Erratum
CONCLUSIONS The use of specific types of fatty acids in the everyday diet can increase postprandial energy expenditure in humans. Nevertheless, longer-term studies are required.RESUMO O desequil íbrio energético produzido pelo aumento da ingestão calórica e/ou diminuição do gasto energético provoca obesidade. Sem embargo, a composição de ácidos graxos da dieta pode afetar diferencialmente o metabolismo, tendo um papel no desenvolvimento da obesidade. OBJETIVO Determinar os efeit os de diferentes tipos de ácidos graxos e sua composiçã...
Source: Revista da Associacao Medica Brasileira - August 6, 2019 Category: General Medicine Source Type: research

Effect of the fatty acid composition of meals on postprandial energy expenditure: a systematic review
CONCLUSIONS The use of specific types of fatty acids in the everyday diet can increase postprandial energy expenditure in humans. Nevertheless, longer-term studies are required.RESUMO O desequil íbrio energético produzido pelo aumento da ingestão calórica e/ou diminuição do gasto energético provoca obesidade. Sem embargo, a composição de ácidos graxos da dieta pode afetar diferencialmente o metabolismo, tendo um papel no desenvolvimento da obesidade. OBJETIVO Determinar os efeit os de diferentes tipos de ácidos graxos e sua composiçã...
Source: Revista da Associacao Medica Brasileira - August 6, 2019 Category: General Medicine Source Type: research

Comments: “The impact of intensive care admission criteria on elderly mortality”
CONCLUSION We suggest that analysis of functionality, co-morbidities, and severity scores should be conducted to estimate the elderly mortality in relation to the admission to intensive care units.RESUMO OBJETIVO Revisar sistematicamente a influ ência dos critérios de admissão na mortalidade em pacientes idosos em terapia intensiva. MÉTODOS Realizamos uma busca nas bases de dados PubMed e Bireme, utilizando os termos MeSH e DeCS “ intensive care units ” , “ patient admission ” e “ aged ” em portugu ês, inglês e espanhol. Somente estudos de coorte pr...
Source: Revista da Associacao Medica Brasileira - August 6, 2019 Category: General Medicine Source Type: research

The impact of intensive care admission criteria on elderly mortality
CONCLUSION We suggest that analysis of functionality, co-morbidities, and severity scores should be conducted to estimate the elderly mortality in relation to the admission to intensive care units.RESUMO OBJETIVO Revisar sistematicamente a influ ência dos critérios de admissão na mortalidade em pacientes idosos em terapia intensiva. MÉTODOS Realizamos uma busca nas bases de dados PubMed e Bireme, utilizando os termos MeSH e DeCS “ intensive care units ” , “ patient admission ” e “ aged ” em portugu ês, inglês e espanhol. Somente estudos de coorte pr...
Source: Revista da Associacao Medica Brasileira - August 6, 2019 Category: General Medicine Source Type: research

Melatonin may prevent or reverse polycystic ovary syndrome in rats
CONCLUSION Melatonin administration prevents the permanent estrus state in the PCOS rat model. This effect is more efficient when melatonin is administered before permanent estrus induction.RESUMO OBJETIVO Avaliar os efeitos ovarianos da melatonina (Mel) em ratas com s índrome dos ovários policísticos (SOP) antes e após a indução do estro-permanente. MÉTODOS Trinta e duas ratas com ciclos estrais regulares foram igualmente divididas em quatro grupos: 1) GCtrl - fase de estro. 2) GSOP - fase de estro-permanente. 3) GMel1 – tratadas por 60 dias com Mel (0,4 mg/kg) durant...
Source: Revista da Associacao Medica Brasileira - August 6, 2019 Category: General Medicine Source Type: research

Comments: “Evolution and projection of knee arthroplasty from 2003 to 2030 in the state of São Paulo”
SUMMARY OBJECTIVE Analyze data regarding total knee arthroplasty (TKA) carried out by the Public Health System (SUS) in the state of S ão Paulo from 2003 to 2010 and determine the projections expected for 2030. METHODS A cross-sectional study (observational). We analyzed 10,952 patients who underwent primary total knee arthroplasty (PTKA) and revision total knee arthroplasty (RTKA) in the state of São Paulo between 2003 and 201 0. The collection of data based on ICD-10 and HAA (Hospital Admission Authorization) were provided by the Tabnet and Sigtap software (Management System for the Table of Procedures, Med...
Source: Revista da Associacao Medica Brasileira - August 6, 2019 Category: General Medicine Source Type: research

