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Successful medical drainage and surgical treatment for vertebral osteomyelitis and bilateral psoas abscess with gas formation caused by klebsiella pneumoniae in a diabetic patient
CONCLUSION: A case of vertebral osteomyelitis and bilateral psoas abscess with gas formation caused by Klebsiella pneumoniae in a diabetic patient. Antibiotic therapy, drainage, and minimally invasive internal spinal fixation were performed, which enabled a good outcome.RESUMO OBJETIVO: Descrever o caso de uma paciente diab ética que desenvolveu osteomielite vertebral e abcesso bilateral do psoas com formação de gás causada por klebsiella pneumoniae. MÉTODOS: Uma mulher de 64 anos de idade, com 4 anos de histórico de diabetes mellitus tipo 2, foi admitida no Serviço de Emergência. A paciente apresentava um qua dr...
Source: Revista da Associacao Medica Brasileira - June 4, 2019 Category: General Medicine Source Type: research

Brazilian Study of Nutrition and Health (EBANS) - Brazilian data of ELANS: methodological opportunities and challenges
SUMMARY BACKGROUND: Epidemiological studies with dietary variables are complex methodologically, being the researcher responsible for anticipating, controlling, reducing and preventing methodological errors. Obesity accounts for almost one-third of the world's population and has consequences for childhood and adolescence. Multifactorial disorder must be faced in several aspects, being food and physical activity, modifiable risk factors. The EBANS aims to perform a diagnosis of the nutritional status of the Brazilian population from 15 to 65 years old, from all regions, and the parameters associated with obesity, with seve...
Source: Revista da Associacao Medica Brasileira - June 4, 2019 Category: General Medicine Source Type: research

Evaluation of predictive measurements of excess weight in brazilian children
CONCLUSIONS: Aerobic exercise may cause improvements in renal function and quality of life of patients with advanced chronic kidney disease. Further studies about therapeutic exercise protocols specifically in patients with advanced stages of chronic kidney disease should be carried out in order to study their effectiveness and safety.RESUMO OBJETIVO: At é o momento, os efeitos do exercício terapêutico ainda não tinham sido avaliados quanto aos parâmetros de função renal e qualidade de vida em pacientes com doença renal crônica avançada, especificamente. Assim, o objetivo do estudo foi avaliar os efeitos do exer...
Source: Revista da Associacao Medica Brasileira - June 4, 2019 Category: General Medicine Source Type: research

Aerobic exercise effects in renal function and quality of life of patients with advanced chronic kidney disease
CONCLUSIONS: Aerobic exercise may cause improvements in renal function and quality of life of patients with advanced chronic kidney disease. Further studies about therapeutic exercise protocols specifically in patients with advanced stages of chronic kidney disease should be carried out in order to study their effectiveness and safety.RESUMO OBJETIVO: At é o momento, os efeitos do exercício terapêutico ainda não tinham sido avaliados quanto aos parâmetros de função renal e qualidade de vida em pacientes com doença renal crônica avançada, especificamente. Assim, o objetivo do estudo foi avaliar os efeitos do exer...
Source: Revista da Associacao Medica Brasileira - June 4, 2019 Category: General Medicine Source Type: research

Investigation of the relationship between umbilical cord pH and intraventricular hemorrhage of infants delivered preterm
CONCLUSION: Blood gases do not help in determining the occurrence of IVH in infants. Nevertheless, it is associated with immaturity and fetal age.RESUMO OBJETIVOS: Medimos o n ível de gases de pH em bebês prematuros, no nascimento dos neonatos, e examinamos a relação entre a ecografia cerebral no terceiro e no sétimo dia após o nascimento. Um estudo de casos e controles realizados na Unidade de Cuidados Intensivos Neonatais (UCIN) do Hospital Shahid Akbar Abadi dura nte os anos de 2016-2017, Irã. MÉTODOS: Todos os recém-nascidos prematuros que deram entrada na UCIN foram inscritos no estudo atual. Ao nascer, foi...
Source: Revista da Associacao Medica Brasileira - June 4, 2019 Category: General Medicine Source Type: research

