Current guidelines for prostate cancer screening: A systematic review and minimal core proposal
Conclusion: Although there are differences between them, it was possible to establish a minimum core of conducts that may be useful in the daily practice of the physician.Resumo Objetivo: Considerando a import ância do rastreamento de câncer de próstata, a possibilidade de dano decorrente do rastreamento indiscriminado, a dificuldade de divulgação e adesão às diretrizes sobre o assunto, objetivamos identificar as principais diretrizes vigentes, procurar pontos de abordagem comuns e estabelecer um n úcleo mínimo de condutas. Método: Revisão sistem&aa...
Source: Revista da Associacao Medica Brasileira - April 5, 2018 Category: General Medicine Source Type: research

Human leishmaniasis in Brazil: A general review
This article presents an overview of the transmission cycles, host-parasite interactions, clinical, histological and immunological aspects, diagnosis and treatment of various forms of the human disease.Resumo A leishmaniose representa um complexo de doen ças com amplo espectro clínico e diversidade epidemiológica, sendo considerada um grande problema de saúde pública. O presente artigo apresenta uma revisão geral sobre os ciclos de transmissão, as interações parasito-hospedeiro, os aspectos clínicos, histopatológicos e imunológicos, o di ag...
Source: Revista da Associacao Medica Brasileira - April 5, 2018 Category: General Medicine Source Type: research

Portuguese Primary Care physicians response rate in surveys: A systematic review
Conclusion: Consistent with other published studies, the average response rate in surveys done with Portug uese GPs was 56%, with substantial variation among studies. Use of monetary incentives, one of the most effective strategies to increase response rates, was not present in any of the included studies.Resumo Introdu ção: Questionários são úteis na investigação em cuidados de saúde primários. Contudo, baixas taxas de resposta podem introduzir um viés de seleção, prejudicando a validade externa e interna. O objetivo deste estudo foi ident...
Source: Revista da Associacao Medica Brasileira - April 5, 2018 Category: General Medicine Source Type: research

Dyslipidemia and maternal obesity: Prematurity and neonatal prognosis
Conclusion: There is a reduced adaptation of obese pregnant women to the metabolic changes of gestation. This favors dyslipidemic intercurrences in the mother, which, directly or indirectly, suggests the occurrence of premature births and high lipid transfer to the fetus. Therefore, preterm newborns, whose mothers were dyslipidemic during pregnancy, have greater risk of epicardial fat, both in early (first year of life) and in later (adult) phases of life.Resumo Objetivo: Identificar as altera ções provocadas pela dislipidemia e pela obesidade na gestação que sugerem causas de partos prematuros ...
Source: Revista da Associacao Medica Brasileira - April 5, 2018 Category: General Medicine Source Type: research

Efficacy and safety of ceftazidime-avibactam in the treatment of complicated intra-abdominal infections (CIAIs) and complicated urinary tract infections (CUTIs): A meta-analysis of randomized controlled trials
Summary Objective: The aim of this study was to assess the efficacy and safety of ceftazidime-avibactam in the treatment of complicated intra-abdominal infections (CIAIs) and complicated urinary tract infections (CUTIs) with meta-analysis method. Method: We included six randomized clinical trials identified from Medline, Embase, Cochrane Library, “ ISRCTN Register ” and “ ClinicalTrials.gov ” which compared ceftazidime-avibactam with comparison group. The meta-analysis was performed using Review Manager software version 5.3. Results: Ceftazidime-avibactam versus active comparisons demonstrated a sta...
Source: Revista da Associacao Medica Brasileira - April 5, 2018 Category: General Medicine Source Type: research

A review on the relationship between marital adjustment and maternal attachment
Summary Objective: To determine the relationship between marital adjustment of mothers who have babies between 1-4 months old and their maternal attachment; as well as the relationship of maternal attachment and marital adjustment with sociodemographic characteristics. Method: The research is descriptive and correlational. Its sample consists of 113 mothers. Maternal Attachment Index (MAI) and Marital Adjustment Scale (MAS) are used as data collection tools. Results: We found that, for mothers who participated in this research, the average level of maternal attachment is 92.17 ± 8.49, and the average level of marita...
Source: Revista da Associacao Medica Brasileira - April 5, 2018 Category: General Medicine Source Type: research