Evolution and projection of knee arthroplasties from 2003 to 2030 in the state of São Paulo
SUMMARY OBJECTIVE Analyze data regarding total knee arthroplasty (TKA) carried out by the Public Health System (SUS) in the state of S ão Paulo from 2003 to 2010 and determine the projections expected for 2030. METHODS A cross-sectional study (observational). We analyzed 10,952 patients who underwent primary total knee arthroplasty (PTKA) and revision total knee arthroplasty (RTKA) in the state of São Paulo between 2003 and 201 0. The collection of data based on ICD-10 and HAA (Hospital Admission Authorization) were provided by the Tabnet and Sigtap software (Management System for the Table of Procedures, Med...
Source: Revista da Associacao Medica Brasileira - August 6, 2019 Category: General Medicine Source Type: research

Performance of the STOP-Bang in the Detection of OSA, a Brazilian study
SUMMARY OBJECTIVES Assess the performance of the Stop-Bang questionnaire in Brazilian patients for the screening of OSA. METHODS A cross-sectional study with historical and consecutive analysis of all patients who underwent polysomnography tests in the Sleeping Sector of the Ear, Nose, and Throat, and Cardiopulmonary (LabSono) Departments of the Gaffr ée and Guinle University Hospital (HUGG), from 10/17/2011 to 04/16/2015. The variables relating to the SB questionnaire were collected by direct research from the medical records of patients. RESULTS In a series of 83 patients, we found that our sample were similar to ...
Source: Revista da Associacao Medica Brasileira - August 6, 2019 Category: General Medicine Source Type: research

Comments: “Low triiodothyronine syndrome is associated with platelet function in patients with nephrotic syndrome”
The objective of this study was to investigate the effects of low triiodothyronine syndrome (LT3S) on platelet function and clotting factors in patients with nephrotic syndrome(NS). METHODS Patients with primary nephrotic syndrome were divided into two groups, normal thyroid function (group A) and LT3S (group B), based on whether they had LT3S or not. Healthy subjects were selected as the control group (group C). Blood coagulation function was detected in each group. The platelet activation function (CD62P, CD63) was determined by flow cytometry. The platelet aggregation rate was detected by an optical method using adenosi...
Source: Revista da Associacao Medica Brasileira - August 6, 2019 Category: General Medicine Source Type: research

Low triiodothyronine syndrome is associated with platelet function in patients with nephrotic syndrome
The objective of this study was to investigate the effects of low triiodothyronine syndrome (LT3S) on platelet function and clotting factors in patients with nephrotic syndrome(NS). METHODS Patients with primary nephrotic syndrome were divided into two groups, normal thyroid function (group A) and LT3S (group B), based on whether they had LT3S or not. Healthy subjects were selected as the control group (group C). Blood coagulation function was detected in each group. The platelet activation function (CD62P, CD63) was determined by flow cytometry. The platelet aggregation rate was detected by an optical method using adenosi...
Source: Revista da Associacao Medica Brasileira - August 6, 2019 Category: General Medicine Source Type: research

Evaluation of the efficacy of ropivacaine injection in the anterior and middle scalene muscles guided by ultrasonography in the treatment of Thoracic Outlet Syndrome
CONCLUSION In practical terms, we concluded that a 0.375% injection of ropivacaine at doses of 2.5 ml in each belly of the anterior and middle scalene muscles, guided by ultrasonography, in the treatment of Nonspecific Thoracic Outlet Syndrome helps to improve function.RESUMO Ensaio cl ínico, controlado por placebo, aleatorizado, duplo-cego, com dois braços paralelos. OBJETIVO Avaliar a eficácia da injeção de ropivacaína em cada ventre dos músculos escalenos anterior e médio, guiada por ultrassonografia, no tratamento da Síndrome do Desfiladeiro Torácico...
Source: Revista da Associacao Medica Brasileira - August 6, 2019 Category: General Medicine Source Type: research

Renal angiomyolipoma
CONCLUSION Angiomyolipoma is a rare renal tumor in daily urology practice. Clinicians must be aware of its complications and manage patients well.RESUMO OBJETIVO O angiomiolipoma é um dos tumores renais benignos sólidos mais comuns. Investigamos as características dos angiomiolipomas renais e os desfechos clínicos dos pacientes nos últimos treze anos. MÉTODOS Os prontuários dos pacientes, para os quais a nefrectomia foi realizada, foram revisados retrospectivamente de 2008 a 2018. Os dados laboratoriais, relatórios de radiologia e patologia foram registrados. Os pacie...
Source: Revista da Associacao Medica Brasileira - August 6, 2019 Category: General Medicine Source Type: research

