Revista da Associa??o Médica Brasileira (English Edition)最新文献

{"title":"Laser therapy in oral mucositis control: a meta-analysis","authors":"André Luiz Peixoto Figueiredo , Liliane Lins , Ana Carolina Cattony , Antônio Fernando Pereira Falcão","doi":"10.1016/S2255-4823(13)70506-X","DOIUrl":"https://doi.org/10.1016/S2255-4823(13)70506-X","url":null,"abstract":"","PeriodicalId":101100,"journal":{"name":"Revista da Associa??o Médica Brasileira (English Edition)","volume":"59 5","pages":"467-474"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S2255-4823(13)70506-X","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72283499","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of the length of hospital stay in cases of coronary artery bypass graft by payer","authors":"Gilmara Silveira da Silva ,&nbsp;Alexandre Gonçalves de Sousa ,&nbsp;Douglas Soares ,&nbsp;Flávia Cortez Colósimo ,&nbsp;Raquel Ferrari Piotto","doi":"10.1016/S2255-4823(13)70464-8","DOIUrl":"10.1016/S2255-4823(13)70464-8","url":null,"abstract":"<div><h3>Objective</h3><p>The length of hospital stay (LOS) allows for the evaluation of the efficiency of a given hospital facility, as well as providing a basis for measuring the number of hospital beds required to provide assistance to the population in a specific area.</p></div><div><h3>Methods</h3><p>A retrospective survey was conducted on a database of 3,010 patients submitted to coronary artery bypass graft (CABG) from July, 2009 to July, 2010.</p></div><div><h3>Results</h3><p>Among 2,840 patients that met the inclusion criteria, 92.1% had their surgery paid by the Brazilian Unified Health System (Sistema Único de Saúde - SUS) and 7.9% by health plans or themselves (non-SUS). 70.2% were male, the average age was 61.9 years old, and the average risk score (EuroScore) was 2.9%. The SUS and the non-SUS groups did not differ regarding the waiting time for surgery (WTS) (2.59<!--> <!-->±<!--> <!-->3.10 vs. 3.02<!--> <!-->±<!--> <!-->3.70 days for SUS and non-SUS respectively; p<!--> <!-->=<!--> <!-->0.790), but did differ with respect to the length of stay in intensive care unit (2.17<!--> <!-->±<!--> <!-->3.84 vs. 2.52<!--> <!-->±<!--> <!-->2.72 days for SUS and non-SUS respectively; p<!--> <!-->&lt;<!--> <!-->0.001), the postoperative period (8.34<!--> <!-->±<!--> <!-->10.32 vs. 9.19<!--> <!-->±<!--> <!-->6.97 days for SUS and non-SUS respectively; p<!--> <!-->&lt;<!--> <!-->0.001), and the total LOS (10.93<!--> <!-->±<!--> <!-->11.08 vs. 12.21<!--> <!-->±<!--> <!-->8.20 days for SUS and non-SUS respectively; p<!--> <!-->&lt;<!--> <!-->0.001). The non-SUS group had more events of non-elective surgery (p<!--> <!-->=<!--> <!-->0.002) and surgery without cardiopulmonary bypass (p<!--> <!-->=<!--> <!-->0.012). The groups did not differ regarding the associated valve procedure (p<!--> <!-->=<!--> <!-->0.057) nor other non-valve procedures (p<!--> <!-->=<!--> <!-->0.053), but they did differ with respect to associated non-cardiac procedures (p<!--> <!-->=<!--> <!-->0.017). ICU readmission (p<!--> <!-->=<!--> <!-->0.636) and postoperative complications rates were similar in both groups (p<!--> <!-->=<!--> <!-->0.055).</p></div><div><h3>Conclusion</h3><p>The Non-SUS group showed longer LOS compared to the SUS group.</p></div>","PeriodicalId":101100,"journal":{"name":"Revista da Associa??o Médica Brasileira (English Edition)","volume":"59 3","pages":"Pages 248-253"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S2255-4823(13)70464-8","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78437027","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"What is the role of endoscopic ultrasound in palliative drainage of malignant biliary obstruction?","authors":"Jarbas Faraco Maldonado Loureiro ,&nbsp;Everson Luiz de Almeida Artifon ,&nbsp;Elias Jirjoss