São Paulo medical journal = Revista paulista de medicina
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Case Reports
Hypoglycemia caused by co-secretion of insulin from lung tumor and cardia cancer: first case report.
Non-islet-cell-tumor-induced hypoglycemia (NICTH) is caused on rare occasions by secretion of insulin from tumor cells that are reported to have a single tissue origin. ⋯ This is the first report on intractable hypoglycemia due to co-secretion of insulin from two kinds of primary tumor cells in a single patient.
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Comparative Study Observational Study
Projection of new thresholds for hypertension to outpatient clinic patients and impact of risk factors: a cross-sectional study.
The 2017 American College of Cardiology (ACC)/American Heart Association (AHA) guidelines on hypertension management recommend new stage 1 hypertension thresholds (130-139/80-89 mmHg) for starting antihypertensive treatment. ⋯ The factors associated with the definition of hypertension may vary through changing the threshold values.
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Comparative Study
Detection of potentially pathogenic bacteria on cell phones of hospital and university-based populations in Curitiba, southern Brazil. A cross-sectional study.
Cell phones have become indispensable for professional activities, including healthcare. Thus, they are possible sources of bacterial contamination. There is a scarcity of data in the literature regarding identification of risk factors for contamination of cell phones with pathogenic bacteria. ⋯ Potentially pathogenic bacteria were prevalent on the cell phones of this hospital and university population. Use of phone cases made of cloth-like material should be discouraged, especially in hospital settings.
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Randomized Controlled Trial
The effect of bispectral index monitoring on cognitive performance following sedation for outpatient colonoscopy: a randomized controlled trial.
Bispectral index (BIS) monitoring can positively affect cognitive performance through decreasing the use of sedative agents. We aimed to evaluate the effect of BIS monitoring on early cognitive performance among patients undergoing sedation for colonoscopy. ⋯ This trial was registered in the Australian New Zealand Clinical Trial Registry (ACTRN12617000134325).
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Comparative Study
Relationship between seasons and pregnancy rates during intrauterine insemination. A historical cohort.
The underlying cause of seasonal infertility in humans is unclear, but is likely to be -multifactorial. ⋯ Although the spring group had the highest pregnancy rate, the rates of successful IUI did not differ significantly between the seasonal groups.