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BACKGROUND: Patients who undergo Roux-en-Y gastric bypass (RYGB) have significant weight loss, and abdominoplasty is an effective corrective surgery for removing excess skin. This study aimed to evaluate the impact of the weight of removed tissue on the development of postoperative complications in patients undergoing abdominoplasty without lipoaspiration after gastric bypass at the Federal District North Wing Regional Hospital, Brasília, Brazil. METHODS: Data were analyzed from a prospective registry of patients who underwent abdominoplasty without lipoaspiration after gastric bypass from January 2011 to December 2018. The variables examined included body mass index (BMI) before RYGB and before plastic surgery, weight loss, weight of the excised abdominal flap, comorbidities, and medical complications. Analysis of the role of the weight of the removed tissue after abdominoplasty was performed to assess outcome measures. RESULTS: One hundred sixty-three patients were included. The mean age of the patients was 42 years. Their BMI at the time of abdominoplasty was 27.49 kg/m2, and the average weight loss before abdominoplasty was 47.13 kg. The preweight loss BMI was 45.27 kg/m2, and the ∆BMI was 17.78 kg/m2. The overall complication rate was 29.4%. An amount of removed tissue from the abdomen ≥ 2000 g significantly increased the rates of postoperative complications (46.7% vs. 19.4%; p = 0.002; OR = 3.13). CONCLUSIONS: Removal of ≥ 2000 g of tissue from the abdomen led to significantly more complications in patients who underwent abdominoplasty after gastric bypass. In addition, this group of patients was significantly associated with the presence of higher anthropometric variable values (BMI, weight loss, max BMI, and ∆BMI) and not associated with the presence of comorbidities.

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O presente artigo objetivou analisar os tipos de relações entre avós idosos e netos adolescentes exibidos em desenhos animados de longa metragem da filmografia ocidental. Foi realizada a busca dos desenhos nos sites de companhias cinematográficas, lançados no período de 1950 a 2015, que mostrassem essa relação de avosidade. Os filmes foram selecionados através da leitura das sinopses, visualização dos respectivos trailers e, posteriormente, dos filmes escolhidos. Os avós mostrados nos filmes foram analisados através de adaptação da escala de Responsividade e Exigência. Os estilos de avós encontrados foram classificados em quatro tipos: autoritativo, autoritário, indulgente ou negligente. Preencheram os critérios de inclusão 17 desenhos animados. Observou-se predomínio de desenhos animados mostrando estilos de avós indulgentes, seguidos de autoritativo. Não foram encontradas relações autoritárias. (AU)

The present article aimed to analyze the types of relationships between older grandparents and teen grandchildren exhibited in feature film cartoons of the western filmography. The cartoons were searched on film companies' sites, in the period from 1950 to 2015, looking for those who showed grandparenthood relations. The films were selected through the reading of the synopsis, visualization of the respective trailers and, later, of the selected films. The grandparenthoods shown in the films were analyzed by adaptation of the scale of Responsiveness and Requirement, being classified into four types: authoritative, authoritarian, indulgent or negligent. There were 17 cartoons that met the criteria for inclusion. What can be observed is a predominance of cartoons showing indulgent grandparenthood relations, followed by authoritative. No authoritarian relationships were found. (AU)

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Gastric metastasis is rare but it can be the initial symptom of cancer. The second leading cause of this type of metastasis is breast cancer. A lack of clinical signs and nonspecific side effects of the treatment of primary tumors can lead to the misdiagnosis of metastatic gastric cancer. Upper gastrointestinal endoscopy with biopsy and immunohistochemistry should be used for diagnosis. Treatment is palliative; it includes chemo, endocrine, and radiation therapies. Four patients with breast cancer and gastric metastasis were identified. All the patients tested positive for estrogen and progesterone receptors, and received chemotherapy and hormone therapy. One patient underwent surgery and two received radiation therapy. Patients with breast cancer and gastrointestinal symptoms should be investigated for gastric metastasis, given its morbidity and negative impact on quality of life.

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Estereótipos acerca dos idosos estão presentes na sociedade criando generalizações sobre a velhice. O objetivo deste artigo foi conhecer como o idoso é retratado nos desenhos animados da filmografia ocidental. Foram analisados 51 filmes, nos quais prevaleceu o idoso representado com imagens positivas, apesar dos estereótipos negativos serem realçados quando aparecem nos filmes, prejudicando a imagem do idoso diante das crianças.

