Revista da Associa??o Médica Brasileira (English Edition)最新文献_第10页

Postmenopausal osteoporosis, breast cancer, and aromatase inhibitor 绝经后骨质疏松症，乳腺癌和芳香酶抑制剂

Revista da Associa??o Médica Brasileira (English Edition) Pub Date : 2013-01-01 DOI: 10.1016/S2255-4823(13)70458-2

Somsri Wiwanitkit , Viroj Wiwanitkit

引用次数: 0

Use of methylphenidate among medical students: a systematic review 医学生使用哌甲酯的系统回顾

Revista da Associa??o Médica Brasileira (English Edition) Pub Date : 2013-01-01 DOI: 10.1016/S2255-4823(13)70471-5

Guilherme Finger, Emerson Rodrigues da Silva, Asdrubal Falavigna

引用次数: 0

Effect of different types of self-management education in patients with diabetes 不同类型自我管理教育对糖尿病患者的影响

Revista da Associa??o Médica Brasileira (English Edition) Pub Date : 2013-01-01 DOI: 10.1016/S2255-4823(13)70494-6

Maria de Fátima Ferreira Grillo , Cristina Rolin Neumann , Suzana Fiore Scain , Raquel Farias Rozeno , Jorge Luiz Gross , Cristiane Bauermann Leitão

引用次数: 0

Effectiveness of oxybutynin for treatment of hyperhidrosis in overweight and obese patients 奥施布宁治疗超重和肥胖患者多汗症的疗效

Revista da Associa??o Médica Brasileira (English Edition) Pub Date : 2013-01-01 DOI: 10.1016/S2255-4823(13)70447-8

Nelson Wolosker , Mariana Krutman , Paulo Kauffman , Rafael Pessanha de Paula , Jose Ribas M. de Campos , Pedro Puech-Leão

{"title":"Effectiveness of oxybutynin for treatment of hyperhidrosis in overweight and obese patients","authors":"Nelson Wolosker , Mariana Krutman , Paulo Kauffman , Rafael Pessanha de Paula , Jose Ribas M. de Campos , Pedro Puech-Leão","doi":"10.1016/S2255-4823(13)70447-8","DOIUrl":"https://doi.org/10.1016/S2255-4823(13)70447-8","url":null,"abstract":"<div><h3>Objective</h3><p>Until the present moment, the lack of efficient therapeutic options available for hyperhidrosis treatment in obese patients has left this population without prospect of clinical or quality of life (QOL) improvements. Outcomes of oxybutynin treatment for overweight and obese patients with hyperhidrosis are unknown. This study aims to investigate the results related to clinical and QOL improvements in this specific population, submitted to a 12-week protocol treatment with oxybutynin.</p></div><div><h3>Methods</h3><p>559 patients with palmar and axillary hyperhidrosis, routinely followed in this service, were divided into the groups, according to their body mass index (BMI) (< 25kg/m<sup>2</sup>; 25 < BMI < 30kg/m<sup>2</sup>, > 30kg/m<sup>2</sup>). Improvements in QOL and in the level of hyperhidrosis were analyzed after 12 weeks of protocol treatment with oxybutynin. These parameters were investigated using a scoring system based on a scientifically validated clinical questionnaire, applied before and after treatment.</p></div><div><h3>Results</h3><p>67.8% of the overweight sample group and 63% of the obese patients presented “partial” or “great” improvement in the level of hyperhidrosis. Over 65% of patients demonstrated improvement in QOL (“much better” or “slightly better”) for all three groups, with no statistical difference between them. The only adverse event associated with oxybutynin was dry mouth, observed in 63.0% of the patients.</p></div><div><h3>Conclusion</h3><p>Overweight and obese patients with palmar or axillary hyperhidrosis present significant improvement in QOL after treatment with oxybutynin, and the results are comparable to those of normal weight individuals.</p></div>","PeriodicalId":101100,"journal":{"name":"Revista da Associa??o Médica Brasileira (English Edition)","volume":"59 2","pages":"Pages 143-147"},"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)70447-8","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136551302","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}

引用次数: 0

Lipid profile of HIV-infected patients in relation to antiretroviral therapy: a review hiv感染患者的脂质谱与抗逆转录病毒治疗的关系:综述

