São Paulo medical journal = Revista paulista de medicina
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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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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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Review Case Reports
Intracranial aneurysm and arachnoid cyst: just a coincidence? A case report.
Presence of an arachnoid cyst and a non-ruptured intracystic brain aneurysm is extremely rare. The aim of this paper was to describe a case of a patient with an arachnoid cyst and a non-ruptured aneurysm inside it. Clinical, surgical and radiological data were analyzed and the literature was reviewed. ⋯ This report raises awareness about the importance of intracranial vascular investigation in patients with arachnoid cysts and brain hemorrhage.
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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
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.