Relationship of T lymphocytes, cytokines, immunoglobulin E and nitric oxide with otitis media with effusion in children and their clinical significances
SUMMARY OBJECTIVE To investigate the relations of T lymphocytes, cytokines, immunoglobulin E, and nitric oxide with otitis media with effusion (OME) in children and their clinical significances. METHODS Fifty children with OME treated in our hospital were enrolled in the study (observation group). Fifty healthy children were selected as control. The percentages of CD4+ and CD8+ T lymphocyte and CD4+/CD8+ ratio in peripheral blood, and the levels of cytokine (IL)-2, IL-4, IL-6, immunoglobulin E (IgE) and nitric oxide (NO) in peripheral blood and middle ear effusion (MEE) in both groups were detected. The correlations of the...
Source: Revista da Associacao Medica Brasileira - August 6, 2019 Category: General Medicine Source Type: research

CA 19-9 levels in patients with acute pancreatitis due to gallstone and metabolic/toxic reasons
CONCLUSIONS Patients with AP due to gallstone, were found to have a high level of CA 19-9 at admission. Early stage CA 19-9 levels may contribute to standard laboratory tests in the etiology of the disease in patients diagnosed with AP.RESUMO OBJETIVO A pancreatite aguda (PA) é um evento clínico importante e cada vez mais frequente devido ao aumento da expectativa de vida, obesidade e do consumo de álcool. Existem alguns dados na literatura sobre a elevação dos níveis do antígeno carboidrato (CA) 19-9 em eventos pancreato-biliares benignos e malignos, mas eles sã o li...
Source: Revista da Associacao Medica Brasileira - August 6, 2019 Category: General Medicine Source Type: research

Combination of GI-RADS and 3D-CEUS for differential diagnosis of ovarian masses
In this study, 102 patients with ovarian masses were examined by both two-dimensional ultrasound(2D-US) and 3D-CEUS. Sonographic features of ovarian masses obtained from 3D-CEUS were analyzed and compared with 2D-US. All patients with ovarian masses were confirmed by operational pathology or long-term follow-up results. RESULTS (1)The Chi-square test and multiple Logistic regression analysis confirmed that there were only eight independent predictors of malignant masses, including thick septa ( ≥ 3mm), thick papillary projections( ≥ 7mm), solid areas, presence of ascites, central vascularization, contrast enhancement...
Source: Revista da Associacao Medica Brasileira - August 6, 2019 Category: General Medicine Source Type: research

The role of maximum compressed thickness of the quadriceps femoris muscle measured by ultrasonography in assessing nutritional risk in critically-ill patients with different volume statuses
CONCLUSION Ultrasonographic measurement of total mcQFMT can be used as a novel nutritional risk assessment parameter in medical ICPs with different volume statuses. Thus, patients who could benefit from aggressive nutritional therapy can be easily identified in these patient groups.RESUMO OBJETIVO Neste estudo observacional prospectivo, objetivamos investigar o papel da espessura do m úsculo quadríceps femoral (QFMT) comprimido (mc) e não comprimido (uc) medida pela ultrassonografia (USG) na detecção do risco nutricional em pacientes de terapia intensiva (ICPs) com status de volume difere...
Source: Revista da Associacao Medica Brasileira - August 6, 2019 Category: General Medicine Source Type: research

Comments on ‘Pulmonary hypertension could be a risk for deep vein thrombus in lower extremities after joint replacement surgery’
This study aimed to investigate whether PH is a risk factor for deep vein thrombosis (DVT) of the lower extremities after hip and knee replacement surgery. METHODS A total of 238 patients who received joint replacement of lower extremities in our department of orthopedics from January 2009 to January 2012 were examined by echocardiography and Color Doppler flow imaging (CDFI) of the lower extremities. Based on pulmonary artery pressure (PAP), the patients were divided into a normal PAP group (n=214) and PH group (n=24). All the patients were re-examined by CDFI during post-operative care. RESULTS Among the 238 patients, 18...
Source: Revista da Associacao Medica Brasileira - August 6, 2019 Category: General Medicine Source Type: research

