become excluded and left without endoscopic access. Objective: to evaluate the results of modified RYGB with long pouch and endoscopic access to the remaining stomach. Materials and Methods: prospective clinical trial with sample selected among patients seen at the Alberto Rassi General State Hospital of Goiânia (HGG) and indicated for bariatric and metabolic surgery confirmed by the medical and multidisciplinary team. The study was conducted from January 2020 to August 2021. Clinical history and laboratory test results of the selected patients were collected through consultations with the medical and multidisciplinary team. Results: twelve participants were included in the study. Of these, 11 (91.7%) were women and the mean age was 46.3 years. The weight before surgery was 112.17 kg (92.00 - 150.00) and the Body Mass Index (BMI) was 44.89 (35.06 - 74.39). After 18 months of surgery, the mean weight was 80.77 kg (±11.92) and the mean BMI was 29.46 (±11.00), showing a significant reduction in both (p = 0.003 and p = 0.002, respectively). All patients underwent endoscopic evaluation of the pouch, remaining stomach and duodenum at 12 months postoperatively. The mean percentage of lost excess weight loss was 68.21%. Conclusion: We conclude that the proposed changes in RYGB (GBLP + GIB – Roux-en-Y gastric bypass with long pouch and gastrointestinal bipartition) did not compromise weight loss or control of type 2 diabetes and other comorbidities and proved to be a safe and effective alternative without gastroduodenal exclusion, enabling a better postop

关键词： Obesity Bariatric Surgery Metabolic Surgery Roux-En-Y Gastric Bypass

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Gigantomastia in Female Workers: “Public Health Cases”

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Modern Plastic Surgery 2019年第1期9卷 1-7页

作者： josé humberto cardoso resende álvaro Inácio de Moura Ana Carolinne Alves Mariano Hellen Karynne Silva Hingryd Lorenna Silva Isabela Assis Campos Luis Clayton Fernandes de Lima Marília Bittencourt Gabriel Wiuller Oliveira Silverio Alfredo Nasser University—UNIFAN Goiania Brazil

In this manuscript the authors have studied gigantomastia in female workers. After this weight loss, they perform mammary reduction and, after a year, the patients were referred to the bariatric team. All patients stayed for one year at the Obesity Workshop to learn about the dangers and benefits of weight loss, breast reduction and the possibilities of a more healthy body and future repairing plastics. After all these procedures, they observe an adequate psychological preparation. The patients felt more comfortable and happy with the smaller breasts, operated by using the resende technique.

关键词： Breast Mammary Reduction Papilla Areola Gigantomastia Public Health

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“Obese Workshop”: Retrospective Study of the Advantages, Disease Preventions and Weight Losses

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Modern Plastic Surgery 2021年第3期11卷 49-56页

作者： josé humberto cardoso resende Murilo Calil Alves Aline Correia Barbosa Débora de Bortoli Verderio Nathália Lima Sanchez Sabrina de Castro Silva Alexandre Jorge Rodrigues Anthony Yuri Viana Pitanga Emídio Silva Falcã o Brasileiro[† ] UNIFAN Aparecida de Goiania Brasil

Obesity is termed as the pathology defined by excess body weight due to the increase in adipocytes. It can be visceral, close to the omentum, mesentery, and subcutaneous, accumulated in the hypodermis. It is a disease that entails metabolic, respiratory, locomotor, and cardiovascular problems, type II diabetes, cancer, and even mental problems. Established by the Body Mass Index (BMI) and defined from the relationship between weight (kg) and height (m) of individuals. In numerical terms, a person is considered obese when the BMI is equal to or greater than 30 kg/m. This retrospective study took into account the more than 30 years that the coordinator of this work has devoted to morbidly obese people and all his 47 years of experience in medicine. The first obese person of his career was 41 years old and weighed 210 kg. As soon as she arrived at the hospital, she said: “Doctor, I am here, because I need to enter a ‘workshop’, to repair my body”. From that moment on, the name “workshop” became part of a fantastic project with obese people called “Obese Workshop”. Over time, the number of patients with this comorbidity has only increased, reaching, once, the point of speaking to 325 interested parties in a single day and in the same hall. In order to achieve satisfactory results, we have established a number of tests, by which we could diagnose several reasons that cause obesity. We selected randomly 20 patients of both sexes, morbidly obese, operated in 2013. We do not take into account age, race, creed, or social status.

