Revista da Associacao Medica Brasileira (1992)
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Breast cancer treatment has evolved significantly over the years, both in terms of local and systemic approaches. Halsted's radical mastectomy gave way to modified mastectomies and to conservative surgeries, along with breast reconstruction and repair. Although the use of new drugs has directly increased the survival of patients submitted to adjuvant or neoadjuvant systemic therapies, the de-escalation of drugs may also be beneficial in numerous cases. Therefore, breast cancer treatment must be increasingly customized and assessed using a multidisciplinary approach. This study aimed to review the concept and therapy of early breast cancer. ⋯ This literature review of current studies shows that the primary therapy for patients with early breast cancer continues to be surgery, although a customized and multidisciplinary approach is now required.
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Rev Assoc Med Bras (1992) · Jan 2023
Randomized Controlled TrialThe effectiveness of erector spina plane, quadratus lumborum blocks, and intrathecal morphine for analgesia after cesarean: a randomized study.
This prospective randomized study was conducted at Ataturk University Medical Faculty Hospital, Department of Anesthesia and Reanimation, from June 2022 to May 2023. The aim of this study was to compare the effectiveness of ultrasound-guided erector spinae plane block, quadratus lumborum block, and intrathecal morphine to decrease postoperative pain after cesarean section. ⋯ All three methods, including intrathecal morphine, erector spinae plane block, and quadratus lumborum block, are efficacious and comparable in providing postoperative analgesia after cesarean under spinal anesthesia.
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Rev Assoc Med Bras (1992) · Jan 2023
Randomized Controlled TrialAntibiotic versus cranberry in the treatment of uncomplicated urinary infection: a randomized controlled trial.
This study was designed to determine the effect of cranberry extract used in patients with single urinary tract infections. ⋯ Considering the results of this study, it was determined that the patient's complaints decreased from day 3 and their well-being increased with the use of cranberry only. Specifically, on day 7, the well-being of the cranberry group was higher than that of the fosfomycin group. For this reason, cranberry is a favorable alternative to antibiotics in uncomplicated and simple urinary tract infections.
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Rev Assoc Med Bras (1992) · Jan 2023
Randomized Controlled TrialFoley catheter plus misoprostol versus misoprostol alone for labor induction.
This study aimed to analyze the effects of Foley catheter combined with misoprostol in the labor induction process. ⋯ A combination of methods leads to shorter labor induction, lower need for misoprostol doses, and lower risk of cesarean section, with no increase in the rate of perinatal complications. REBEC number is RBR-7xcjz3z.
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Rev Assoc Med Bras (1992) · Jan 2023
Randomized Controlled TrialPregnancy school education program in mother friendly training and research hospital impact on stress and anxiety.
This study aimed to investigate prenatal education and its relationship with anxiety and stress in pregnant women. ⋯ State Trait Anxiety Inventory-trait anxiety was lower in pregnant women who received training on prenatal meditation, exercise, and pregnancy health; however, State Trait Anxiety Inventory-state and Pregnancy Stress Rating Scale scores were similar in the two groups. Unemployed pregnant women and those with chronic diseases appear to need closer follow-up to reduce anxiety levels.