Pulmonary hypertension could be a risk for deep vein thrombosis in lower extremities after joint replacement surgery
This study aimed to investigate whether PH is a risk factor for deep vein thrombosis (DVT) of the lower extremities after hip and knee replacement surgery. METHODS A total of 238 patients who received joint replacement of lower extremities in our department of orthopedics from January 2009 to January 2012 were examined by echocardiography and Color Doppler flow imaging (CDFI) of the lower extremities. Based on pulmonary artery pressure (PAP), the patients were divided into a normal PAP group (n=214) and PH group (n=24). All the patients were re-examined by CDFI during post-operative care. RESULTS Among the 238 patients, 18...
Source: Revista da Associacao Medica Brasileira - August 6, 2019 Category: General Medicine Source Type: research

Elderly patients with glioblastoma: the impact of surgical resection extent on survival
(Source: Revista da Associacao Medica Brasileira)
Source: Revista da Associacao Medica Brasileira - August 6, 2019 Category: General Medicine Source Type: research

Interstitial nephritis associated with nivolumab in a patient with hodgkin lymphoma
(Source: Revista da Associacao Medica Brasileira)
Source: Revista da Associacao Medica Brasileira - August 6, 2019 Category: General Medicine Source Type: research

Exposed patients: a reflection on confidentiality, narcissism and bioethics education
(Source: Revista da Associacao Medica Brasileira)
Source: Revista da Associacao Medica Brasileira - August 6, 2019 Category: General Medicine Source Type: research

Erratum
SUMMARY OBJECTIVE: To investigate the association between genotype insertion or deletion polymorphism of the angiotensin-converting enzyme gene (ACE) and susceptibility to coronary artery disease (CAD) in Chinese Han population. METHODS: We conducted a comprehensive search for the OR value of contrast between the group of genotype insertion or deletion polymorphism of the ACE and the group of CAD as an effective index. A meta-analysis (Stata 12.0) was used to test the heterogeneity of the results, combine the values for effect, conduct sensitivity analysis, and basic evaluation. RESULTS: A total of 638 studies were found o...
Source: Revista da Associacao Medica Brasileira - July 23, 2019 Category: General Medicine Source Type: research

Commentary: “Meta-Analysis on The Association of Genetic Polymorphisms of The Angiotensin- Converting Enzyme and Coronary Artery Disease in the Chinese population”
SUMMARY OBJECTIVE: To investigate the association between genotype insertion or deletion polymorphism of the angiotensin-converting enzyme gene (ACE) and susceptibility to coronary artery disease (CAD) in Chinese Han population. METHODS: We conducted a comprehensive search for the OR value of contrast between the group of genotype insertion or deletion polymorphism of the ACE and the group of CAD as an effective index. A meta-analysis (Stata 12.0) was used to test the heterogeneity of the results, combine the values for effect, conduct sensitivity analysis, and basic evaluation. RESULTS: A total of 638 studies were found o...
Source: Revista da Associacao Medica Brasileira - July 23, 2019 Category: General Medicine Source Type: research

A meta-analysis on the association of genetic polymorphism of the angiotensin-converting enzyme and coronary artery disease in the chinese population
SUMMARY OBJECTIVE: To investigate the association between genotype insertion or deletion polymorphism of the angiotensin-converting enzyme gene (ACE) and susceptibility to coronary artery disease (CAD) in Chinese Han population. METHODS: We conducted a comprehensive search for the OR value of contrast between the group of genotype insertion or deletion polymorphism of the ACE and the group of CAD as an effective index. A meta-analysis (Stata 12.0) was used to test the heterogeneity of the results, combine the values for effect, conduct sensitivity analysis, and basic evaluation. RESULTS: A total of 638 studies were found o...
Source: Revista da Associacao Medica Brasileira - July 23, 2019 Category: General Medicine Source Type: research

Commentary: “Fulminant acute hepatitis in pediatrics in Latin America and the Caribbean”
CONCLUSION: The preventable causes of Fulminant Acute Hepatitis include hepatitis viruses - primarily the hepatitis A virus - and poisoning. Active vaccination, basic sanitation, and public awareness can reduce the number of patients and, consequently, the costs of liver transplantation due to these causes.RESUMO OBJETIVO: O objetivo desta revis ão foi investigar a epidemiologia da hepatite aguda fulminante na América Latina e Caribe e identificar possíveis ações objetivando melhor compreensão e melhora do suporte desses pacientes. MÉTODOS: Pesquisou-se o tema hepatite aguda...
Source: Revista da Associacao Medica Brasileira - July 23, 2019 Category: General Medicine Source Type: research