Quality of life in a sample of Brazilian adults using the generic SF-12 questionnaire
Conclusion: From this point forward, we can provide the basis for comparisons with future research that use the SF-12 for quality of life assessment in Brazil. The Brazilian population has a lower degree of quality of life related do the physical component, and the SF-12 is a useful and discriminative instrument for assessing quality of life in different socio-demographic groups.Resumo Objetivo: Este estudo descreve os escores sum ários do questionário Short Form-12 (SF-12), de acordo com os fatores sociodemográficos obtidos em uma amostra probabilística e representativa da populaçã...
Source: Revista da Associacao Medica Brasileira - April 5, 2018 Category: General Medicine Source Type: research

The clinical efficacy and safety of paclitaxel combined with avastin for NSCLC patients diagnosed with malignant pleural effusion
Conclusion: Paclitaxel combined with avastin decreased MPE volume and increased survival rate of NSCLC patients via inhibiting vascular endothelial growth factor expression. (Source: Revista da Associacao Medica Brasileira)
Source: Revista da Associacao Medica Brasileira - April 5, 2018 Category: General Medicine Source Type: research

Is serum angiotensin converting enzyme level a useful non-invasive marker for liver fibrosis in patients with chronic hepatitis C?
Conclusion: Our study indicated that there is no relationship or correlation between serum ACE levels and stages of liver fibrosis in patients with CHC. The assessment of serum ACE level using genetically corrected reference values may provide more accurate results. (Source: Revista da Associacao Medica Brasileira)
Source: Revista da Associacao Medica Brasileira - April 5, 2018 Category: General Medicine Source Type: research

Selenium supplementation in pediatric patients using parenteral nutrition: Is it time to do something?
Conclusion: Lower plasma selenium levels have been detected since the start of the research and supplementation (2 µg/kg/day of selenous acid) was not to enough to approach the reference values.Resumo Objetivo: Analisar o estado nutricional relativo ao sel ênio e verificar o efeito da suplementação desse mineral em pacientes pediátricos durante 14 dias de nutrição parenteral (NP). Método: Trata-se de estudo prospectivo de uma série de casos de pacientes acompanhados durante duas semanas de uso de NP. A coleta de dados foi realizada no início (T0), no 7&ord...
Source: Revista da Associacao Medica Brasileira - April 5, 2018 Category: General Medicine Source Type: research

Esophageal lichen planus: An unusual cause of dysphagia in the elderly
Summary An 82-year-old man sought our service with dysphagia and was referred for upper endoscopy with biopsies, which evidenced multiple ulcers of the esophagus and oropharinx. Histopathology confirmed the unusual diagnosis of esophageal lichen planus. The correct clinical suspicion of this disease can facilitate the diagnosis and guide specific treatment, which can drastically change the natural course of the disease.Resumo Paciente do sexo masculino, de 82 anos, com disfagia, foi encaminhado para realiza ção de endoscopia digestiva alta com biópsias, na qual foram evidenciadas múltiplas &uacu...
Source: Revista da Associacao Medica Brasileira - April 5, 2018 Category: General Medicine Source Type: research

Both glucocentric and cardiocentric approaches are necessary for a resilient disease such as diabetes
Summary Diabetes mellitus (DM) is a complex disease that compromises almost all systems in the human organism. Independently of the intrinsic mechanisms, the source of all consequences of DM is hyperglycemia, a condition associated to intense metabolic changes that will lead to increased morbidity and mortality in the long term. Several different therapeutic hypoglycemic oral agents were developed and significantly facilitated the treatment of hyperglycemia acting at different sites, since patients could take more than one agent. This glucocentric approach was somehow criticized as those hypoglycemic drugs have shown weake...
Source: Revista da Associacao Medica Brasileira - April 5, 2018 Category: General Medicine Source Type: research

Fulminant liver failure in a street runner: Effects of heat stroke
We present a clinical case of liver failure induced by heat stroke.Resumo Apresentamos um caso de insufici ência hepática decorrente de colapso por calor. Trata-se de entidade pouco conhecida e, provavelmente, subdiagnosticada em nosso país. (Source: Revista da Associacao Medica Brasileira)
Source: Revista da Associacao Medica Brasileira - April 5, 2018 Category: General Medicine Source Type: research

