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

{"title":"Prevalence of obesity in asthma and its relations with asthma severity and control","authors":"Gabriele Carra Forte ,&nbsp;Denis Maltz Grutcki ,&nbsp;Samuel Millán Menegotto ,&nbsp;Rosemary Petrik Pereira ,&nbsp;Paulo de Tarso Roth Dalcin","doi":"10.1016/S2255-4823(13)70525-3","DOIUrl":"https://doi.org/10.1016/S2255-4823(13)70525-3","url":null,"abstract":"<div><h3>Objective</h3><p>To determine the prevalence of obesity in asthmatic patients attending at an out-patient clinic, and to investigate its relationships with asthma severity and level of asthma control.</p></div><div><h3>Methods</h3><p>In a cross-sectional study we recruited patients aged 11 years and older with con-firmed asthma diagnosis from the outpatient asthma clinic of Hospital de Clínicas de Porto Alegre, Brazil. They underwent an evaluation by a general questionnaire, an asthma control questionnaire and by pulmonary function tests. Nutritional status was classified by body mass index (BMI).</p></div><div><h3>Results</h3><p>272 patients were included in the study. Mean age was 51.1<!--> <!-->±<!--> <!-->16.5 years and there were 206 (74.9%) female patients. Mean BMI was 27.5<!--> <!-->±<!--> <!-->5.3<!--> <!-->kg/m², and 96 (35.3%) patients were classified as normal weight, 97 (35.7%) as overweight and 79 (29%) as obesity.There was a significant higher proportion of female than male patients (34.3% vs. 13.2%, p<!--> <!-->=<!--> <!-->0.002) in the obesity group. There were no significant differences with respect to asthma control (p<!--> <!-->=<!--> <!-->0.741) and severity classification (p<!--> <!-->=<!--> <!-->0.506). The FEV₁% predicted was significantly higher in the obese than in the non-obese group (73.7% vs. 67.2%, p<!--> <!-->=<!--> <!-->0.037). Logistic regression analysis identified sex (OR<!--> <!-->=<!--> <!-->3.84, p<!--> <!-->=<!--> <!-->0.002) as an independent factor associated with obesity.</p></div><div><h3>Conclusions</h3><p>This study showed a high prevalence of obesity in asthmatic patients. Obese andnon-obese subjects were similar in regard to asthma severity and level of asthma control. Female sex was associated with obesity in this asthma population.</p></div>","PeriodicalId":101100,"journal":{"name":"Revista da Associa??o Médica Brasileira (English Edition)","volume":"59 6","pages":"Pages 594-599"},"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)70525-3","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72282162","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":"Zinc supplementation in the treatment of anorexia nervosa","authors":"Associação Brasileira de Nutrologia (Brazilian Association of Nutrology)","doi":"10.1016/S2255-4823(13)70481-8","DOIUrl":"10.1016/S2255-4823(13)70481-8","url":null,"abstract":"","PeriodicalId":101100,"journal":{"name":"Revista da Associa??o Médica Brasileira (English Edition)","volume":"59 4","pages":"Pages 321-324"},"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)70481-8","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89274855","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":"Neonatal adverse outcome of elective caesarean section before 39 weeks of gestation","authors":"Rossana Pulcineli Vieira Francisco,&nbsp;Marcelo Zugaib","doi":"10.1016/S2255-4823(13)70435-1","DOIUrl":"10.1016/S2255-4823(13)70435-1","url":null,"abstract":"","PeriodicalId":101100,"journal":{"name":"Revista da Associa??o Médica Brasileira (English Edition)","volume":"59 2","pages":"Pages 93-94"},"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)70435-1","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80606774","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":"Use of methylphenidate among medical students: a systematic review","authors":"Guilherme Finger,&nbsp;Emerson Rodrigues da Silva,&nbsp;Asdrubal Falavigna","doi":"10.1016/S2255-4823(13)70471-5","DOIUrl":"https://doi.org/10.1016/S2255-4823(13)70471-5","url":null,"abstract":"<div><h3>Objective</h3><p>To review the effects of methylphenidate on cognitive enhancement, memory, and performance in medical students.</p></div><div><h3>Methods</h3><p>Areview of four databases (LILACS, PubMed, ScienceDirect, and SciELO), analyzing the title and abstract of all articles published between 1990 and 2012 in English, Portuguese, and Spanish. Selected articles were read in entirety, including in the review those that met the established criteria.