Revista da Associacao Medica Brasileira (1992)
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Rev Assoc Med Bras (1992) · May 2017
ReviewBreast cancer screening in Brazil. Barriers related to the health system.
Identify factors related to the health system that lead to a late diagnosis of breast cancer in Brazil. ⋯ There are several barriers in the health system leading to advanced stage at diagnosis and limiting the survival outcomes. The establishment of a rapid and effective order for diagnosis and treatment, based on hierarchical flow, are important steps to be improved in the public health context.
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Rev Assoc Med Bras (1992) · May 2017
Comparative StudyCardiac remodeling indicators in adolescent athletes.
The idea that different sports and physical training type results in different cardiac adaptations has been widely accepted. However, this remodelling process among different sport modalities is still not fully understood. Thus, the current study aims to investigate the heart morphology variation associated with a set of different modalities characterized by distinct models of preparation and different methods and demands of training and completion. ⋯ The major contributors to changes in heart morphology are for the most part associated with sport-specific training and competition and the specific dynamics and adaptive mechanisms imposed by each sport.
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Rev Assoc Med Bras (1992) · May 2017
Impact of biological therapy on body composition of patients with Chron's disease.
Protein-energy malnutrition in Crohn's disease (CD) has been reported in 20 to 92% of patients, and is associated with increased morbidity and mortality and higher costs for the health system. Anti-TNF drugs are a landmark in the clinical management, promoting prolonged remission in patients with CD. It is believed that the remission of this disease leads to nutritional recovery. The effect of biological therapy on body composition and nutritional status is unclear. ⋯ After therapy with IFX, all components of body composition increased, except for phase angle. The substantial increase in fat mass index and waist circumference led to concern regarding cardiovascular risk and, thus, to the need for further studies.
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Rev Assoc Med Bras (1992) · May 2017
Treatment of digital ulcers in systemic sclerosis: Case series study of thirteen patients and discussion on outcome.
In systemic sclerosis (SSc), digital ulcers (DU) are debilitating and recurrent. They are markers of prognosis and are associated with disability and mortality. Treatment strategies have been developed to block the proposed mechanisms of this complication. ⋯ Younger patients and early referrals had better outcomes. Endothelin receptor antagonist toxicity should be monitored, particularly in patients previously exposed to hepatotoxic drugs.
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Rev Assoc Med Bras (1992) · May 2017
Hyperglycemia in critical patients: Determinants of insulin dose choice.
To identify factors that can determine the choice of intermittent subcutaneous regular insulin dose in critically ill patients with hyperglycemia. ⋯ Clinical characteristics such as diet, medications and diagnosis of diabetes mellitus are clearly ignored in the decision-making regarding insulin dose to be administered for glucose control in critically ill patients with hyperglycemia.