São Paulo medical journal = Revista paulista de medicina
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The Bournemouth questionnaire is a multidimensional instrument for evaluating health domains among patients with low back pain. ⋯ The Bournemouth questionnaire was translated and culturally adapted to the Portuguese language, to be used among individuals with low back pain.
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Observational Study
Thyroid function among women with gestational trophoblastic diseases. A cross-sectional study.
Gestational trophoblastic diseases (GTDs) are treatable rare tumors with wide distribution. The estimated incidence of GTDs varies dramatically between different regions globally. In early pregnancy, there may be high human chorionic gonadotropin (HCG) concentrations, normal or slightly increased free T4 (fT4) and subnormal thyroid-stimulating hormone (TSH), causing hyperthyroidism ranging from subclinical to severe. Beta-HCG causes thyrotoxicosis through thyroid stimulation in patients with trophoblastic tumors. ⋯ In hydatidiform mole patients, thyroid disease severity increases with age, parity, beta-HCG level and mole size. However, prospective multicenter studies on this topic are needed, with larger numbers of patients and closer monitoring.