Stereotypes about the elderly are present in society, creating generalizations about old age. The purpose of this article is was know how old is pictured in Cartoons of the Western filmography. Fifty one films were analyzed, in which prevailed the elderly being represented with positive images, despite the negative stereotypes are highlighted when they appear in the films, damaging the old image in front of children.

Los estereotipos sobre las personas de edad están presentes en la sociedad, creando generalizaciones acerca de la vejez. El objetivo de este trabajo fue conocer cómo los ancianos se representan en los dibujos animados de la filmografía occidental. Se analizaron 51 películas, en las que lo anciano prevaleció representado con imágenes positivas, a pesar de los estereotipos negativos se resaltaren cuando aparecen en las películas, dañando la imagen de la vejez frente a los niños.

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Ao expor a humanidade e favorecer reflexões críticas, o cinema desempenha seu papel de suprir experiências que nem todos podem vivenciar. Dessa forma, constitui-se como valiosa fonte de recurso para a educação médica. Os filmes ampliam as possibilidades de promoção de uma formação mais ampla e integrada, pois envolvem habilidades e competências que vão além do conhecimento biomédico, o que é essencial no contexto da abordagem ao paciente idoso. Neste artigo são referidos filmes de longa-metragem que didaticamente focam pacientes idosos portadores de doenças neurológicas, como doença de Alzheimer, acidente vascular encefálico e demência vascular, doença de Parkinson e esclerose lateral amiotrófica.

By exposing humanity and promoting critical thinking, cinema plays your part by supplying experiences that not everyone can see. In this way, constitutes a valuable source of resource for medical education. Films expand the possibilities of promoting a more comprehensive and integrated training, involving skills and competencies that go beyond biomedical knowledge, which is essential in the context of approach to elderly patient. This article describes some didactic films that shows elderly patients with neurological diseases like Alzheimer's, stroke and vascular dementia, Parkinson's disease and amyotrophic lateral sclerosis.

Al exponer la humanidad y favorecer reflexiones críticas, el cine desempeña su papel de suplir experiencias que no todos pueden vivenciar. De esa forma, se constituye como valiosa fuente de recurso para la educación médica. El cine amplia las posibilidades de promoción de una formación más amplia e integrada, pues involucra habilidades y competencias que van más allá del conocimiento biomédico, lo que es esencial en el contexto del abordaje del paciente anciano. En este artículo se refieren largometrajes que didácticamente se centran en pacientes ancianos portadores de enfermedades neurológicas, como enfermedad de Alzheimer, accidente vascular encefálico y demencia vascular, enfermedad de Parkinson y esclerosis lateral amiotrófica.

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Al exponer la humanidad y favorecer reflexiones críticas, el cine desempeña su papel de suplir experiencias que no todos pueden vivenciar. De esa forma, se constituye como valiosa fuente de recurso para la educación médica. El cine amplia las posibilidades de promoción de una formación más amplia e integrada, pues involucra habilidades y competencias que van más allá del conocimiento biomédico, lo que es esencial en el contexto del abordaje del paciente anciano. En este artículo se refieren largometrajes que didácticamente se centran en pacientes ancianos portadores de enfermedades neurológicas, como enfermedad de Alzheimer, accidente vascular encefálico y demencia vascular, enfermedad de Parkinson y esclerosis lateral amiotrófica.(AU)

By exposing humanity and promoting critical thinking, cinema plays your part by supplying experiences that not everyone can see. In this way, constitutes a valuable source of resource for medical education. Films expand the possibilities of promoting a more comprehensive and integrated training, involving skills and competencies that go beyond biomedical knowledge, which is essential in the context of approach to elderly patient. This article describes some didactic films that shows elderly patients with neurological diseases like Alzheimer’s, stroke and vascular dementia, Parkinson's disease and amyotrophic lateral sclerosis.(AU)

Ao expor a humanidade e favorecer reflexões críticas, o cinema desempenha seu papel de suprir experiências que nem todos podem vivenciar. Dessa forma, constitui-se como valiosa fonte de recurso para a educação médica. Os filmes ampliam as possibilidades de promoção de uma formação mais ampla e integrada, pois envolvem habilidades e competências que vão além do conhecimento biomédico, o que é essencial no contexto da abordagem ao paciente idoso. Neste artigo são referidos filmes de longa-metragem que didaticamente focam pacientes idosos portadores de doenças neurológicas, como doença de Alzheimer, acidente vascular encefálico e demência vascular, doença de Parkinson e esclerose lateral amiotrófica.(AU)

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