关键词： Obesity Obese Arterial Hypertension Diabetes Bariatric Surgery Weight Loss Physical Exercises

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Historical Case Report: 45 Years of the First Plastic Surgery in Morbid Obese in Brazil and Their Weight Loss

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Modern Plastic Surgery 2020年第3期10卷 82-92页

作者： josé humberto cardoso resende Cristine Mara Fragoso Dos Santos Oliveira Heitor Dos Santos Leã o Bruno Viana Martins Brenda Martins Fernandes Valentina Ruvieri Silveira Juliana Araújo Naves Ítalo Julierme Barros Duarte Emídio Silva Falcã o Brasileiro UNIFAN Coordinator of the Work Aparecida de Goi&#226 nia Brazil UNIFAN Academics of Medicine Aparecida de Goi&#226 nia Brazil UNIFAN Coordinator of Research Aparecida de Goi&#226 nia Brazil

Before the 70s, in Brazil, each city had its morbidly obese, considered as the “excessive fats”, in very small numbers if we compare it with the current percentage. There was no classification of the degree of obesity by the body mass index (BMI) as we have today. By chance, on a Saturday in June 1975, at the Outpatient Clinic of the 23rd Infirmary of Santa Casa da Misericórdia Hospital in Rio de Janeiro, arrived the patient I. S., 41 years old, 1.70 m tall, supported by her two children, weighing 210 kg in weight body. Knowing that bariatric surgery only appeared in the 1980s, before that, patients with morbid obesity were left to their own devices, with hypertension and diabetes. The patient I. S. was hospitalized for 3 years in our Plastic Surgery Service, having received nutritional monitoring, had sporadic discharges and undergone 9 reparative plastic surgeries. She was discharged weighing 71 kg, with self-esteem recovered and happy to start a new life, without hypertension and diabetes.

关键词： Obesity Hypertension Diabetes Plastic Surgery Slimming

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Obesity: Body Relief Surgeries before Bariatric Surgery for Risk Reduction

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Modern Plastic Surgery 2020年第3期10卷 31-37页

作者： josé humberto cardoso resende Ana Letícia Pinto Guimarã es Brunna Abreu Perillo Ana Carolina Melo Maluf Laura Ribeiro da Costa Rafaella Cristina Gomes Bernardes Arthur Camargo Pires Thalles Gonç alves Souza Menezes Murilo Calil Alves Emídio Silva Falcã o Brasileiro UNIFAN Work Coordinator Aparecida de Goi&#226 nia Brazil UNIFAN Medicine Academics Aparecida de Goi&#226 nia Brazil UNIFAN Research Coordinator Aparecida de Goi&#226 nia Brazil

Depending on the treatment and weight of the breasts or abdomen, they may exceed volumes considered giant and morbidly obese. In these cases, and when the patient’s BMI is high above 40 kg/m2, the weight of the breasts or abdomen produces what we consider suffocation when the patient is placed in horizontal position on surgical tables, decreasing his respiratory capacity and increasing the difficulty in treating respiratory or embolic risks. An 8-kg breast on the patient’s chest prevents normal breathing. An abdomen with a volume of 30 kg causes difficulties in all senses, making the physiological expansion of the lungs impossible and even preventing surgical assistance to patients. These patients are almost always customers who sleep in the sitting position to breathe better. The gigantic extirpation of the surgical parts facilitates a better respiratory expansion reducing by a large percentage the risk of death, what we call body relief. This relief does not free the patient from bariatric surgery for a possible weight loss, which is vital for the proper functioning of the organs and decreasing arterial hypertension and diabetes.

关键词： Obesity Disease Surgery Bariatric Risk Hypertension and Diabetes

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