Role of low dose 256-slice CT perfusion imaging in predicting mediastinal lymph node metastasis of lung cancer
CONCLUSION: The PV of low dose CT perfusion can be used as an index for predicting mediastinal lymph node metastasis of lung cancer.RESUMO OBJETIVOS: A perfus ão por TC objetiva (CTP) é uma técnica de imagem que pode ser usada para avaliar as alterações na microcirculação de tecidos tumorais. Nosso estudo teve como objetivo investigar o papel da CTP na predição de metástases em linfonodos mediastinais. MÉTODOS: Dados clínicos de 58 pacientes que receberam ressecção cirúrgica de câncer de pulmão e dissecção de linfonodos em nosso hospital de junho de 2012 a dezembro de 2014 foram coletados. Os pacientes...
Source: Revista da Associacao Medica Brasileira - July 23, 2019 Category: General Medicine Source Type: research

Propylthiouracil-induced agranulocytosis as a rare complication of antithyroid drugs in a patient with Graves’ disease
CONCLUSION: Thionamide-induced agranulocytosis is a rare complication. With a contraindication to ATDs, RAI and surgery are definitive therapeutic options in GD. Beta-blockers, glucocorticoids, lithium carbonate, iodine, and cholestyramine may be an adjunctive therapy for hyperthyroidism.RESUMO INTRODU ÇÃO: A doença de Graves (DG) é uma doença autoimune caracterizada por hipertireoidismo. As drogas antitireoidianas (DAT) são opções terapêuticas disponíveis. A agranulocitose é uma complicação rara, potencialmente fatal desta terapia. Neste estudo, relatamos um caso de agranulocitose in duzida por propiltiourac...
Source: Revista da Associacao Medica Brasileira - July 23, 2019 Category: General Medicine Source Type: research

Sexually transmitted infections - laboratory diagnosis
The Guidelines Project, an initiative of the Brazilian Medical Association, aims to combine information from the medical field in order to standardize producers to assist the reasoning and decision-making of doctors. The information provided through this project must be assessed and criticized by the physician responsible for the conduct that will be adopted, depending on the conditions and the clinical status of each patient. (Source: Revista da Associacao Medica Brasileira)
Source: Revista da Associacao Medica Brasileira - July 23, 2019 Category: General Medicine Source Type: research

Microcephaly and Zika virus during pregnancy and cephalic perimeter curve
(Source: Revista da Associacao Medica Brasileira)
Source: Revista da Associacao Medica Brasileira - July 23, 2019 Category: General Medicine Source Type: research

“Top ten”: another alert on the prescription of proton-pump inhibitors (PPIs) for the elderly
(Source: Revista da Associacao Medica Brasileira)
Source: Revista da Associacao Medica Brasileira - July 23, 2019 Category: General Medicine Source Type: research

Evaluation of a medical program: The students’ perspective
(Source: Revista da Associacao Medica Brasileira)
Source: Revista da Associacao Medica Brasileira - July 23, 2019 Category: General Medicine Source Type: research

Erratum
CONCLUSION: Depression, anthropometric parameters and body image were associated. It is necessary to conduct other studies, especially longitudinal studies to elucidate the relationship among depression, weight, body image, and other associated factors.RESUMO OBJETIVO: Avaliar a associa ção entre depressão, indicadores antropométricos e autoimagem corporal em adultos por meio de uma revisão sistemática da literatura. MÉTODOS: Foi realizada busca nas bases de dados Medline, Lilacs e PsycInfo por dois revisores independentes, até agosto de 2018, sem restrição de idioma, in cluindo estudos de delineamento transver...
Source: Revista da Associacao Medica Brasileira - June 4, 2019 Category: General Medicine Source Type: research

Depression, anthropometric parameters, and body image in adults: a systematic review
CONCLUSION: Depression, anthropometric parameters and body image were associated. It is necessary to conduct other studies, especially longitudinal studies to elucidate the relationship among depression, weight, body image, and other associated factors.RESUMO OBJETIVO: Avaliar a associa ção entre depressão, indicadores antropométricos e autoimagem corporal em adultos por meio de uma revisão sistemática da literatura. MÉTODOS: Foi realizada busca nas bases de dados Medline, Lilacs e PsycInfo por dois revisores independentes, até agosto de 2018, sem restrição de idioma, in cluindo estudos de delineamento transver...
Source: Revista da Associacao Medica Brasileira - June 4, 2019 Category: General Medicine Source Type: research

“National scientific production on the Burnout Syndrome in ICU physicians and nurses: a bibliometric study”
CONCLUSIONS: Nurses are more interested in publishing this issue. Burnout Syndrome studied in intensive physicians would contribute to identifying its prevalence in these professionals.RESUMO OBJETIVO: Analisar a produ ção científica sobre a Síndrome de Burnout em médicos e enfermeiros de UTI no Brasil. MÉTODO: Estudo bibliométrico, documental, com abordagem quantitativa. Foram selecionados artigos publicados no Brasil sobre a Síndrome de Burnout nas UTIs, na BVS e Portal Capes, entre 2000 e 2018. Foi ela borado um mapa conceitual de modo a organizar o eixo temático. RESULTADOS: Foram identificados 40 artigos, ...
Source: Revista da Associacao Medica Brasileira - June 4, 2019 Category: General Medicine Source Type: research