Fulminant acute hepatitis in pediatrics in Latin America and the Caribbean
CONCLUSION: The preventable causes of Fulminant Acute Hepatitis include hepatitis viruses - primarily the hepatitis A virus - and poisoning. Active vaccination, basic sanitation, and public awareness can reduce the number of patients and, consequently, the costs of liver transplantation due to these causes.RESUMO OBJETIVO: O objetivo desta revis ão foi investigar a epidemiologia da hepatite aguda fulminante na América Latina e Caribe e identificar possíveis ações objetivando melhor compreensão e melhora do suporte desses pacientes. MÉTODOS: Pesquisou-se o tema hepatite aguda...
Source: Revista da Associacao Medica Brasileira - July 23, 2019 Category: General Medicine Source Type: research

Correlation between cephalic circumference at birth and ocular alterations in patients with microcephaly potentially associated with Zika Virus infection
CONCLUSION: Although the knowledge of the natural evolution of the disease is still scarce, the current evidence is strong enough to establish a causal relationship between ZIKV infection during pregnancy and the increased incidence of the microcephaly and serious eye alterations that lead to the severe lower vision of these children.RESUMO: INTRODU ÇÃO: O vírus Zika (ZIKV) é um arbovírus isolado pela primeira vez no ano de 1947, sendo transmitido para o homem pelo mosquito Aedes aegypti. No Brasil foi detectado pela primeira vez em maio de 2015. Desde então, ZIKV foi identificado ...
Source: Revista da Associacao Medica Brasileira - July 23, 2019 Category: General Medicine Source Type: research

Pathological fracture after radiotherapy: systematic review of literature
CONCLUSION: There is no consensus in the literature on the factors related to the development of fractures, with radiation dose, previous tumor size and periosteal detachment being suggested as potential factors.RESUMO OBJETIVO: Avaliar dados epidemiol ógicos e tratamentos disponíveis para fraturas secundárias ao tratamento radioterápico. MÉTODOS: Identificação de publicações sobre as fraturas patológicas ocorridas em esqueleto previamente exposto à radiação ionizante. RESULTADOS: A incidência de fraturas após irradia&cc...
Source: Revista da Associacao Medica Brasileira - July 23, 2019 Category: General Medicine Source Type: research

The role of Survivin as a biomarker and potential prognostic factor for breast cancer
SUMMARY Breast cancer (BC) is one of the primary health problems worldwide. As the most common cancer in women in the world and in Brasil, behind only non-melanoma skin cancer, this neoplasm corresponds to approximately 28% of new cases per year in the country. BC also affects men, although the incidence corresponds to only 1% of total cases. Currently, most of the chemotherapeutic agents used in BC treatment are extremely toxic and cause long-term side effects. There is also a need to obtain earlier diagnoses, more accurate prognoses and make new therapies available that are more selective and effective in order to improv...
Source: Revista da Associacao Medica Brasileira - July 23, 2019 Category: General Medicine Source Type: research

Clinical research on lumbar oblique-pulling manipulation in combination with sling exercise therapy for patients with chronic nonspecific low back pain
SUMMARY OBJECTIVE: To investigate clinical curative effects of lumbar oblique-pulling manipulation in combination with sling-exercise-therapy training on chronic nonspecific lower back pain. METHODS: A total of 60 patients with chronic nonspecific lower back pain in the Outpatient Department were included in this study. These patients were randomly divided into two groups: the observation group and the control group. The control group adopted a single sling-exercise-therapy training three times a week, while the observation group adopted lumbar oblique-pulling manipulation in combination with manipulation treatment once a ...
Source: Revista da Associacao Medica Brasileira - July 23, 2019 Category: General Medicine Source Type: research

Temporal trend of adolescent pregnancy in Brasil
CONCLUSION: The analysis of the temporal trend identifies a reduction in the proportion of live births among adolescent mothers in Brasil. However, there is a growing trend among some specific groups.RESUMO OBJETIVO: Analisar a tend ência temporal da gestação na adolescência e de fatores associados durante dez anos no Brasil. MÉTODO: Estudo ecológico de séries temporais realizado com base no banco de dados do Sistema de Informações sobre Nascidos Vivos (Sinasc). Fizeram parte do estudo informações referentes a nasci dos vivos filhos de mães a...
Source: Revista da Associacao Medica Brasileira - July 23, 2019 Category: General Medicine Source Type: research