</p></div><div><h3>Results</h3><p>The prevalence of use among medical students reached 16%, with no gender dif- ference. Most students began using the drug after entering the university, and the reasons cited to justify it are related to enhancing academic performance.</p></div><div><h3>Conclusion</h3><p>There is no evidence in the literature that the use of methylphenidate is benefi- cial in terms of memory or learning. The drug simply increases wakefulness and alertness, reducing the time of sleep.</p></div>","PeriodicalId":101100,"journal":{"name":"Revista da Associa??o Médica Brasileira (English Edition)","volume":"59 3","pages":"Pages 285-289"},"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)70471-5","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137162123","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":"Postmenopausal osteoporosis, breast cancer, and aromatase inhibitor","authors":"Somsri Wiwanitkit ,&nbsp;Viroj Wiwanitkit","doi":"10.1016/S2255-4823(13)70458-2","DOIUrl":"https://doi.org/10.1016/S2255-4823(13)70458-2","url":null,"abstract":"","PeriodicalId":101100,"journal":{"name":"Revista da Associa??o Médica Brasileira (English Edition)","volume":"59 3","pages":"Page 217"},"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)70458-2","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136862338","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":"Effect of different types of self-management education in patients with diabetes","authors":"Maria de Fátima Ferreira Grillo ,&nbsp;Cristina Rolin Neumann ,&nbsp;Suzana Fiore Scain ,&nbsp;Raquel Farias Rozeno ,&nbsp;Jorge Luiz Gross ,&nbsp;Cristiane Bauermann Leitão","doi":"10.1016/S2255-4823(13)70494-6","DOIUrl":"https://doi.org/10.1016/S2255-4823(13)70494-6","url":null,"abstract":"<div><p>Education plays an important role in diabetes mellitus (DM) treatment, as it enables patients to manage their disease. There is a wide range of tested educational interventions, and, to date, no universal model that can be standardized and recognized as effective for all individuals with the disease has been defined. This article aims to review the effect of different types of educational interventions for self-management of glycemic control in patients with DM type 2, in addition to define general recommendations for this treatment strategy.</p></div>","PeriodicalId":101100,"journal":{"name":"Revista da Associa??o Médica Brasileira (English Edition)","volume":"59 4","pages":"Pages 400-405"},"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)70494-6","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137439376","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":"Fetal and neonatal deaths among cases of maternal near miss","authors":"Leonam Costa Oliveira ,&nbsp;Aurélio Antônio Ribeiro da Costa","doi":"10.1016/S2255-4823(13)70508-3","DOIUrl":"https://doi.org/10.1016/S2255-4823(13)70508-3","url":null,"abstract":"","PeriodicalId":101100,"journal":{"name":"Revista da Associa??o Médica Brasileira (English Edition)","volume":"59 5","pages":"487-494"},"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)70508-3","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72283498","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":"Megaesophagus after gastric band placement for the treatment of morbid obesity","authors":"Elias Jirjoss Ilias,&nbsp;Paulo Kassab,&nbsp;Carlos Alberto Malheiros,&nbsp;Wilson Freitas Jr,&nbsp;Fabio Thuler","doi":"10.1016/S2255-4823(13)70515-0","DOIUrl":"https://doi.org/10.1016/S2255-4823(13)70515-0","url":null,"abstract":"","PeriodicalId":101100,"journal":{"name":"Revista da Associa??o Médica Brasileira (English Edition)","volume":"59 6","pages":"Pages 534-535"},"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)70515-0","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137408202","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":"Impact of early enteral nutrition therapy on morbimortality reduction in a Pediatric Intensive Care Unit: A systematic review","authors":"Fernanda Marchetto da Silva ,&nbsp;Ana Carolina Gouvea Bermudes ,&nbsp;Ivie Reis Maneschy ,&nbsp;Graziela de Araújo Costa Zanatta ,&nbsp;Rubens Feferbaum ,&nbsp;Werther Brunow de Carvalho ,&nbsp;Uenis Tannuri ,&nbsp;Artur Figueiredo Delgado","doi":"10.1016/S2255-4823(13)70520-4","DOIUrl":"https://doi.org/10.1016/S2255-4823(13)70520-4","url":null,"abstract":"<div><h3>Objective</h3><p>To assess the impact of early introduction of enteral nutrition therapy on morbidity and mortality reduction in a pediatric intensive care unit.