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Violence and sexually transmitted infections in pregnancy
CONCLUSIONS: IPV combines characteristics that have a different expression when the woman is in the gestational period. The literature points to a relationship between IPV against women and the presence of STI. The monitoring of pregnancy, whether in the prenatal or postpartum period, offers unique opportunities for the health professional to identify situations of violence and thus provide assistance.RESUMO OBJETIVO: Sintetizar o conhecimento produzido em estudos sobre a associa ção entre violência e IST na gestação. MÉTODOS: Nesta revisão sistemática, envolvemos as atividades básicas de identificação, compil...
Source: Revista da Associacao Medica Brasileira - April 11, 2019 Category: General Medicine Source Type: research

Uremic neuropathy: an overview of the current literature
CONCLUSION: Clinical presentations of UN are broad and non-specific; nonetheless, it is important to detect early changes in order to avoid its progression. The earlier UN is diagnosed and treated, the more successful are the clinical outcomes.RESUMO INTRODU ÇÃO: A neuropatia periférica (NU) é um distúrbio que afeta o corpo celular, o axônio ou a mielina do motor ou neurônios sensoriais periféricos e ocorre em 60%-100% dos pacientes que são submetidos à diálise por doença renal crônica. A neuropatia urêmica é atribuída à acumulação de resíduos orgânicos, evidente em pacientes com taxa de filtração ...
Source: Revista da Associacao Medica Brasileira - April 11, 2019 Category: General Medicine Source Type: research

Systemic dissemination of glioblastoma: literature review
CONCLUSIONS: Tumor cells must overcome many obstacles until the development of systemic metastasis. The physiologic mechanisms are not completely clear. Although not fully understood, the pathophysiological understanding of the mechanisms that may be associated with the systemic spread is salutary for a global understanding of the disease. In addition, this knowledge may be used as a basis for a therapy to be performed in patients diagnosed with GBM distant metastasis.RESUMO INTRODU ÇÃO: Glioblastoma (GBM) é o tumor maligno mais comum do sistema nervoso central em adultos. Entretanto, metástase a distância de GBM é ...
Source: Revista da Associacao Medica Brasileira - April 11, 2019 Category: General Medicine Source Type: research

Rational use of diagnostic tests for clinical decision making
CONCLUSION: Knowing the methodology of diagnostic accuracy studies is fundamental, but not sufficient, for the rational use of diagnostic tests. There is a need to balance the desirable and undesirable consequences of tests results for the patients in order to favor a rational decision-making approach about which tests should be recommended in clinical practice.RESUMO OBJETIVO: Auxiliar os cl ínicos na interpretação adequada das evidências científicas de estudos que avaliam testes diagnósticos, de modo a permitir seu uso racional na prática clínica. MÉTODOS: Revisão narrativa da literatura dos principais concei...
Source: Revista da Associacao Medica Brasileira - April 11, 2019 Category: General Medicine Source Type: research

Investigation of the effect of the virtual reality application on experimental pain severity in healthy
CONCLUSION: This study found that the use of virtual reality was effective in reducing the level of pain in healthy individuals. This method used a smartphone with widespread availability and ease of transportation, which can be used by health professionals as a non-pharmacological method in the management of pain.RESUMO OBJETIVO: El objetivo de este estudio fue investigar el efecto de la aplicaci ón de realidad virtual en el dolor isquémico experimental creado con un instrumento de presión arterial en voluntarios sanos. MÉTODO: La muestra de investigación consistió en 172 estudiantes adultos voluntarios que cumpli...
Source: Revista da Associacao Medica Brasileira - April 11, 2019 Category: General Medicine Source Type: research

Most common histopathological patterns of the Minas Gerais Association of the Centers of Nephrology
CONCLUSION: Glomerular disease registries are an important tool to identify the prevalence of such disease in regions of interest and can serve as an instrument to guide public policy decisions concerning the prevention of terminal kidney diseases.RESUMO INTRODU ÇÃO: Analisamos a distribuição e frequência de doenças glomerulares de pacientes biopsiados entre 1992 e 2016 em centros que compõem a Amicen (Associação de Minas Gerais de Nefrologia). MÉTODOS: Analisamos os relatórios de biópsia de pacientes de nove centros de nefrologia da Amicen. Ob servamos idade, gênero, uso de ultrassom, tempo de descanso pós...
Source: Revista da Associacao Medica Brasileira - April 11, 2019 Category: General Medicine Source Type: research

The positive impact of physical activity on the reduction of anxiety scores: a pilot study
CONCLUSIONS: Individuals who engage in regular physical activity have lower levels of anxiety, and both sexes are benefited with the anxiolytic potential of physical activity. Therefore, this study proved that the Roman poet Juvenal was right, and his expression “ Mens sana in corpore sano, ” could also be interpreted in the opposite direction, i.e., a healthy body correlates with a healthy mind.RESUMO OBJETIVOS: Comparar escores de ansiedade entre praticantes de atividade f ísica e sedentários, entre homens e mulheres e relacioná-los com frequência de atividade física e idade. MÉTODOS: Amostra de 256 pratican...
Source: Revista da Associacao Medica Brasileira - April 11, 2019 Category: General Medicine Source Type: research

Metastasis from glioblastoma multiforme: a meta-analysis
CONCLUSIONS: In GBM, surgical resection is important in reducing the risk of metastasis, and chemotherapy and radiation therapy help to prolong survival in metastatic GBM. Metastases to the liver are associated with shorter survival compared with metastases to other sites.RESUMO OBJETIVO: Met ástases extracranianas do glioblastoma multiforme (GBM) são raras devido à baixa sobrevida dos pacientes. Portanto, a história natural das metástases do GBM permanece incerta. A identificação de fatores clínicos que promovem metástases no GBM pode ajudar a elucidar os mecanismos de invasão das células tumorais no cérebro...
Source: Revista da Associacao Medica Brasileira - April 11, 2019 Category: General Medicine Source Type: research

