Revista da Associacao Medica Brasileira (1992)
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Rev Assoc Med Bras (1992) · Aug 2015
Case ReportsStrongyloides stercoralis hyperinfection: an unusual cause of gastrointestinal bleeding.
Strongyloidiasis is a parasitic disease that may progress to a disseminated form, called hyperinfection syndrome, in patients with immunosuppression. The hyperinfection syndrome is caused by the wide multiplication and migration of infective larvae, with characteristic gastrointestinal and/or pulmonary involvement. This disease may pose a diagnostic challenge, as it presents with nonspecific findings on endoscopy.
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Rev Assoc Med Bras (1992) · Aug 2015
Clinical variables associated with depression in patients with type 2 diabetes.
the aim of the study was to evaluate the relationship between type 2 diabetes (T2DM), depression and depressive symptoms and their clinical impact on T2DM. ⋯ T2DM led to an increased risk of depression, but this did not influence the metabolic control or the presence of other complications.
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Rev Assoc Med Bras (1992) · May 2015
ReviewEvidences in the treatment of idiopathic normal pressure hydrocephalus.
idiopathic normal pressure hydrocephalus (INPH) is characterized by gait apraxia, cognitive dysfunction and urinary incontinence. There are two main treatment options: ventriculoperitoneal shunt (VPS) and endoscopic third ventriculostomy (ETV). However, there are doubts about which modality is superior and what type of valve should be applied. We are summarizing the current evidence in INPH treatment. ⋯ well-designed studies with a high level of appropriate evidence are still scarce, but the current gold standard for treatment of INPH is conducted using VPS.
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Rev Assoc Med Bras (1992) · May 2015
Review Practice GuidelineBirth route in case of cesarean section in a previous pregnancy.
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Rev Assoc Med Bras (1992) · Mar 2015
Comparative StudyProfile of cystic fibrosis in two reference centers in southern Brazil.
to compare the characteristics of cystic fibrosis patients treated in two reference centers in southern Brazil in order to observe trends in the treatment and clinical outcomes that may produce changes in clinical conduct. ⋯ the study centers seem to receive a different population of patients, both in socioeconomic terms, as well as disease severity, which interferes with the choice of medication treatment. At the HCSA, preventive actions against infection due to the high incidence of Burkholderia cepacia Complex and careful research into early lung changes will be encouraged.