Osteoporotic vertebral compression fracture – Treatment with kyphoplasty and vertebroplasty
(Source: Revista da Associacao Medica Brasileira)
Source: Revista da Associacao Medica Brasileira - April 5, 2018 Category: General Medicine Source Type: research

Breast cancer and hormonal contraception: Should we rethink our concepts?
(Source: Revista da Associacao Medica Brasileira)
Source: Revista da Associacao Medica Brasileira - April 5, 2018 Category: General Medicine Source Type: research

Advances in early biomarkers of diabetic nephropathy
Summary Diabetic nephropathy is the main cause of chronic kidney disease, and represents the most common and serious complication of diabetes. The exact pathogenesis is complex and not elucidated. Several factors and mechanisms contribute to the development and outcome of diabetic nephropathy. An early diagnosis and intervention may slow down disease progression. A variety of biological markers associated with diabetic nephropathy were found in recent years, which was important for predicting the occurrence and development of the disease. Therefore, this article provides an overview of early biomarkers that are associated ...
Source: Revista da Associacao Medica Brasileira - March 15, 2018 Category: General Medicine Source Type: research

Positron emission tomography/magnetic resonance imaging (PET/MRI): An update and initial experience at HC-FMUSP
Summary The new technology of PET/MRI is a prototype of hybrid imaging, allowing for the combination of molecular data from PET scanning and morphofunctional information derived from MRI scanning. Recent advances regarding the technical aspects of this device, especially after the development of MRI-compatible silicon photomultipliers of PET, permitted an increase in the diagnostic performance of PET/MRI translated into dose reduction and higher imaging quality. Among several clinical applications, PET/MRI gains ground initially in oncology, where MRI per se plays an essential role in the assessment of primary tumors (whic...
Source: Revista da Associacao Medica Brasileira - March 15, 2018 Category: General Medicine Source Type: research

Treatment of chikungunya chronic arthritis: A systematic review
Conclusion: When the manifestations of CHIK become chronic and, the longer they last, more complications arise. Polyarthralgia can be immaterial, distancing individuals from their daily-life activities. Anti-inflammatory drugs (either steroid or not), in addition to immunosuppressants, homeopathy and physiotherapy are measures of treatment that, according to the literature, have been successful in relieving or extinguishing symptoms. However, it is fundamental that studies of CHIK treatment be further developed.Resumo Introdu ção: A chikungunya é uma arbovirose tropical, transmitida pela fêmea do...
Source: Revista da Associacao Medica Brasileira - March 15, 2018 Category: General Medicine Source Type: research

Neck circumference in adolescents and cardiometabolic risk: A sistematic review
Conclusion: There is a shortage of studies with representative samples, variety at the NC measurement sites, and the age of the participants, which makes it difficult to establish definitive landmarks.Resumo Objetivo: Analisar criticamente artigos referentes à relação entre a circunferência do pescoço (CP) de adolescentes e: índice de massa corporal, distribuição de gordura, síndrome metabólica e seus componentes individuais e risco cardiovascular. Método: Revisão sistemática realizada por dois pesquisadores independentes nas bases de...
Source: Revista da Associacao Medica Brasileira - March 15, 2018 Category: General Medicine Source Type: research

Impact of mechanical ventilation on quality of life and functional status after ICU discharge: A cross-sectional study
Conclusion: Need for MV and duration of MV decrease patient PFS after ICU discharge.Resumo Objetivo: Avaliar o impacto da necessidade de ventila ção mecânica (VM) e sua duração na qualidade de vida (QV) e no estado funcional físico (EFF) dos pacientes após a alta imediata da UTI. Método: Estudo transversal incluindo todos os pacientes que, consecutivamente, tiveram alta da UTI durante um período de um ano. Durante a primeira semana após a alta da UTI, a QV foi avaliada através do questionário WHOQoL-Bref e o EFF através do índi...
Source: Revista da Associacao Medica Brasileira - March 15, 2018 Category: General Medicine Source Type: research

