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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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.
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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.