Increase of binucleated cells in the oral mucosa: a study on the use of psychotropics by students of a Brazilian institution
This study aimed to assess the prevalence of medical and nonmedical use of psychiatric medication among undergraduate students of health sciences from a public university in Brasil. Another objective was to determine the frequency of nuclear morphological abnormalities in the buccal mucosa of students using psychiatric drugs. A cross-sectional study based on a Web survey was carried out with 375 health sciences undergraduate students from schools of Pharmacy, Physical Education, Nutrition, and Medicine. Additionally, spontaneous genetic damages in exfoliated cells of the buccal mucosa of 41 individuals by counting micronuc...
Source: Revista da Associacao Medica Brasileira - July 23, 2019 Category: General Medicine Source Type: research

The association between personal history and the outcomes of transobturator sling surgery
CONCLUSIONS: among risk factors associated with the emergence of SUI, only parity greater than 4 showed a negative impact on transobturator sling surgery outcomes.RESUMO OBJETIVO: O estudo pretende verificar a associa ção entre fatores de risco relacionados ao surgimento da IUE com resultado do tratamento cirúrgico com sling suburetral transobturador. PACIENTES E MÉTODOS: Foi realizado estudo retrospectivo com 57 pacientes operadas pelo serviço de Cirurgia do Assoalho Pélvico da FMJ. Foram compilados dados demográficos da amostra, calculado o índice de massa corp&oacu...
Source: Revista da Associacao Medica Brasileira - July 23, 2019 Category: General Medicine Source Type: research

Reactional changes in short-term levonorgestrel-releasing intrauterine system (lng-ius) use
SUMMARY OBJECTIVE: To evaluate endocervical and vaginal environment changes in women using a levonorgestrel-releasing intrauterine system (LNG-IUS). METHODS: A quasi-experimental study included sixty women who had an LNG-IUS inserted in the Family Planning Clinic of UNICAMP between April and November of 2016. Women in reproductive age, non-pregnant, without the use of antibiotics and contraceptives seeking for LNG-IUS insertion were selected for this study. All women were evaluated with regard to vaginal and endocervical pH, vaginal and endocervical Gram-stained bacterioscopy, and Pap-smear before and two months after LNG-...
Source: Revista da Associacao Medica Brasileira - July 23, 2019 Category: General Medicine Source Type: research

Muscle strength training program in nonagenarians – a randomized controlled trial
CONCLUSIONS: Individualized muscle strength training programs may help promote healthy lifestyles in such populations by maintaining autonomy, improving function and balance.RESUMO OBJETIVO: O objetivo do estudo é melhorar a capacidade funcional e a qualidade de vida (QV) de nonagenários por meio da implementação de um programa de treinamento aeróbico e de força individualizado em um centro geriátrico residencial. DESENHO DO ESTUDO: Estudo controlado randomizado. METODOLOGIA: Vinte e seis mulheres idosas foram randomizadas em grupo controle (CG) e grupo intervenç&atil...
Source: Revista da Associacao Medica Brasileira - July 23, 2019 Category: General Medicine Source Type: research

Sleep quality is inversely related to body mass index among university students
This study included 470 male and 858 female students from a university in Anhui; 4.4% of the females and 17.7% of the males were overweight or obese. The prevalence of obesity in males was significantly higher than in females, and the prevalence of obesity in higher years was greater than in other years (p5). Among the seven components of sleep quality, sleep duration and the use of sleep medication showed significant differences between male and female students and different years (p
Source: Revista da Associacao Medica Brasileira - July 23, 2019 Category: General Medicine Source Type: research

Fluid balance in pediatric patients in prone position: a pragmatic study
SUMMARY OBJECTIVE: To verify the association between prone position, increased diuresis, and decreased cumulative fluid balance in critically ill pediatric patients who underwent mechanical ventilation (MV) for pulmonary causes and describe adverse events related to the use of the position. METHODS: This is a retrospective observational study. Patients aged between 1 month and 12 years who underwent MV for pulmonary causes, between January 2013 and December 2015, were selected and divided between those who were put on prone position (PG) and those who were not (CG) during the hospitalization at the Pediatric Intensive Care...
Source: Revista da Associacao Medica Brasileira - July 23, 2019 Category: General Medicine Source Type: research

