Revista da Associacao Medica Brasileira 
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This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.Fluid balance in pediatric patients in prone position: a pragmatic study
CONCLUSION: The prone position was not associated with increased diuresis or decreased cumulative fluid balance in critically ill pediatric patients who underwent to MV for pulmonary causes.RESUMO OBJETIVO: Verificar a associa ção entre posição prona, aumento da diurese e diminuição do balanço hÃdrico em pacientes pediátricos criticamente enfermos e submetidos à ventilação mecânica (VM) por causa pulmonar, além de descrever eventuais intercorrências relacionadas à aplicação dessa posição. MÉTODOS: Es tudo observacional retrospectivo. Pacientes submetidos à VM por causa pulmonar, com idade entre 1 mÃ...
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 cirúrgico em hospital ...
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 com tireoidite de Hashimoto. Ela permaneceu estável e...
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 perÃodo pós-operatório imediato vai gerar maior intensidade dessa dor durante os dias seguintes de estadia no hospital. OBJETIVO: Determinar o relacionamento entre a dor durante a primeira hora pós-operatória e as 24 horas após a mesma. ...
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 benefÃcios da impressão 3D em cirurgias de válvula cardÃaca por meio de revisão sistemática da li...
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 em um campeonato português ...
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
CONCLUSION: DAD were associated with an increased risk for arterial hypertension, obesity, and hyperlipidemia.RESUMO INTRODU ÇÃO: Transtornos de ansiedade e depressão (TAD) são os distúrbios psiquiátricos mais comuns no mundo. Dentre a população adulta atendida na atenção básica, estima-se que a depressão afete cerca de 14,3% desses indivÃduos mundialmente, podendo este valor ir de 21,4% a 31% no Brasil. A an siedade afeta até 33,7% da população durante sua vida. OBJETIVO: Estimar a prevalência de TAD em pacientes da atenção primária em um municÃpio do Nordeste brasileiro e associar sua ocorrência c...
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 população brasileira at...
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 em duas regiões (tetralogia d...
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
CONCLUSIONS: PTED is safe and effective in the treatment of LSS combined with osteoporosis.RESUMO: OBJETIVO: Investigar a efic ácia e segurança da discectomia endoscópica percutânea transforaminal (DEPT) no tratamento da estenose lombar (EL) combinada à osteoporose. MÉTODOS: Oitenta pacientes com EL combinada à osteoporose foram divididos entre um grupo de controle e um grupo de DEPT, que receberam tratamento conven cional com fusão intersomática lombar transforaminal e DEPT, respectivamente. As indicações cirúrgicas, a escala analógica visual (VAS) da incisão e de dor lombar e nas pernas, os escores lombar...
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
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
