Revista da Associa??o Médica Brasileira (English Edition)最新文献_第3页

Anxiety symptoms in crack cocaine and inhalant users admitted to a psychiatric hospital in southern Brazil 巴西南部一家精神病医院收治了快克可卡因和吸入剂使用者的焦虑症状

Revista da Associa??o Médica Brasileira (English Edition) Pub Date : 2013-01-01 Epub Date: 2014-03-14 DOI: 10.1016/S2255-4823(13)70488-0

Carlos Zúbaran , Katia Foresti , Mariana Rossi Thorell , Paulo Roberto Franceschini

{"title":"Anxiety symptoms in crack cocaine and inhalant users admitted to a psychiatric hospital in southern Brazil","authors":"Carlos Zúbaran , Katia Foresti , Mariana Rossi Thorell , Paulo Roberto Franceschini","doi":"10.1016/S2255-4823(13)70488-0","DOIUrl":"10.1016/S2255-4823(13)70488-0","url":null,"abstract":"<div><h3>Objective</h3><p>The occurrence of psychiatric comorbidity among individuals with crack or inhalant dependence is frequently observed. The objective of this study was to investigate anxiety symptoms among crack cocaine and inhalant users in southern Brazil.</p></div><div><h3>Methods</h3><p>The study investigated two groups of volunteers of equal size (n=50): one group consisted of crack cocaine users, and the othergroup consisted of inhalant users. Research volunteers completed the Portuguese versions of the State-Trait Anxiety Inventory (STAI), Hamilton Anxiety Rating Scale (HAM-A), and Self-Report Questionnaire (SRQ).</p></div><div><h3>Results</h3><p>Both crack and inhalant users experience significant symptoms of anxiety. Inhalant users presented significantly more anxiety symptoms than crack users according to the HAM-A questionnaire only. In contrast to the results of the HAM-A, the STAI failed to demonstrate a significant difference between the two groups of substance users. SRQscores revealed that crack and inhalants users had significant degrees of morbidity.</p></div><div><h3>Conclusion</h3><p>A significant difference regarding anxiety symptomatology, especially state anxiety, was observed among inhalant and crack users. Anxiety and overall mental psychopathology were significantly correlated in this sample. The results indicate that screening initiatives to detect anxiety and additional psychiatric comorbidities among crack and inhalant users are feasible and relevant.</p></div>","PeriodicalId":101100,"journal":{"name":"Revista da Associa??o Médica Brasileira (English Edition)","volume":"59 4","pages":"Pages 360-367"},"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)70488-0","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72615752","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

C-reactive protein: clinical applications and proposals for a rational use c反应蛋白的临床应用及合理使用建议

Revista da Associa??o Médica Brasileira (English Edition) Pub Date : 2013-01-01 Epub Date: 2013-10-23 DOI: 10.1016/S2255-4823(13)70434-X

Francisco J.B. Aguiar , Mario Ferreira-Júnior , Maria M. Sales , Luiz M. Cruz-Neto , Luiz A.M. Fonseca , Nairo M. Sumita , Nilo J.C. Duarte , Arnaldo Lichtenstein , Alberto J.S. Duarte

引用次数: 45

Arthroscopic capsular release for refractory shoulder stiffness 关节镜下关节囊松解治疗难治性肩关节僵硬

Revista da Associa??o Médica Brasileira (English Edition) Pub Date : 2013-01-01 Epub Date: 2014-03-14 DOI: 10.1016/S2255-4823(13)70486-7

Marcos Rassi Fernandes

{"title":"Arthroscopic capsular release for refractory shoulder stiffness","authors":"Marcos Rassi Fernandes","doi":"10.1016/S2255-4823(13)70486-7","DOIUrl":"https://doi.org/10.1016/S2255-4823(13)70486-7","url":null,"abstract":"<div><h3>Objective</h3><p>To evaluate the results of the arthroscopic treatment of refractory adhesive capsulitis of the shoulder with two to nine years of follow-up, comparing the pre- and postoperative range of motion.</p></div><div><h3>Methods</h3><p>This was an observational study (case series) of 18patients who underwent arthroscopic capsular release for refractory shoulder stiffness. The mean age was of 53.6 years (range: 39 to 68), with female predominance (77.77%) and nine cases left shoulders. There were 6 primary (33.33%) and 12 secondary cases (66.67%). Arthroscopic capsular release was performed in all patients after a mean of 9.33 months of physical therapy (range: 6 to 20 months) with a minimum follow-up of two years (range: 26 to 110 months).</p></div><div><h3>Results</h3><p>The mean active and passive forward flexion, external rotation and internal rotation increased from 94.4°/103.3°, 11.9°/21.9°, and S1/L5 vertebral level, respectively, to 151.1°/153.8°, 57.2°/64.4°, and T12/T10 vertebral level, respectively. There was a significant difference between the pre- and postoperative range of motion (p<0.001). According to the Constant-Murley functional score (ROM), the value increased from 14 (preoperative mean) to 30 points (postoperative mean). Postoperatively, all patients showed diminished shoulder pain (none or mild/15 or 10 points in the Constant-Murley score).</p></div><div><h3>Conclusion</h3><p>Arthroscopic treatment is an effective treatment for refractory shoulder stiffness.</p></div>","PeriodicalId":101100,"journal":{"name":"Revista da Associa??o Médica Brasileira (English Edition)","volume":"59 4","pages":"Pages 347-353"},"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)70486-7","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137439362","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