Reality of premature ovarian failure in Argentina
SUMMARY Premature Ovarian Insufficiency is defined as a decline in ovarian function that is accompanied by two biochemical determinations of Follicle Stimulating Hormone in hypergonadotropic values, in addition to low levels of circulating estrogens in women under 40 years old. Although some of its possible etiologies are recognized and diagnosed, most of the time, its cause remains unknown. It is a pathology with medical, psychological, and reproductive implications. Patients may experience climacteric symptoms, infertility, and emotional distress. In the medium and long term, cardiovascular and bone health can be affecte...
Source: Revista da Associacao Medica Brasileira - April 11, 2019 Category: General Medicine Source Type: research

Gravity of the non-authorized use of substances not intended for clinical use in invasive aesthetic procedures: the portuguese case
CONCLUSION: The causes of the observed difference may reside in various reasons: the higher number of patients submitted to invasive aesthetic procedures exclusively in private practice; the higher perception of regulatory deficits in the private sector; scarce specific health politics for procedures outside the traditional boundaries of medicine; the difficulty for independent regulatory agencies to adopt effective measures.RESUMO INTRODU ÇÃO: Os procedimentos estéticos invasivos estão a aumentar globalmente, e são acompanhados por uma apreensão das sociedades médicas sobre a segurança desses procedimentos, depen...
Source: Revista da Associacao Medica Brasileira - April 11, 2019 Category: General Medicine Source Type: research

Id-1 expression in colorectal adenocarcinoma tissues and its clinical significance
CONCLUSIONS: The high Id-1 expression in colorectal adenocarcinoma tissues play an important role in the process of cancer, and is expected to become a new tumor monitoring indicator for clinical diagnosis, treatment, and prognosis judgment.RESUMO OBJETIVO: O objetivo deste estudo é investigar a expressão de Id-1 em tecidos de adenocarcinoma colorretal em humanos e investigar sua correlação com os parâmetros patológicos clínicos de câncer colorretal. MÉTODOS: Os níveis de expressão de proteína e mRNA Id-1 em 50 amostras de tecido colorretal normal e 50 amostras d e tecido de adenocarcinoma colorretal foram de...
Source: Revista da Associacao Medica Brasileira - April 11, 2019 Category: General Medicine Source Type: research

Non-pharmacological motor-cognitive treatment to improve the mental health of elderly adults
CONCLUSION: Due to the almost null evidence of scientific interventions of programs that integrate physical activity and cognitive tasks together in Chilean elderly adults, a program of physical-cognitive dual task was proposed as a non-pharmacological treatment, easy to apply and of low cost to benefit their integral health, which improves significantly the cognitive and depressive levels of institutionalized elderly adults.RESUMO OBJETIVO: Propor um programa f ísico-cognitivo e medir seu impacto em idosos institucionalizados chilenos. MÉTODO: Estudo de planejamento experimental com avaliações pré e pós-intervenç...
Source: Revista da Associacao Medica Brasileira - April 11, 2019 Category: General Medicine Source Type: research

Positive outcomes of phosphodiesterase type 5 inhibitor on histopathologic and biochemical changes induced by ureteral obstruction
CONCLUSION: The phosphodiesterase type 5 inhibitor's tadalafil reduced expressions of α -SMA and TGF- β in the obstructed ureters, measured by biochemical examinations. In addition, tadalafil decreased urothelium degeneration due to the decreased epithelial cell loss and inflammatory cell infiltration. Our results show that tadalafil prevents or slows down the onset of ureter inflammation and urothelial degeneration in rats with UUO.RESUMO OBJETIVOS: Examinamos os efeitos do tadalafil em um dos inibidores da fosfodiesterase tipo 5 (PDE5) em um modelo de rato com obstru ção ureteral unilateral parcial e completa (UUO)...
Source: Revista da Associacao Medica Brasileira - April 11, 2019 Category: General Medicine Source Type: research

Effects of eccentric exercise in pressure pain threshold in subjects with functional ankle equinus condition
SUMMARY Stretching exercises are widely used by the population before sporting activities. One of the most common technique is eccentric exercise. Here, we made a clinical examination of 98 subjects with equinus condition before activity and after 30 min of running (49 participants with previous eccentric exercise and 49 with no previously eccentric exercise). The clinical assessment of the Achilles tendon was based on the pressure pain threshold (PPT). We identified significant PPT changes between the previous eccentric stretching and the non-previous eccentric stretching group in the Achilles tendon evaluations. Based on...
Source: Revista da Associacao Medica Brasileira - April 11, 2019 Category: General Medicine Source Type: research

Sleep disorders in polycystic ovary syndrome: influence of obesity and hyperandrogenism
CONCLUSIONS: Our results indicate that PCOS impairs subjective sleep quality, as well as objective sleep quality, due to a reduction in REM sleep stage time in women diagnosed with the syndrome. Obesity affected sleep-related parameters but hyperandrogenism had no effect. Only the PCOS group had obstructive sleep apnea diagnosis.RESUMO OBJETIVO: Este estudo objetivou avaliar o sono de mulheres com s índrome do ovário policístico, com e sem hiperandrogenismo, em comparação com um grupo controle saudável, e estudar os efeitos do hiperandrogenismo e da obesidade nos parâmetros do sono. MÉTODOS: Um total de 44 volunt...
Source: Revista da Associacao Medica Brasileira - April 11, 2019 Category: General Medicine Source Type: research