Revista da Associa??o Médica Brasileira (English Edition) Pub Date : 2013-01-01 DOI: 10.1016/S2255-4823(13)70454-5

Suelen Jorge Souza , Liania Alves Luzia , Sigrid Sousa Santos , Patrícia Helen Carvalho Rondó

{"title":"Lipid profile of HIV-infected patients in relation to antiretroviral therapy: a review","authors":"Suelen Jorge Souza , Liania Alves Luzia , Sigrid Sousa Santos , Patrícia Helen Carvalho Rondó","doi":"10.1016/S2255-4823(13)70454-5","DOIUrl":"https://doi.org/10.1016/S2255-4823(13)70454-5","url":null,"abstract":"<div><p>This study reviewed the lipid profile of human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) patients in relation to use of antiretroviral therapy (ART), and its different classes of drugs. A total of 190 articles published in peer-reviewed journals were retrieved from PubMed and LILACS databases; 88 of them met the selection criteria and were included in the review. Patients with HIV/AIDS without ART presented an increase of triglycerides and decreases of total cholesterol, low density lipoprotein (LDL-c), and high density lipoprotein (HDL-c) levels. Distinct ART regimens appear to promote different alterations in lipid metabolism. Protease inhibitors, particularly indinavir and lopinavir, were commonly associated with hypercholesterolemia, high LDL-c, low HDL-c, and hypertriglyceridemia. The protease inhibitor atazanavir is apparently associated with a more advantageous lipid profile. Some nucleoside reverse-transcriptase inhibitors (didanosine, stavudine, and zidovudine) induced lipoatrophy and hypertriglyceridemia, whereas abacavir increased the risk of cardiovascular diseases even in the absence of apparent lipid disorders, and tenofovir resulted in lower levels of cholesterol and triglycerides. Although non-nucleoside reverse-transcriptase inhibitors predisposed to hypertriglyceridemia and hypercholesterolemia, nevirapine was particularly associated with high HDL-c levels, a protective factor against cardiovascular diseases. Therefore, the infection itself, different classes of drugs, and some drugs from the same class of ART appear to exert distinct alterations in lipid metabolism.</p></div>","PeriodicalId":101100,"journal":{"name":"Revista da Associa??o Médica Brasileira (English Edition)","volume":"59 2","pages":"Pages 186-198"},"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)70454-5","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136551347","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}

引用次数: 0

Diabetes mellitus risk screening of parents of private school students in the city of Jundiaí, São Paulo, Brazil 巴西圣保罗市Jundiaí私立学校学生家长糖尿病风险筛查

Revista da Associa??o Médica Brasileira (English Edition) Pub Date : 2013-01-01 DOI: 10.1016/S2255-4823(13)70446-6

Maria Cristina Ritter Mazzini , Milena Grossi Blumer , Eduardo Luiz Hoehne , Kátia Regina Leoni Silva Lima de Queiroz Guimarães , Bruno Caramelli , Luciana Fornari , Sônia Valéria Pinheiro Malheiros

{"title":"Diabetes mellitus risk screening of parents of private school students in the city of Jundiaí, São Paulo, Brazil","authors":"Maria Cristina Ritter Mazzini , Milena Grossi Blumer , Eduardo Luiz Hoehne , Kátia Regina Leoni Silva Lima de Queiroz Guimarães , Bruno Caramelli , Luciana Fornari , Sônia Valéria Pinheiro Malheiros","doi":"10.1016/S2255-4823(13)70446-6","DOIUrl":"https://doi.org/10.1016/S2255-4823(13)70446-6","url":null,"abstract":"<div><h3>Objective</h3><p>To screen the risk of developing diabetes mellitus type 2 (DM2) in adult individuals.</p></div><div><h3>Methods</h3><p>Several risk factors for DM2 (sedentary lifestyle, previous coronary artery disease, hyperglycemia-inducing medications, body mass index [BMI], blood pressure, serum triglyceride, and HDL-cholesterol levels) were assessed in 314 adults as a function of gender and age group.</p></div><div><h3>Results</h3><p>73.2% of the population had two or more concurrent risk factors and 26.8% had less than two factors. The occurrence of risk factors for DM2 development was observed even in young adults, and the risk factors are likely associated with aging. Differences in risk factors and incidence were observed between men and women in the same age group.</p></div><div><h3>Conclusion</h3><p>Regardless the age studied, the most prevalent risk factors associated with DM2 were: BMI, sedentary lifestyle, and reduced serum HDL-cholesterol, which are modifiable, thus increasing the importance of preventive measures. Discrepancies found in prevalent risk factors in men and women also suggest that sociocultural differences influence the risk of developing DM.</p></div>","PeriodicalId":101100,"journal":{"name":"Revista da Associa??o Médica Brasileira (English Edition)","volume":"59 2","pages":"Pages 136-142"},"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)70446-6","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136551579","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}