Abnormal expression of b10 cell frequencies: possible relation to pathogenesis and disease severity of aplastic anemia
CONCLUSIONS: The present study attempted to elucidate the potential role of the scale-down proportion of B10 cells in the pathogenesis of AA.RESUMO OBJETIVO: A anemia apl ástica (AA) é uma doença imunomediada que destrói células hematopoiéticas por meio dos linfócitos T ativados. A imunidade humoral mediada por linfócitos B também desempenha um papel importante na patogênese da AA. A subpopulação de células B reguladoras (Breg), que é definida como “ B10 ” , secreta interleucina 10 (IL-10). No experimento, investigou-se se a propor ção reduzida de células B10 nos pacientes de AA pode desempenhar um pa...
Source: Revista da Associacao Medica Brasileira - June 4, 2019 Category: General Medicine Source Type: research

Platelet to lymphocyte and neutrophil to lymphocyte ratios as strong predictors of mortality in intensive care population
CONCLUSION: We suggest that physicians should pay particular attention to the treatment of patients in ICU with elevated NLR and PLR.RESUMO OBJETIVO: Pacientes em unidades de terapia intensiva (UTI) apresentam maior morbimortalidade. Nosso objetivo foi estudar a raz ão de neutrófilos para linfócitos (NLR) e de plaquetas para linfócitos (PLR) na população de UTI. MÉTODOS: Dados médicos e laboratoriais dos pacientes tratados em UTI foram analisados retrospectivamente. Os pacientes foram divididos em grupos de falecidos e de sobreviventes. RESULTADOS: O NLR de indivíduos sobreviventes e falecidos foi de 3,6 (0,2-3...
Source: Revista da Associacao Medica Brasileira - June 4, 2019 Category: General Medicine Source Type: research

Knowledge of human papillomavirus and Pap test among Brazilian university students
CONCLUSIONS: These findings highlight the need for educational campaigns regarding HPV infection, its potential as a cervical cancer agent and the forms of prevention available.RESUMO OBJETIVO: O papilomav írus humano (HPV) é o vírus sexualmente transmissível mais prevalente no mundo, estando a infecção por este agente associada a um aumento do risco do câncer de colo uterino. A abordagem mais eficaz para o controle desse tipo de câncer continua sendo a triagem por meio do exame preventivo (Pa panicolaou). Este estudo analisa o conhecimento de estudantes universitárias de cursos da área da saúde, bem como curso...
Source: Revista da Associacao Medica Brasileira - June 4, 2019 Category: General Medicine Source Type: research

Restless legs syndrome and quality of life in pregnant women
CONCLUSION: These results indicate that almost half of the pregnant women in this study experienced RLS, and about half of those with RLS experienced severe or very severe RLS. There is a significant relationship between RLS and six domains of SF-36 (physical, role limitations, pain, general health perception, energy/vitality, and mental health).RESUMO OBJETIVO: Neste estudo, objetivamos determinar a extens ão da síndrome das pernas inquietas (SPI) em gestantes e avaliar a relação da síndrome com a qualidade de vida. MÉTODOS: Este é um estudo descritivo transversal. Um questionário desenvolvido pelo pesquisador,...
Source: Revista da Associacao Medica Brasileira - June 4, 2019 Category: General Medicine Source Type: research

Evaluation of the systemic and therapeutic repercussions caused by drug interactions in oncology patients
CONCLUSION: In the present study, drug interactions were frequent, including serious interactions with a potential increase in morbidity and mortality. Thus, it is necessary for oncologists to draw up a therapeutic plan considering potential interactions between prescribed chemotherapy and current medications in use by patients.RESUMO INTRODU ÇÃO: Interação medicamentosa é uma importante causa de morbidade mundial. Apresenta especial importância em pacientes oncológicos, pois esses frequentemente estão em uso de polifarmácia, podendo haver interações entre os medicamentos e os quimioterápicos utilizados. OBJE...
Source: Revista da Associacao Medica Brasileira - June 4, 2019 Category: General Medicine Source Type: research

