Revista da Associacao Medica Brasileira (1992)
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Rev Assoc Med Bras (1992) · Mar 2017
Solid pseudopapillary tumor of the pancreas: Clinical features, diagnosis and treatment.
Solid pseudopapillary tumor of the pancreas (SPTP) is a rare neoplasm of low malignant potential with uncertain behavior, diagnosed mainly in young women. ⋯ SPTP occurs more frequently in young women. Diagnostic suspicion lies on the finding of a bulky, solid and cystic pancreatic mass. Imaging findings might provide diagnostic information before resection. Conservative approaches can be used in selected cases and survival rates are usually excellent following complete resection.
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Rev Assoc Med Bras (1992) · Mar 2017
ReviewAccuracy of ultrasound to detect thrombosis in pregnancy: A systematic review.
To determine the diagnostic accuracy of ultrasound to detect deep--vein thrombosis in pregnant patients. ⋯ Accuracy of ultrasonography to diagnose deep-vein thrombosis in pregnant women was not determined due to the absence of data yielding positive results. Further studies of low risk of bias are needed to determine the diagnostic accuracy of ultrasonography in this clinical scenario.
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Rev Assoc Med Bras (1992) · Mar 2017
ReviewAssociation between antipsychotics and cardiovascular adverse events: A systematic review.
Determine whether there is an association between the risk of cardiovascular adverse events and the use of antipsychotic agents. ⋯ Clinical heterogeneity among the studies led to a provisional response and made it impossible to perform the meta-analysis, although the articles demonstrate an association between cardiovascular adverse events and the use of antipsychotics. More quality clinical trials are needed to support this evidence.
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Rev Assoc Med Bras (1992) · Mar 2017
ReviewHyperferritinemia in patients with nonalcoholic fatty liver disease.
In liver diseases, hyperferritinemia (HYF) is related to injured cells in acquired and genetic conditions with or without iron overload. It is frequent in patients with nonalcoholic fatty liver disease (NAFLD), in which it is necessary to define the mean of HYF to establish the better approach for them. The present study evaluated the significance of elevated ferritin in patients with NAFLD and steatohepatitis (NASH). ⋯ Hyperferritinemia in patients with NAFLD/NASH is associated more frequently with hepatocellular injury than hemochromatosis. These data suggest the relevance to evaluate carefully HYF in patients with NAFLD/NASH to establish appropriate clinical approach.
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Rev Assoc Med Bras (1992) · Mar 2017
ReviewDialectics of a medical provision policy in priority areas in Brazil.
The people living in vulnerable areas that are difficult to access in Brazil represent a portion of the population that has proven very sensitive to lack of medical and health services. The government, seeking to solve the situation urgently, implemented the More Doctors Program [Programa Mais Médicos, in the Portuguese original] in 2013. ⋯ The regional inequalities of concentration and dispersion of physicians, showed by studies on medical demography in Brazil, stem from several factors, including the lack of a career path and working conditions. There is no point in having physicians if they do not have safe and ethical conditions to establish the diagnosis and a treatment plan, as well as to monitor the rehabilitation of the patient.