Analyzing the neuropsychological characteristics and changes in serum markers of patients with chronic cerebral circulation insufficiency
Summary Objective: To investigate the neuropsychological characteristics and changes in CRP, S100B, MBP, HSP-7, and NSE in serum. Method: Sixty-six (66) patients treated in our hospital as CCCI group were chosen for our study, and 90 patients with depression were selected as the depression group. The patients in both groups were examined with CT perfusion, depression, anxiety and cognition evaluation. Their serum CRP, S100B, MBP, HSP-70 and NSE levels were detected. Neuropsychological and serum markers characteristics were compared. Results: The CBF and CBV in bilateral basal ganglia, frontal lobes, greater oval center, br...
Source: Revista da Associacao Medica Brasileira - March 15, 2018 Category: General Medicine Source Type: research

Mental status and suicide probability of young people: A cross-sectional study
This study aimed to determine psychological symptom levels and suicide probability in young people. Method: The cross-sectional research consisted of 15-24 year-old individuals (N=348), who have sought a psychiatric clinic between February and June, 2015. The Research Data was collected by applying Data Collection Form, Suicide Probability Scale (SPS) and Brief Symptom Inventory (BSI). SPSS 22.0 statistical package program was used for data analysis. Results: There was a statistically significant difference (p
Source: Revista da Associacao Medica Brasileira - March 15, 2018 Category: General Medicine Source Type: research

Systemic administration of curcumin nanoparticles protects ischemia-reperfusion injury in ovaries: An animal model study
Summary Objective: Ovarian torsion must be diagnosed and treated as early as possible. The aim of the present study was to investigate the effects of intraperitoneal administration of nanocurcumin on ischemia-reperfusion injury in ovaries. Method: Thirty-five (35) healthy female Wistar rats weighing approximately 250 g were randomized into seven experimental groups (n=5): Group SSG – The rats underwent only laparotomy. Group I: A 3-hour ischemia only. Group I/R: A 3-hour ischemia and 3-hour reperfusion. Group I/C: A 3-hour ischemia only, and 1 mg/kg intraperitoneal administration of curcumin 2.5 hours after induction...
Source: Revista da Associacao Medica Brasileira - March 15, 2018 Category: General Medicine Source Type: research

Peliosis hepatis and systemic lupus erythematosus: A rare condition identified by magnetic resonance imaging
In this report, we describe a case of this rare condition, highlighting the importance of magnetic resonance imaging. A short review of this subject is also presented.Resumo Peliose hep ática é uma patologia benigna rara caracterizada pela presença de múltiplas cavidades preenchidas por sangue sem localização preferencial no parênquima do fígado. Pode estar relacionada a uma série de condições etiológicas, dentre elas doenças infecciosas e toxicidade por drogas imunoss upressoras. Para nosso conhecimento, existem apenas três art...
Source: Revista da Associacao Medica Brasileira - March 15, 2018 Category: General Medicine Source Type: research

Endobronchial carcinoid tumor: Radiological findings of a clinical case
We describe the case of a female patient, 21 years old, complaining of dyspnea attacks and wheezing 2 years ago. Chest radiography showed volume loss in the left lower lobe and ipsilateral retrocardiac triangular basal opacity. CT scan showed an extensive solid mass with apex protruding into the left main and lower lobar bronchi, causing distal atelectasis. Histopathological and immunohistochemical study of transbronchial biopsy of the lesion revealed a typical carcinoid tumor, confirmed after tumor resection with total left pneumectomy.Resumo Descrevemos um caso de paciente do g ênero feminino, 21 anos, apresentando...
Source: Revista da Associacao Medica Brasileira - March 15, 2018 Category: General Medicine Source Type: research

Microcephaly caused by congenital Zika virus infection and viral detection in maternal urine during pregnancy
We describe a case of virus infection in a 25-year-old woman during the first trimester of her pregnancy, confirmed by laboratory tests only for the detection of viral particles in maternal urine, with imaging studies demonstrating the progressio n of cranial and encephalic changes in the fetus and later in the newborn, such as head circumference reduction, cerebral calcifications and ventriculomegaly.Resumo Atualmente, a Am érica Latina está passando por uma grande epidemia de Zika vírus, transmitido por mosquitos Aedes. A preocupação pela infecção pelo Zika vírus ve...
Source: Revista da Associacao Medica Brasileira - March 15, 2018 Category: General Medicine Source Type: research

