Revista da Associacao Medica Brasileira (1992)
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Rev Assoc Med Bras (1992) · May 2020
Practice Guideline Meta AnalysisAdvanced melanoma in adults: Pembrolizumab as a treatment option.
The Guidelines Project, an initiative of the Brazilian Medical Association, aims to combine information from the medical field in order to standardize producers to assist the reasoning and decision-making of doctors. The information provided through this project must be assessed and criticized by the physician responsible for the conduct that will be adopted, depending on the conditions and the clinical status of each patient.
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Rev Assoc Med Bras (1992) · May 2020
Meta AnalysisSerum ferritin levels is associated with acute myocardial infarction: a meta-analysis.
An association between increased serum ferritin levels and acute myocardial infarction (AMI) remains controversial. The purpose of this meta-analysis is to confirm the association between increased serum ferritin levels and AMI. ⋯ The results of this meta-analysis demonstrate that serum ferritin in acute myocardial infarction patients is higher than that of healthy controls.
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Rev Assoc Med Bras (1992) · May 2020
Observational StudyThe course of alterations in ureteral jet dynamics following kidney transplantation: a prospective observational cohort study.
To prospectively investigate the alterations and normal ranges of ureteral jet dynamics after double-J-stent (DJS) removal in patients who underwent renal transplantation (RTx). ⋯ After RTx, dilation rate and ureteral jet flow velocities were significantly decreased, and monophasic and square JETpattern rates were significantly increased over time. Ureteral jet dynamics can provide useful information about the follow-up of peristaltic activity in the pelvic-ureteric system.
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Rev Assoc Med Bras (1992) · May 2020
Conditions of vulnerability to the inadequate treatment of bronchiolitis.
To analyze clinical and demographic variables possibly associated with the prescriptions of non-recommended but routinely used therapies for infants with acute viral bronchiolitis. ⋯ Non-recommended prescriptions were frequent. Corticosteroid and antibiotic therapy were associated with signs of severity, as expected, but interestingly, they were more frequently used in infants above 3m, which suggested less safety in the diagnosis of viral bronchiolitis in these patients. The use of bronchodilators was even more worrying since they were indiscriminately used, without association with another variable related to the severity or characteristics of the host. The use of the inhaled hypertonic solution, although not associated with severity, seems to have implied a longer hospitalization time. The identification of these conditions of greater vulnerability to the prescription of inappropriate therapies contributes to the implantation of protocols for the bronchiolitis treatment, for continuing education and for analysis of the effectiveness of the strategies employed.
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Rev Assoc Med Bras (1992) · May 2020
Impact of intermittent fasting on body weight in overweight and obese individuals.
To verify the relationship of intermittent fasting in the bodyweight of overweight and obese individuals through a systematic literature review. ⋯ Results did not provide evidence of the effect of intermittent fasting on weight loss in overweight or obese individuals.