Ilias","doi":"10.1016/S2255-4823(13)70496-X","DOIUrl":"10.1016/S2255-4823(13)70496-X","url":null,"abstract":"","PeriodicalId":101100,"journal":{"name":"Revista da Associa??o Médica Brasileira (English Edition)","volume":"59 5","pages":"Pages 409-410"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S2255-4823(13)70496-X","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78564205","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Age-related macular degeneration","authors":"Conselho Brasileiro de Oftalmologia (Brazilian Council of Ophthalmology)","doi":"10.1016/S2255-4823(13)70441-7","DOIUrl":"10.1016/S2255-4823(13)70441-7","url":null,"abstract":"","PeriodicalId":101100,"journal":{"name":"Revista da Associa??o Médica Brasileira (English Edition)","volume":"59 2","pages":"Pages 106-111"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S2255-4823(13)70441-7","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78012219","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Two days and two very special visits at RAMB headquarters","authors":"Bruno Caramelli","doi":"10.1016/S2255-4823(13)70419-3","DOIUrl":"https://doi.org/10.1016/S2255-4823(13)70419-3","url":null,"abstract":"","PeriodicalId":101100,"journal":{"name":"Revista da Associa??o Médica Brasileira (English Edition)","volume":"59 1","pages":"Pages 1-2"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S2255-4823(13)70419-3","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91764975","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Update on age-related macular degeneration","authors":"Wanderley M. Bernardo,&nbsp;Flávio Rocha Lima Paranhos,&nbsp;Rogério Alves Costa,&nbsp;Rodrigo Meirelles,&nbsp;Ricardo Simões","doi":"10.1016/S2255-4823(13)70461-2","DOIUrl":"10.1016/S2255-4823(13)70461-2","url":null,"abstract":"","PeriodicalId":101100,"journal":{"name":"Revista da Associa??o Médica Brasileira (English Edition)","volume":"59 3","pages":"Page 233"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S2255-4823(13)70461-2","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88572869","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Atopic dermatitis in adults: clinical and epidemiological considerations","authors":"Raquel Leão Orfali ,&nbsp;Marta M. Shimizu ,&nbsp;Roberto Takaoka ,&nbsp;Mariana C. Zaniboni ,&nbsp;Aline S. Ishizaki ,&nbsp;Anderson A. Costa ,&nbsp;Ana Paula L. Tiba ,&nbsp;Maria Notomi Sato ,&nbsp;Valéria Aoki","doi":"10.1016/S2255-4823(13)70468-5","DOIUrl":"https://doi.org/10.1016/S2255-4823(13)70468-5","url":null,"abstract":"<div><h3>Objective</h3><p>Atopic dermatitis (AD) is a chronic inflammatory disease causing intense pruritus, and with typical clinical features. There are few epidemiological studies concerning AD in adults, as well as little information about its prognostic. The aim of this study was to evaluate the clinical and epidemiological course of adults with AD.</p></div><div><h3>Methods</h3><p>80 patients aged above 18 years (mean age<!--> <!-->=<!--> <!-->29 years) were selected (30 males and 50 females) and interviewed about hospitalization, systemic corticoid usage, age of AD onset, and personal and/or familial history of atopy. Disease severity was evaluated through the Scoring Atopic Dermatitis (SCORAD) tool. Laboratory examination included IgE serum levels and eosinophil blood count.</p></div><div><h3>Results</h3><p>71 out of 80 patients referred association with respiratory symptoms (18 had asthma, 17 had rhinitis, and 36 had both conditions); nine out of 80 patients denied any respiratory disease. AD patients were divided in mild (n<!--> <!-->=<!--> <!-->25), moderate (n<!--> <!-->=<!--> <!-->30), and severe (n<!--> <!-->=<!--> <!-->25); 56% had one or more hospitalizations due to AD. A positive association was found between IgE serum levels, eosinophil blood count, and disease severity.