Statistical comments on “Antiretroviral changes during the first year of therapy”
(Source: Revista da Associacao Medica Brasileira)
Source: Revista da Associacao Medica Brasileira - March 15, 2018 Category: General Medicine Source Type: research

Nihil novi sub sole
(Source: Revista da Associacao Medica Brasileira)
Source: Revista da Associacao Medica Brasileira - March 15, 2018 Category: General Medicine Source Type: research

Contralateral prophylactic mastectomy
(Source: Revista da Associacao Medica Brasileira)
Source: Revista da Associacao Medica Brasileira - March 15, 2018 Category: General Medicine Source Type: research

Cardiovascular disease and yellow fever
(Source: Revista da Associacao Medica Brasileira)
Source: Revista da Associacao Medica Brasileira - March 15, 2018 Category: General Medicine Source Type: research

Erratum
Summary Hemoglobinopathies are a group of hereditary diseases that cause quantitative or qualitative changes in the shape, function or synthesis of hemoglobin. One of the most common is sickle cell anemia, which, due to sickling of erythrocytes, causes vaso-occlusive phenomena. Among the possible ocular manifestations, the most representative is retinopathy, which can lead to blindness if left untreated. Therefore, periodic ophthalmologic monitoring of these patients is important for early diagnosis and adequate therapeutic management, which can be done localy by treating the lesions in the eyes, or systemically.Resumo As ...
Source: Revista da Associacao Medica Brasileira - February 26, 2018 Category: General Medicine Source Type: research

Sickle cell retinopathy: A literature review
Summary Hemoglobinopathies are a group of hereditary diseases that cause quantitative or qualitative changes in the shape, function or synthesis of hemoglobin. One of the most common is sickle cell anemia, which, due to sickling of erythrocytes, causes vaso-occlusive phenomena. Among the possible ocular manifestations, the most representative is retinopathy, which can lead to blindness if left untreated. Therefore, periodic ophthalmologic monitoring of these patients is important for early diagnosis and adequate therapeutic management, which can be done localy by treating the lesions in the eyes, or systemically.Resumo As ...
Source: Revista da Associacao Medica Brasileira - February 26, 2018 Category: General Medicine Source Type: research

The role of regulatory T cells, interleukin-10 and in vivo scintigraphy in autoimmune and idiopathic diseases – Therapeutic perspectives and prognosis
Summary Previous studies have demonstrated the expression of the CD25 marker on the surface of naturally occurring T cells (Tregs) of mice, which have a self-reactive cellular profile. Recently, expression of other markers that aid in the identification of these cells has been detected in lymphocyte subtypes of individuals suffering of autoimmune and idiopathic diseases, including: CD25, CTLA-4 (cytotoxic T-lymphocyte antigen 4), HLA-DR (human leukocyte antigen) and Interleukin 10 (IL-10), opening new perspectives for a better understanding of an association between such receptors present on the cell surface and the progno...
Source: Revista da Associacao Medica Brasileira - February 26, 2018 Category: General Medicine Source Type: research

Oncological results of surgical treatment versus organ-function preservation in larynx and hypopharynx câncer
Summary Introduction: Since the beginning of the 1990s, non-surgical radiochemotherapy treatment has become popular with the prospect of maintaining oncological results and preserving the organ in patients with advanced squamous cell carcinoma of the larynx and hypopharynx. However, subsequent studies demonstrated increased recurrence and mortality after the non-surgical treatment became popular. Objective: To compare the oncological results of surgical and non-surgical treatments of patients with larynx and hypopharynx cancer and to evaluate the variables associated with disease recurrence. Method: This is a retrospective...
Source: Revista da Associacao Medica Brasileira - February 26, 2018 Category: General Medicine Source Type: research

Implementation of a standardized out-of-hospital management method for Parkinson dysphagia
Summary Objective: Our objective is to explore the effectiveness and feasibility of establishing a swallowing management clinic to implement out-of-hospital management for Parkinson disease (PD) patients with dysphagia. Method: Two-hundred seventeen (217) voluntary PD patients with dysphagia in a PD outpatient clinic were divided into a control group with 100 people, and an experimental group with 117 people. The control group was given dysphagia rehabilitation guidance. The experimental group was presented with the standardized out-of-hospital management method as overall management and information and education materials...
Source: Revista da Associacao Medica Brasileira - February 26, 2018 Category: General Medicine Source Type: research

