Revista da Associacao Medica Brasileira (1992)
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Rev Assoc Med Bras (1992) · Mar 2020
Underutilization of insulin and better metabolic control. A NOVA clinic experience.
To present the results of metabolic control in patients with type 2 Diabetes Mellitus from a private clinic in Northern Mexico. ⋯ Our findings are clearly higher than the control rate reported by our national health surveys of 25% with glycated hemoglobin < 7%, but similar to that reported in other countries. The most commonly used therapeutic scheme was the combination of oral hypoglycemic agents. The percentage of cases that include insulin in their treatment was lower. Clinical inertia to insulin initiation and intensification has been defined as an important cause of this problem.
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Rev Assoc Med Bras (1992) · Mar 2020
Physical performance is associated with visual acuity in university students: results of a school-based study.
The aim of our study is to explore the relationship between physical performance and visual acuity in university students in China. ⋯ Our study identified that physical exercise might help improve visual acuity. University students should practice strength exercises to improve physical performance.
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Rev Assoc Med Bras (1992) · Mar 2020
Overall survival predictors in hepatocellular carcinoma patients treated with sorafenib.
Malignant liver tumors are the fourth leading cause of cancer death worldwide. Hepatocellular carcinoma (HCC) accounts for 75-85% of these. Most patients are diagnosed at incurable stages. Palliative care is the appropriate treatment course in these circumstances (chemoembolization and sorafenib). There are few national studies on sorafenib. The objective is to evaluate survival predictors of HCC patients treated with sorafenib and evaluate the compliance of its indication in relation to BCLC recommendations. ⋯ Absence of portal thrombosis, Child-Pugh A, longer time of medication use, ECOG PS 0, and absence of suspension due to clinical worsening were predictors of better overall survival in the study. The drug's indication complies with BCLC guidelines in 94% of patients.
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Rev Assoc Med Bras (1992) · Mar 2020
Factors related to adherence to antiretroviral treatment in a specialized care facility.
The objective of this study was to verify the level of adherence to antiretroviral treatment and its associated factors. This is a descriptive cross-sectional study based on data retrieved from medical records. To achieve this, we used a questionnaire composed of sociodemographic and clinical information recorded from patients aged between thirteen and fifty-nine years who attended a specialized service from 2007 to 2014. ⋯ Among the six variables selected for the multivariate model, cases of aids (p<0.001) remained significant. We concluded that having aids decreases the probability of non-adherence to antiretroviral treatment by 92%. These results indicate that symptomatic patients have better adherence to therapy.
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Rev Assoc Med Bras (1992) · Mar 2020
Alcohol use, abuse and dependence among elderly in outpatient treatment through the application of AUDIT.
To identify or use alcohol abuse and abuse in the IAMSPE elderly, through the application of AUDIT, socioeconomic characterization of the elderly, and problems associated with drinking and weight, if there is a relationship between depression and alcohol abuse. ⋯ In the present study, we found no correlation between alcohol abuse and depression; Only one correlation was found between male gender and higher alcohol abuse. However, a significant prevalence of moderate use of high alcohol was found (3.9% in women and 21.7% in men), i.e., it poses a risk to the health of the elderly.