</p></div><div><h3>Conclusion</h3><p>Adult AD represents a clinical challenge that needs to be better characterized, since it can be misdiagnosed and interferes with the patient's social and personal life. The association of skin and respiratory atopic disease is frequent, and laboratory parameters such as circulating IgE levels and eosinophil blood count may be helpful to assess disease severity.</p></div>","PeriodicalId":101100,"journal":{"name":"Revista da Associa??o Médica Brasileira (English Edition)","volume":"59 3","pages":"Pages 270-275"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S2255-4823(13)70468-5","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137161965","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Polycystic ovary syndrome and intervening factors in adolescents from 15 to 18 years old","authors":"Franciane Rocha de Faria ,&nbsp;Laís Silveira Gusmão ,&nbsp;Eliane Rodrigues de Faria ,&nbsp;Vivian Siqueira Santos Gonçalves ,&nbsp;Roberta Stofeles Cecon ,&nbsp;Sylvia do Carmo Castro Franceschini ,&nbsp;Silvia Eloiza Priore","doi":"10.1016/S2255-4823(13)70485-5","DOIUrl":"https://doi.org/10.1016/S2255-4823(13)70485-5","url":null,"abstract":"<div><h3>Objective</h3><p>To assess the factors related to the presence of polycystic ovary syndrome (PCOS) in adolescents.</p></div><div><h3>Methods</h3><p>This was a cross-sectional study, with female adolescents from 15 to 18 years old, divided into: group 1 (with a medical diagnosis of PCOS) and group 2 (not diagnosed with PCOS). The height-for-age index and the body mass index were used for classifying the nutritional status, and a semi-structured questionnaire was applied. The Mann-Whitney test, Fisher's exact test, Spearman correlation coefficients, and logistic regression were used.</p></div><div><h3>Results</h3><p>This study evaluated 485 adolescents with an average age of 16.3<!--> <!-->±<!--> <!-->0.9 years old. The prevalence of PCOS was 6.2%. No difference was found between the groups regarding anthropometric parameters and period of contraceptive use; however, there were differences regarding the age at menarche (p<!--> <!-->&lt;<!--> <!-->0.004). Older age at menarche was a protection factor against the syndrome.</p></div><div><h3>Conclusion</h3><p>An association was found between younger age at menarche and the development of the PCOS in adolescents.</p></div>","PeriodicalId":101100,"journal":{"name":"Revista da Associa??o Médica Brasileira (English Edition)","volume":"59 4","pages":"Pages 341-346"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S2255-4823(13)70485-5","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137438542","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"What are the recommendations for pregnant and lactating women undergoing endoscopic procedures?","authors":"Jarbas Faraco Maldonado ,&nbsp;Elias Jirjoss Ilias","doi":"10.1016/S2255-4823(13)70439-9","DOIUrl":"https://doi.org/10.1016/S2255-4823(13)70439-9","url":null,"abstract":"","PeriodicalId":101100,"journal":{"name":"Revista da Associa??o Médica Brasileira (English Edition)","volume":"59 2","pages":"Pages 102-103"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S2255-4823(13)70439-9","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136496681","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Medication errors in hospitals: Bioethical issues","authors":"Gabriella Rejane dos Santos Dalmolin,&nbsp;José Roberto Goldim","doi":"10.1016/S2255-4823(13)70436-3","DOIUrl":"https://doi.org/10.1016/S2255-4823(13)70436-3","url":null,"abstract":"","PeriodicalId":101100,"journal":{"name":"Revista da Associa??o Médica Brasileira (English Edition)","volume":"59 2","pages":"Pages 95-99"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S2255-4823(13)70436-3","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136530785","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}