引用次数: 0

Fetal and neonatal deaths among cases of maternal near miss 孕产妇未遂事故中的胎儿和新生儿死亡

Revista da Associa??o Médica Brasileira (English Edition) Pub Date : 2013-01-01 DOI: 10.1016/S2255-4823(13)70508-3

Leonam Costa Oliveira , Aurélio Antônio Ribeiro da Costa

引用次数: 4

Handgrip strength and flexibility and their association with anthropometric variables in the elderly 老年人握力和柔韧性及其与人体测量变量的关系

Revista da Associa??o Médica Brasileira (English Edition) Pub Date : 2013-01-01 DOI: 10.1016/S2255-4823(13)70445-4

Nathalie de Almeida Silva, Tarciana Nobre de Menezes, Rômulo Lustosa Pimenteira de Melo, Dixis Figueroa Pedraza

{"title":"Handgrip strength and flexibility and their association with anthropometric variables in the elderly","authors":"Nathalie de Almeida Silva, Tarciana Nobre de Menezes, Rômulo Lustosa Pimenteira de Melo, Dixis Figueroa Pedraza","doi":"10.1016/S2255-4823(13)70445-4","DOIUrl":"10.1016/S2255-4823(13)70445-4","url":null,"abstract":"<div><h3>Objective</h3><p>To verify the correlation between handgrip strength (HGS) and flexibility with age and anthropometric variables in the elderly.</p></div><div><h3>Methods</h3><p>This was a cross-sectional home-based study of elderly individuals enrolled in the Family Health Strategy of Campina Grande/PB. Gender, age, HGS, flexibility, arm muscle circumference (AMC), corrected arm muscle area (CAMA), and body mass index (BMI) were recorded.</p></div><div><h3>Results</h3><p>A total of 420 elderly individuals were evaluated. Correlations of HGS with age, AMC and CAMA, in both genders, were observed. BMI correlated with HGS only in females. Flexibility correlated with BMI in males. In the multivariate analysis, age and AMC were predictive variables of the HGS variation in females. In males, age was the only variable predictive of HGS, and BMI was the predictor of flexibility variation.</p></div><div><h3>Conclusion</h3><p>The results indicate a probable influence of age and anthropometric variables in muscular strength, as well as that of excess weight in flexibility limitation.</p></div>","PeriodicalId":101100,"journal":{"name":"Revista da Associa??o Médica Brasileira (English Edition)","volume":"59 2","pages":"Pages 128-135"},"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)70445-4","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80579632","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}

引用次数: 5

Chronic myeloid leukemia 慢性髓性白血病

Revista da Associa??o Médica Brasileira (English Edition) Pub Date : 2013-01-01 DOI: 10.1016/S2255-4823(13)70460-0

Associação Brasileira de Hematologia e Hemoterapia (Brazilian Association of Hematology and Hemotherapy), Sociedade Brasileira de Patologia (Brazilian Society of Pathology), Sociedade Brasileira de Pediatria (Brazilian Society of Pediatrics)

引用次数: 7

Update on primary dysmenorrhea: treatment 原发性痛经的最新进展:治疗

Revista da Associa??o Médica Brasileira (English Edition) Pub Date : 2013-01-01 DOI: 10.1016/S2255-4823(13)70517-4

Wanderley M. Bernardo, Maurício Paulo Angelo Mieli, Pérsio Yvon Adri Cezarino, Paulo Francisco Ramos Margarido, Ricardo Simões

引用次数: 1