The impact of HSF on endometrium
Summary Objective: We conducted the research in order to explore the impact of hydrosalpinx fluid (HSF) on endometrium. Method: HSF group: 261 patients with HSF scheduled to undergo laparoscopic surgery 3 to 7 days after menstruation in our center. Hysteroscopy would also be performed in order to observe the endometrial morphology during the surgery. Sixty (60) patients would be randomly selected for endometrial biopsy in order to detect the inflammatory cytokines TNF-a and IL-2 mRNA. Non-HSF group: 210 patients with no evidence of HSF due to chronic salpingitis or pelvic adhesion. IVF-ET treatment was performed after elim...
Source: Revista da Associacao Medica Brasileira - February 26, 2018 Category: General Medicine Source Type: research

Elevated neutrophil-to-lymphocyte ratio in the diagnosis of Hashimoto's thyroiditis
Conclusion: Increased NLR may be useful as an indicator of the presence of HT, especially in complicated cases. NLR is inexpensive and easy to determine. Larger, prospective studies are required to determine its usefulness in assessing diagnostic potential and treatment outcomes in HT patients. (Source: Revista da Associacao Medica Brasileira)
Source: Revista da Associacao Medica Brasileira - February 26, 2018 Category: General Medicine Source Type: research

The safety and clinical efficacy of recombinant human granulocyte colony stimulating factor injection for colon cancer patients undergoing chemotherapy
Summary Objective: The present study was designed to evaluate safety and efficacy of recombinant human granulocyte colony stimulating factor (G-CSF) injection and whether this regimen could reduce the incidence of adverse events caused by chemotherapy. Method: A total of 100 patients with colon cancer who were treated with chemotherapy in our hospital from January 2011 to December 2014 were randomly divided into two groups, with 50 patients in each group. The patients in the treatment group received G-CSF 24 hours after chemotherapy for consecutive three days; the patients in the control group received the same dose of nor...
Source: Revista da Associacao Medica Brasileira - February 26, 2018 Category: General Medicine Source Type: research

Obstructive sleep apnea syndrome and sleep quality in hypertensive patients
Conclusion: Patients at high ris k for OSAHS had poor sleep quality and high levels of DBP, suggesting a causal relation between these parameters. However, they did not present a higher prevalence of resistant high blood pressure (RHBP).Resumo Introdu ção: A síndrome da apneia e a hipopneia obstrutiva do sono (SAHOS) estão inseridas entre os fatores de desenvolvimento da hipertensão arterial sistêmica (HAS), um relevante problema de saúde pública mundial. A SAHOS é caracterizada pela redução ou cessação completa do fluxo aéreo ...
Source: Revista da Associacao Medica Brasileira - February 26, 2018 Category: General Medicine Source Type: research

Correlation between GDF-15 gene polymorphism and the formation of collateral circulation in acute ST-elevation myocardial infarction
Conclusion: There was correlation between GDF-15-3148C/G polymorphism and the formation of collateral circulation in patients with acute STEMI. (Source: Revista da Associacao Medica Brasileira)
Source: Revista da Associacao Medica Brasileira - February 26, 2018 Category: General Medicine Source Type: research

Practices and obstetric interventions in women from a state in the Northeast of Brazil
Conclusion: Best practices are poorly performed and unnecessary interventions are frequent. The factors most associated with c-section were private funding, greater length of education and high obstetric risk.Resumo Objetivo: Descrever as pr áticas e intervenções utilizadas durante o trabalho de parto e o parto e fatores associados em puérperas do estado de Sergipe. Método: Estudo transversal com 768 puérperas das 11 maternidades do estado com entrevista após 6h do parto e dados do prontuário da puérpera e dos recém-nascidos. As associações...
Source: Revista da Associacao Medica Brasileira - February 26, 2018 Category: General Medicine Source Type: research