Analysis of predisposing factors for chronic subdural hematoma recurrence
CONCLUSIONS: The results indicate that, among possible factors associated with recurrenc e, only age presented a protective factor with statistical significance. The fact that no significant difference between the patients submitted to trepanning or craniotomy was found favors the preferential use of burr-hole surgery as a procedure of choice due to its fast and less complex execution.RESUMO OBJETIVOS: Identificar a taxa de recidiva e seus potenciais fatores predisponentes em s érie de 595 pacientes consecutivos com diagnóstico inicial de hematoma subdural crônico (HSDCr) submetidos a tratamento cir&uac...
Source: Revista da Associacao Medica Brasileira - July 23, 2019 Category: General Medicine Source Type: research

Stress-induced hashitoxicosis: case report and relative HLA serotype and genotype
CONCLUSION This case demonstrates that, similarly to Graves ’ disease, Hashitoxicosis can also be triggered by stressful life events.RESUMO OBJETIVO Mesmo que o estresse seja conhecido h á muito tempo como um fator provocativo para a doença de Graves, sua relação com a tireoidite de Hashimoto é mais controversa. Estudos sobre esse tema são escassos. O objetivo deste artigo é relatar um caso de Hashitoxicose induzida por estresse. RESULTADOS Aqui nós relatamos um caso de Has hitoxicose induzido por um evento psicológico estressante em uma mulher de 28 anos...
Source: Revista da Associacao Medica Brasileira - July 23, 2019 Category: General Medicine Source Type: research

Defining trajectories of acute pain in surgical patients short title: acute pain follow-up
CONCLUSIONS: the trajectory of pain during the first hour does not predict the behavior of the trajectory during the first day after surgery.RESUMO INTRODU ÇÃO: A avaliação da dor pós-operatória aguda é obrigatória para tratamentos eficientes. As trajetórias da dor podem ajudar os profissionais a melhorar os tratamentos. Tem sido sugerido que a falta de controle da dor no período pós-operatório imediato vai gerar maior intensidade dessa dor durante os dias seguintes de estadia no hospital. OBJETIVO: Determinar o relacionamento entre a dor d...
Source: Revista da Associacao Medica Brasileira - July 23, 2019 Category: General Medicine Source Type: research

Using a 3D printer in cardiac valve surgery: a systematic review
CONCLUSIONS: Up to the present time, there are no studies including a considerable number of patients. A 3D-printed model produced based on the patient enables the surgeon to plan the surgical procedure and choose the best material, size, format, and thickness to be used. This planning leads to reduced surgery time, exposure, and consequently, lower risk of infection.RESUMO INTRODU ÇÃO: A impressora 3D é utilizada como coadjuvante no planejamento de cirurgias de cardiopatias complexas. OBJETIVOS: Analisar o uso e os benefícios da impressão 3D em cirurgias de válvula cardíaca...
Source: Revista da Associacao Medica Brasileira - July 23, 2019 Category: General Medicine Source Type: research

Time-motion analysis of competitive surfers: Portuguese championship
CONCLUSIONS: The data revealed that the most performed heat activity was paddling, allowing us to conclude that surfing is basically a long-arm paddling activity and that this activity constitutes a specific surfing competition demand, which in turn means that individual surfer's data can be used as a starting point for the development of tailored conditioning training programs.RESUMO INTRODU ÇÃO: A análise temporal dos movimentos tem sido usada para fornecer informações detalhadas sobre o desempenho dos surfistas. O objetivo deste estudo foi avaliar os tempos das atividades dos surfistas...
Source: Revista da Associacao Medica Brasileira - July 23, 2019 Category: General Medicine Source Type: research

Prevalence of depression and anxiety and their association with cardiovascular risk factors in Northeast Brasil primary care patients
SUMMARY BACKGROUND: Depression and anxiety disorders (DAD) are the most prevalent mental health conditions worldwide. Among the adult population served in basic care, it is estimated that depression affects about 14.3% of these individuals worldwide, and between 21.4% and 31% in Brasil. Anxiety affects up to 33.7% of the population during their lifetimes. OBJECTIVES: estimate the prevalence proportions of DAD among patients in a municipality in Northeast Brasil and study the association between DAD and cardiovascular risk factors. METHODS: a cross-sectional study with the medical records of patients from primary care cente...
Source: Revista da Associacao Medica Brasileira - July 23, 2019 Category: General Medicine Source Type: research

Palliative care in Brasil: present and future
CONCLUSION: The definition of a national strategy predicting the increasing palliative care needs of the population is necessary. The expansion of the support network for chronic and non-transmissible diseases is necessary, but the training of existing human resources at all levels of attention to perform palliative actions can be a feasible alternative to minimize the suffering of the population.RESUMO OBJETIVO: Estimar as necessidades de recursos humanos e servi ços necessários para o atendimento de pacientes que se beneficiariam de cuidados paliativos a partir da projeção de crescimento da po...
Source: Revista da Associacao Medica Brasileira - July 23, 2019 Category: General Medicine Source Type: research

