Revista da Associacao Medica Brasileira (1992)
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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
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.
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Rev Assoc Med Bras (1992) · May 2017
Alcohol and tobacco use and the diseases treated in general practice.
To characterize the use of alcohol and tobacco and correlate both to the diseases of outpatients in a general practice outpatient clinic. ⋯ Respiratory diseases and tobacco use were well correlated based on the ASSIST questionnaire. The preventive value of the questionnaire was more evident in relation to tobacco than alcohol consumption.
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Notifiable diseases (NDs) encompass conditions of high clinical severity and/or contagious. Being closed communities, long-term care facilities (LTCF) are places that deserve attention on their own, but one might be left wondering: what is the reality of NDs at Brazilian LTCFs? ⋯ Chronic NDs and those requiring chronic treatment observed in this study suggest that Brazil needs more studies to define the dynamics of these diseases at LTCFs.
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Rev Assoc Med Bras (1992) · May 2017
Observational StudySexual addiction in drug addicts: The impact of drug of choice and poly-addiction.
To compare the risk of comorbid sexual addiction in a sample of individuals with a diagnosis of substance dependence, stratifying the sample by drug of choice as well as by mono versus polysubstance addiction. ⋯ Our study reinforces the importance of assessing sexual behavior of drug addicts in clinical practice, especially considering users of multiple substances or with severe dependence.