Pelvic floor muscle training for overactive bladder symptoms – A prospective study
Summary Introduction: Pelvic floor muscle training (PFMT) involves the contraction of the puborectal, anal sphincter and external urethral muscles, inhibiting the detrusor contraction, what justify its use in the treatment of overactive bladder (OAB) symptoms. Objective: To verify the effects of isolated PFMT on the symptoms of OAB. Method: Prospective clinical trial with 27 women with mixed urinary incontinence (MUI), with predominance of OAB symptoms and loss ≥ 2 g in the pad test. It was evaluated: pelvic floor muscles (PFMs) function (digital palpation and manometry); urinary symptoms (nocturia, frequency and urinar...
Source: Revista da Associacao Medica Brasileira - February 26, 2018 Category: General Medicine Source Type: research

Cogan's syndrome – A rare aortitis, difficult to diagnose but with therapeutic potential
Summary The inflammation of aortic wall, named aortitis, is a rare condition that can be caused by a number of pathologies, mainly inflammatory or infectious in nature. In this context, the occurrence of combined audiovestibular and/or ocular manifestations eventually led to the diagnosis of Cogan's syndrome, making it the rare case, but susceptible to adequate immunosuppressive treatment and satisfactory disease control.Resumo A inflama ção da parede da aorta, denominada aortite, é uma condição clínica rara, que pode ser causada por diversas patologias, principalmente as de fundo ...
Source: Revista da Associacao Medica Brasileira - February 26, 2018 Category: General Medicine Source Type: research

Gaucher's disease in a patient presenting with hip and abdominal pain
We describe a case of hepatosplenomegaly, splenic infarction, splenic nodules and femur fracture determined at radiological imaging in a patient under monitoring due to Gaucher's disease. (Source: Revista da Associacao Medica Brasileira)
Source: Revista da Associacao Medica Brasileira - February 26, 2018 Category: General Medicine Source Type: research

Concomitant testicular infection by Zika virus and Schistosoma mansoni
(Source: Revista da Associacao Medica Brasileira)
Source: Revista da Associacao Medica Brasileira - February 26, 2018 Category: General Medicine Source Type: research

Prostate cancer – Therapy with radium-223
(Source: Revista da Associacao Medica Brasileira)
Source: Revista da Associacao Medica Brasileira - February 26, 2018 Category: General Medicine Source Type: research

Undergraduate research in medical education
(Source: Revista da Associacao Medica Brasileira)
Source: Revista da Associacao Medica Brasileira - February 26, 2018 Category: General Medicine Source Type: research

Approach to concurrent coronary and carotid artery disease: Epidemiology, screening and treatment
Summary The concomitance between coronary artery disease and carotid artery disease is known and well documented. However, it is a fact that, despite the screening methods for these conditions and the advances in surgical treatment, little has been achieved in terms of reducing the risk of complications in the perioperative period. Publications are scarce, being mostly composed of reports or case series. There is little agreement on the best initial therapeutic approach (myocardial versus carotid revascularization) or the best technique to be used (surgery with or without extracorporeal circulation, hybrid treatments, etc....
Source: Revista da Associacao Medica Brasileira - February 15, 2018 Category: General Medicine Source Type: research

Pilates for breast cancer: A systematic review and meta-analysis
Conclusion: The evidence shows that pilates or home-based exercise should be encouraged to women with breast cancer.Resumo Introdu ção: O câncer de mama é o principal tipo de câncer que causa morte em mulheres em todo o mundo. Estima-se que a doença cresça em razão do envelhecimento da população e dos fatores de risco relacionados ao comportamento e estilo de vida. Considerando o estilo de vida das mulheres com cânce r de mama antes ou após a cirurgia, o exercício de pilates pode ser uma intervenção complementar, alé...
Source: Revista da Associacao Medica Brasileira - February 15, 2018 Category: General Medicine Source Type: research

Mirror therapy: A potential intervention for pain management
Summary The consequences of chronic pain and associated disabilities to the patient and to the health care system are well known. Medication is often the first treatment of choice for chronic pain, although side effects and high costs restrict long-term use. Inexpensive, safe and easy to self-administer non-pharmacological therapies, such as mirror therapy, are recommended as adjuncts to pain treatment. The purpose of this review is to describe the principles of use of mirror therapy so it can be incorporated into a health care delivery. The physiological rationale of mirror therapy for the management of pain and the evide...
Source: Revista da Associacao Medica Brasileira - February 15, 2018 Category: General Medicine Source Type: research