São Paulo medical journal = Revista paulista de medicina
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Use of mammary adenectomy for breast carcinoma treatment remains controversial. ⋯ Mammary adenectomy is a safe and efficacious procedure for selected patients with early-infiltrating breast carcinoma and results in a high rate of patient satisfaction with the reconstructed breasts.
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Although the benefits of physical activity are clear, adherence to physical activity programs is a challenge, especially during transitional phases of life. ⋯ Higher dropout rates from active lifestyles during childhood were observed among girls and adolescents with low cardiorespiratory fitness. Parental inactivity and negative perceptions of friendships were also potential risk factors for discontinuation of childhood physical activity and sports.
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Localized scleroderma (morphea) is characterized by fibrosis of skin and subcutaneous tissue. Granuloma annulare is a relatively common disease that is characterized by dermal papules and arciform plaques. ⋯ Only a few cases in the literature have described coexistence of morphea and granuloma annulare.
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Hypertension is a serious global public health problem that affects a large part of the Brazilian adult population and can cause limitations and losses of quality of life. ⋯ This study showed sociodemographic inequality in the prevalence of hypertension, especially in the population with some degree of limitation associated with hypertension. It showed that improvements in access to primary care services for controlling hypertension at its initial stages are essential in order to avoid comorbidities of greater severity and limitations and losses of quality of life, especially among socially disadvantaged people.
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Making the differential diagnosis between central fever and infectious fever is critically important among intracerebral hemorrhage patients followed up in intensive care units (ICUs). Serum procalcitonin (PCT) has been found to be a promising biomarker for the initial diagnosis of infection, even before culturing results. ⋯ PCT can possibly be used as a biomarker to differentiate between infectious and central fever among ICU patients.