Motivations for smoking in hospitalized patients
SUMMARY OBJECTIVE: To investigate the profile of motivations for smoking among inpatients at a hospital in southern Brazil. METHODS: A survey study involving hospitalized smokers. The Modified Reasons for Smoking Scale (MRFSS) and its domains were analyzed according to gender and dependence degree. RESULTS: The sample consisted of 85 adults (mean age 53 years), low schooling/family income, and well-adjusted in terms of gender (male= 52.9%) and clinical (48%) or surgical (47%) specialty. Most were in Action as the motivational stage (68%), with elevated smoking exposure (median = 39 years/packs) and dependence degree of ...
Source: Revista da Associacao Medica Brasileira - June 4, 2019 Category: General Medicine Source Type: research

Emergency cerclage: gestational and neonatal outcomes
CONCLUSIONS: Emergency cerclage was associated with longer latency, a significant impact on gestational age at delivery and reduction in the fetal death rate.RESUMO OBJETIVO: Os resultados gestacionais e neonatais de mulheres com cervicodilata ção precoce submetidas à cerclagem de emergência foram avaliados e comparados com mulheres tratadas com manejo expectante com repouso no leito. MÉTODOS: Análise retrospectiva de gestantes admitidas entre 2001 e 2017 com diagnóstico de cervicodilatação precoce e/ou membranas protrusas. Fora m incluídas pacientes com gestação única de feto sem malformações, entre 16 se...
Source: Revista da Associacao Medica Brasileira - June 4, 2019 Category: General Medicine Source Type: research

Electrocardiographic changes in patients with acute brain injury
SUMMARY Hypertension may occur with left ventricular (LV) diastolic dysfunction, and the consequence may be symptoms and signs of heart failure (HF). Hepatojugular reflux (HJR), described as a sign of regurgitation of the tricuspid valve, may reflect structural and functional changes of the LV in the hypertensive patient. The signal may be present in the presence of HF. Case: male, 49 years old with uncontrolled blood pressure. Physical examination showed jugular turgescence, HJR, and elevated blood pressure. Complementary exams showed signs of atrial and left ventricular overload in the electrocardiogram and, the echocard...
Source: Revista da Associacao Medica Brasileira - June 4, 2019 Category: General Medicine Source Type: research

Is hepatojugular reflux a good predictor of heart failure with preserved ejection fraction?
SUMMARY Hypertension may occur with left ventricular (LV) diastolic dysfunction, and the consequence may be symptoms and signs of heart failure (HF). Hepatojugular reflux (HJR), described as a sign of regurgitation of the tricuspid valve, may reflect structural and functional changes of the LV in the hypertensive patient. The signal may be present in the presence of HF. Case: male, 49 years old with uncontrolled blood pressure. Physical examination showed jugular turgescence, HJR, and elevated blood pressure. Complementary exams showed signs of atrial and left ventricular overload in the electrocardiogram and, the echocard...
Source: Revista da Associacao Medica Brasileira - June 4, 2019 Category: General Medicine Source Type: research

The role of endoscopic ultrasound in the staging of tracheal neoplasm: a brief review
In this report, endoscopic ultrasound (EUS) was crucial to identify the involvement of the esophageal muscular propria in a tracheal tumor and change the surgical planning of the case. Staging this kind of tumor represents a challenge for physicians. There is no evidence in the literature on which methods represent the gold standard for T staging.RESUMO Neste relato de caso mostramos a complexidade em lidar com tumores traqueais, destacando a import ância do método usado para estadiamento. Neste relato, a ecoendoscopia (EUS) foi fundamental para identificar o envolvimento da camada muscular própria esofágica por um tum...
Source: Revista da Associacao Medica Brasileira - June 4, 2019 Category: General Medicine Source Type: research