São Paulo medical journal = Revista paulista de medicina
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Critical diseases usually cause hypercortisolemia via activation of the hypothalamic-pituitary-adrenal axis. ⋯ Very high cortisol levels are associated with severe illness and increased risk of death, among COVID-19 patients in the ICU.
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Computed tomography (CT) accounts for 13% of all radiological examinations in the United States and 40-70% of the radiation that patients receive. Even with the advent of magnetic resonance imaging (MRI), CT continues to be the gold standard for diagnosing bone fractures. There is uncertainty as to whether CT with a low radiation dose has a fracture detection rate similar to that of standard-dose CT. ⋯ CRD42019148491 at the PROSPERO database.
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Randomized Controlled Trial
Influence of unstable shoes on women with lumbopelvic postpartum pain: randomized clinical trial.
Back pain is a normal symptom during pregnancy and is expected to become worse beyond the first three months after childbirth. ⋯ Unstable shoes were effective in decreasing the pain intensity at five and nine weeks in women with postpartum LPP. In addition, their use produced decreases in lateral stability speed, anterior stability speed and anterior COP at nine weeks.
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Frailty is a condition that can increase the risk of falls. In addition, foot disorders can negatively influence elderly people, thus affecting their condition of frailty. ⋯ These elderly patients presented impairment relating to ambulation and total 5-Frailty score, which seemed to be linked to the presence of frailty syndrome and foot disorders.
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Cardiovascular risk factors can mediate the association between depression and cardiovascular diseases. ⋯ Individuals with major depression had higher odds of presenting tobacco smoking and diabetes, and lower odds of being obese. Healthcare professionals need to be aware of this, so as to increase the rates of diagnosis and treatment in this population.