National scientific production on Burnout Syndrome in ICU nurses and physicians: a bibliometric study
CONCLUSIONS: Nurses are more interested in publishing this issue. Burnout Syndrome studied in intensive physicians would contribute to identifying its prevalence in these professionals.RESUMO OBJETIVO: Analisar a produ ção científica sobre a Síndrome de Burnout em médicos e enfermeiros de UTI no Brasil. MÉTODO: Estudo bibliométrico, documental, com abordagem quantitativa. Foram selecionados artigos publicados no Brasil sobre a Síndrome de Burnout nas UTIs, na BVS e Portal Capes, entre 2000 e 2018. Foi ela borado um mapa conceitual de modo a organizar o eixo temático. RESULTADOS: Foram identificados 40 artigos, ...
Source: Revista da Associacao Medica Brasileira - June 4, 2019 Category: General Medicine Source Type: research

Isthmocele: an overview of diagnosis and treatment
SUMMARY An isthmocele, a cesarean scar defect or uterine niche, is any indentation representing myometrial discontinuity or a triangular anechoic defect in the anterior uterine wall, with the base communicating to the uterine cavity, at the site of a previous cesarean section scar. It can be classified as a small or large defect, depending on the wall thickness of the myometrial deficiency. Although usually asymptomatic, its primary symptom is abnormal or postmenstrual bleeding, and chronic pelvic pain may also occur. Infertility, placenta accrete or praevia, scar dehiscence, uterine rupture, and cesarean scar ectopic preg...
Source: Revista da Associacao Medica Brasileira - June 4, 2019 Category: General Medicine Source Type: research

Neurophysiological, cognitive-behavioral and neurochemical effects in practitioners of transcendental meditation - A literature review
SUMMARY The term meditation can be used in many different ways, according to the technique to which it refers. Transcendental Meditation (MT) is one of these techniques. TM could serve as a model for research on spiritual meditation, unlike the meditation techniques based on secular knowledge. The purpose of the present study is to conduct a bibliographic review to organize scientific evidence on the effects of TM on neurophysiology, neurochemistry, and cognitive and behavioral aspects of its practitioners. To conduct this critical narrative review of the literature, we searched for scientific papers on the PubMed database...
Source: Revista da Associacao Medica Brasileira - June 4, 2019 Category: General Medicine Source Type: research

Repercussions of melatonin on the risk of breast cancer: a systematic review and meta-analysis
SUMMARY Breast Cancer is common in women, but its etiology is not yet fully understood. Several factors may contribute to its genesis, such as genetics, lifestyle, and the environment. Melatonin may be involved in the process of breast cancer. Therefore, the aim of this study is to evaluate the influence of the levels of melatonin on breast cancer through a systematic review and meta-analysis. We performed a systematic review according to PRISMA recommendations. The primary databases MEDLINE, Embase, and Cochrane were consulted. There was no restriction on the year of publication and language. Data of systematic reviews fr...
Source: Revista da Associacao Medica Brasileira - June 4, 2019 Category: General Medicine Source Type: research

Prevalence of hypovitaminosis D in postmenopausal women: a systematic review
CONCLUSIONS: If the criterion is the 30 ng/ml cut-off point, the majority of postmenopausal women in the world could be classified as having hypovitaminosis D. Among the studies evaluated, the lowest prevalence reported was nearly 30%. Neither latitude, region of the world, nor laboratory methodology were found to be associated with the prevalence of hypovitaminosis D.RESUMO INTRODU ÇÃO: A hipovitaminose D é considerada um problema de saúde pública global. O conhecimento de suas verdadeiras dimensões nos permitirá projetar intervenções e planejar medidas preventivas que possam ter um impacto significativo na saú...
Source: Revista da Associacao Medica Brasileira - June 4, 2019 Category: General Medicine Source Type: research

Profile and scientific output of researchers recipients of CNPq productivity grant in the field of medicine
CONCLUSION. Strategies to improve the scientific output qualitatively possibly can be enhanced by the knowledge of the profile of researchers in the field of Medicine.RESUMO OBJETIVO: O objetivo deste estudo foi avaliar a produ ção científica de pesquisadores da área de Medicina que recebem bolsa de produtividade do CNPq. MÉTODOS: Os currículos Lattes de 542 pesquisadores com bolsas ativas de 2012 a 2014 foram incluídos na análise. As categorias/níveis das bolsas de produtividade foram estratificadas em três gru pos de acordo com a classificação do CNPq (1A-B, 1C-D e 2). RESULTADOS: Houve predomínio de bols...
Source: Revista da Associacao Medica Brasileira - June 4, 2019 Category: General Medicine Source Type: research