Revista da Associacao Medica Brasileira (1992)
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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
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
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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Spinal tumors are rare in the pediatric population, presenting many specific peculiarities when compared to adults. We have performed a broad narrative review to describe the most common spinal tumors in children, discussing their main characteristics and management options. ⋯ Spinal tumors in children are rare lesions that demand a thorough understanding of their main characteristics for their proper management. Understanding the nuances of spinal tumors in children is of paramount importance for improving outcomes and chances of cure.