OBJECTIVES: To analyze the occurrence and types of neoplasias that have developed in patients submitted to orthotopic heart transplantation in the Cardiac Transplantation Program of the Paulista School of Medicine, Federal University of São Paulo.
METHODS: The present study presents an observational analysis of 106 patients submitted to orthotopic heart transplantation from November 1986 to September 2002, who survived for more than 30 days after the procedure. The immunosuppressive regimen consisted of triple therapy with cyclosporin A, azathioprine and corticosteroid. Only two patients received, in addition to triple therapy, the addition of orthoclone OKT-3. The mean follow-up period was 61.4 months. (variation from two months to 192 months).
RESULTS: Twenty-three patients (21.3%) developed neoplasias, of which 56.5% had skin neoplasms, 30.1% had solid tumors and 13.4% had post-transplantation lymphoproliferative disease (PTLD). The mean interval between transplantation and the diagnosis of neoplasia was: skin - 54.9 months, solid tumors - 24.8 months and DLPT - 70.3 months.
CONCLUSIONS: The occurrence of malignant neoplasms was relatively common in the analyzed population. Skin cancer prevailed in relation to other neoplasms and solid tumors were more diagnosed than lymphoproliferative diseases in this series of patients.
How trees really benefit the planet and what society would look like if there were none left
Well "and to take the shortcut" just doesnt sound right, the rest is fine..
Answer:
C. Individuals now have resources that governments did not have just a few years ago.
Explanation:
Computing is now ubiquitous. It is everyware.
Answer:
The first uses dialogue and character; the second uses first-person point of view.
Explanation:
The first excerpt is found in Chapter Eight titled "September 2nd, 1973" from <em>Fever 1793</em> by Laurie Halse Anderson is based on the yellow fever epidemic that ravaged Philadelphia. The story is from the point of view of the young Mattie Cook, describing how the pandemic had destroyed the lives of the people.
The second excerpt is from <em>The Summer of the Pestilence</em> by George Dodd Armstrong. The book also deals with the history of the same yellow fever that not only affected Philadelphia but also other parts of the nation such as Virginia.
While both books deal with the same pandemic, their dealing with the issue of unprecedented deaths differ a bit. The first book uses a dialogue-conversation approach, with the characters greatly involved whereas the second book uses the first person point of view to address the deaths. These two books may deal with the same issue but their approaches of the deaths and sick people differ such that their narrative plots also differ.
