São Paulo medical journal = Revista paulista de medicina
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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.
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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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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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Older adults with a range of comorbidities are often prescribed multiple medications, which favors drug interactions. ⋯ The frequency of potential drug interactions in drug therapy prescribed at discharge for these older adults was high. Polypharmacy, diabetes mellitus, hypothyroidism and chronic kidney disease were positively associated with occurrences of drug interactions, while hospitalization in geriatric units showed an inverse association.
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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.