</p></div><div><h3>Methods</h3><p>A search was performed in the literature of the last 10 years in English, with the target population of individuals aged 1 month to 18 years admitted to pediatric intensive care units in the PubMed, Lilacs and Embase databases using the keywords: Critical Care, Nutritional Support and Nutrition Disorders or Malnutrition.</p></div><div><h3>Results</h3><p>Despite advances in the quality of clinical care, the prevalence of malnutrition in hospitalized children remains unchanged in the last 20 years (15-30%) and has implications for the time of admission, course of illness and morbidity. Malnutrition is common and is often poorly recognized and therefore, untreated. Nutritional therapy is an essential part in the treatment of severely ill pediatric patients who have hypercatabolic protein state, which can be minimized with an effective nutritional treatment plan. In this study, we reviewed publications which have shown that there is still a paucity of randomized and controlled studies with good statistical treatment in relation to enteral nutritional therapy with outcomes related to morbidity and mortality. The current guidelines for nutritional therapy in these patients are largely based on expert opinion and data extrapolated from adult studies and studies in healthy children.</p></div><div><h3>Conclusion</h3><p>The scientific evidence on the use of enteral nutrition therapy in improving the development of critically ill pediatric patients is still scarce and further studies are needed focusing on it, and better guidelines must be formulated.</p></div>","PeriodicalId":101100,"journal":{"name":"Revista da Associa??o Médica Brasileira (English Edition)","volume":"59 6","pages":"Pages 563-570"},"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)70520-4","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137408205","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":"Association between primary headaches and depression in young adults in southern Brazil","authors":"Asdrubal Falavigna ,&nbsp;Alisson Roberto Teles ,&nbsp;Gustavo Lisboa Braga ,&nbsp;Lucas Piccoli Conzatti ,&nbsp;Leonardo Gilmone Ruschel ,&nbsp;Pedro Guarise da Silva","doi":"10.1016/S2255-4823(13)70524-1","DOIUrl":"https://doi.org/10.1016/S2255-4823(13)70524-1","url":null,"abstract":"<div><h3>Objective</h3><p>To verify the association between depression and headache in young adults, aswell as to identify the features of headache associated with depression and the influence of this mood disorder on headache-related disability.</p></div><div><h3>Methods</h3><p>A cross-sectional study with self-administered questionnaires about headache and depression was conducted at the Universidade de Caxias do Sul. Beck Depression Inven-tory (BDI) and Migraine Disability Assessment (MIDAS) were used to evaluate depressive symptoms and headache-related disability, respectively. Depression was considered if BDI ≥ 15.</p></div><div><h3>Results</h3><p>A thousand and thirteen young adults were included in the study. A clear relation-ship was observed between headache and depression among the participants. Multivariate analyses demonstrated that nausea or vomiting related to headache and higher headache-related disability scores were independent factors associated with depression. Migraine wasmore associated with depression than the other types of headache.</p></div><div><h3>Conclusion</h3><p>The results demonstrate an association between headache and depression.Depressive symptoms are more likely to be found in young adults with more disabling headaches.</p></div>","PeriodicalId":101100,"journal":{"name":"Revista da Associa??o Médica Brasileira (English Edition)","volume":"59 6","pages":"Pages 589-593"},"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)70524-1","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137408206","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}