Dermatoses in parkinsonism: the importance of multidisciplinary follow-up
The objective of this study is to evaluate the main dermatoses in patients with parkinsonism found at the Philanthropic Association of Curitiba - PR. A cross-sectional descriptive study was carried out with the application of a questionnaire and dermatological evaluation of the patients. The sample consisted of 386 patients and was composed mainly by men (55.4%), between 60-74 years old (51.6%), with complete primary education (45.3%), disease diagnosis time between 5-10 years (35%) and in use of medication (96.6%). The most prevalent dermatoses were pigmented nevus (36.3%), warts (25.1%), actinic keratosis (22%), seborrhe...
Source: Revista da Associacao Medica Brasileira - July 23, 2019 Category: General Medicine Source Type: research

The study of copy number variations in the regions of PRKAB2 and PPM1K among congenital heart defects patients
CONCLUSIONS: We replicated the copy number variations at the disease-candidate genes of PRKAB2 and PPM1K with tetralogy of Fallot in a Chinese Han population, and in patients with ventricular septal defect mutations in these two genes were not found. These results indicate the same molecular population genetics exist in these two genes with different ethnicity. This shows that these two genes are possibly specific pf tetralogy of Fallot candidates.RESUMO OBJETIVO: Este estudo teve como objetivo avaliar a associa ção genética do número de cópias em dois genes (PRKAB2 e PPM1K) localizados e...
Source: Revista da Associacao Medica Brasileira - July 23, 2019 Category: General Medicine Source Type: research

Efficacy and safety of percutaneous transforaminal endoscopic discectomy in the treatment of lumbar spinal stenosis combined with osteoporosis
SUMMARY OBJECTIVE: To investigate the efficacy and safety of percutaneous transforaminal endoscopic discectomy (PTED) in the treatment of lumbar spinal stenosis (LSS) combined with osteoporosis. METHODS: Eighty patients with LSS combined with osteoporosis were divided into a control and PTED group, which received conventional transforaminal lumbar interbody fusion and PTED, respectively. The surgical indications, incision visual analogue scale (VAS), lumbar and leg pain VAS, lumbar Japanese Orthopaedic Association (JOA) and Oswestry disability index (ODI) scores, bone mineral density (BMD), and adverse reactions were obser...
Source: Revista da Associacao Medica Brasileira - July 23, 2019 Category: General Medicine Source Type: research

EAT-Brazil Award for Tobacco Control: a brief description of its first edition
SUMMARY Smoking is a major global risk factor for preventable death and disability. EAT is an acronym for Education Against Tobacco, a multinational network of physicians and medical students that aims to improve tobacco control by means of school-based prevention targeted at adolescents through counseling, use of software and support materials. The first EAT-Brazil Award, launched in March 2018, was a competition designed to encourage the proposal of objective solutions for tobacco control in Brasil, and identify new talents in the area. Brazilian undergraduate students from any field of study could submit a one-page essa...
Source: Revista da Associacao Medica Brasileira - July 23, 2019 Category: General Medicine Source Type: research

Essential thrombocythemia - a predisponent factor for stroke
We present the case of an 81-year-old woman with a history of ischemic stroke in the context of a sustained thrombocytosis, which led to a spinal study and a search for the V617F mutation in the JAK2 gene, which was positive. The patient started cytoreductive therapy with hydroxyurea with favorable current evolution. (Source: Revista da Associacao Medica Brasileira)
Source: Revista da Associacao Medica Brasileira - July 23, 2019 Category: General Medicine Source Type: research

Commentary: “Primary Neural Leprosy mimicking rheumatological disorders”
SUMMARY Leprosy is a chronic infectious disease caused by Mycobacterium leprae, which affects mainly the skin and peripherical nerves. Brasil has not yet achieved its goal of elimination of the number of cases of this disease, ranking second in terms of absolute numbers worldwide, with India occupying the first position. Primary Neural Leprosy is considered to be a challenge in diagnosis, since it affects the peripherical nerve system with the absence of skin lesions, thus mimicking rheumatological disorders, like in the case presented. A male, 31, with no previous comorbidities, five years ago, started feeling severe pain...
Source: Revista da Associacao Medica Brasileira - July 23, 2019 Category: General Medicine Source Type: research