Comparison of NCHS, CDC, and WHO curves in children with cardiovascular risk NCHS、CDC和WHO儿童心血管风险曲线的比较

Revista da Associa??o Médica Brasileira (English Edition) Pub Date : 2013-01-01 Epub Date: 2014-03-14 DOI: 10.1016/S2255-4823(13)70490-9

Grasiela Junges de Oliveira , Sandra Mari Barbiero , Claudia Ciceri Cesa , Lucia Campos Pellanda

{"title":"Comparison of NCHS, CDC, and WHO curves in children with cardiovascular risk","authors":"Grasiela Junges de Oliveira , Sandra Mari Barbiero , Claudia Ciceri Cesa , Lucia Campos Pellanda","doi":"10.1016/S2255-4823(13)70490-9","DOIUrl":"https://doi.org/10.1016/S2255-4823(13)70490-9","url":null,"abstract":"<div><h3>Objective</h3><p>The study aimed to compare the prevalence of overweight and obesity according to three growth curves, created by the World Health Organization (WHO/2006), by the National Center for Health Statistics (NCHS/1977), and by the Centers for Disease Control and Prevention (CDC/2000) in children with cardiovascular risk factors.</p></div><div><h3>Methods</h3><p>Data from 118 children and adolescents, aged between 2 and 19 years, treated between the years 2001 to 2009 at the Pediatric Preventive Cardiology Outpatient Clinic of the Instituto de Cardiologia de Porto Alegre were evaluated. The variables analyzed were: weight, height, age, and gender. Variables were classified according to the following criteria: weight/age, height/age, and body mass index (BMI). The cutoff points used were obtained from the three growth curves: WHO/2006, NCHS/1977, and CDC/2000.</p></div><div><h3>Results</h3><p>Regarding the criterion weight/age by the NCHS curve, 18% of the children were classified as having normal weight, and 82% had excess weight; by the CDC curve, 28% had normal and 72% had excess weight; by the WHO curve, 16.0% had normal weight and 84% had excess weight. According to the BMI, 0.8% of the population was underweight. 7.6% and 6.8% had normal weight; 26.3% and 11.9% were overweight; and 65.3% and 80.5% were obese, according to the CDC and WHO curves, respectively. Regarding the height/age criterion, there was no significant difference between the references and, on average, 98.3% of the population showed adequate height for age.</p></div><div><h3>Conclusion</h3><p>The new WHO curves are more sensitive to identify obesity in a population at risk, which has important implications for preventive and therapeutic management.</p></div>","PeriodicalId":101100,"journal":{"name":"Revista da Associa??o Médica Brasileira (English Edition)","volume":"59 4","pages":"Pages 375-380"},"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)70490-9","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137439377","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

Foreign physicians: the language issue 外国医生:语言问题

Revista da Associa??o Médica Brasileira (English Edition) Pub Date : 2013-01-01 Epub Date: 2014-03-14 DOI: 10.1016/S2255-4823(13)70495-8

Bruno Caramelli

引用次数: 0

Ranking of the scientific production in Brazilian universities in the health science area – 1996 to 2011 1996年至2011年巴西大学卫生科学领域的科研成果排名

Revista da Associa??o Médica Brasileira (English Edition) Pub Date : 2013-01-01 Epub Date: 2014-03-14 DOI: 10.1016/S2255-4823(13)70512-5

Marina Jordan Aguiar, Bruno Caramelli

引用次数: 0

Breast cancer during pregnancy and chemotherapy: a systematic review 妊娠期乳腺癌与化疗:一项系统综述

Revista da Associa??o Médica Brasileira (English Edition) Pub Date : 2013-01-01 Epub Date: 2013-10-23 DOI: 10.1016/S2255-4823(13)70452-1

Denise Leite Maia Monteiro , Alexandre José Baptista Trajano , Daniela Contage Siccardi Menezes , Norma Luiza Machado Silveira , Alessandra Caputo Magalhães , Fatima Regina Dias de Miranda , Barbara Caldas

{"title":"Breast cancer during pregnancy and chemotherapy: a systematic review","authors":"Denise Leite Maia Monteiro , Alexandre José Baptista Trajano , Daniela Contage Siccardi Menezes , Norma Luiza Machado Silveira , Alessandra Caputo Magalhães , Fatima Regina Dias de Miranda , Barbara Caldas","doi":"10.1016/S2255-4823(13)70452-1","DOIUrl":"10.1016/S2255-4823(13)70452-1","url":null,"abstract":"<div><p>This study aimed to establish the safety of chemotherapy use in pregnant women with breast cancer, and to find possible effects in the fetus. A search of MEDLINE/PubMed, LILACS, SciELO, Cochrane, UpToDate, and Google Scholar databases was performed to identify publications., 86 articles published from 2001 to 2012 were retrieved and evaluated by two readers in accordance predetermined exclusion and inclusion criteria; 39 articles were selected. All the chemotherapy drugs used to treat breast cancer during pregnancy belonged to class D, and consisted of 5-fluorouracil (F), doxorubicin (A) or epirubicin (E) and cyclophosphamide (C), or the combination doxorubicin and cyclophosphamide (AC), a safe regimen when used after the first trimester of pregnancy. Few studies evaluated the use of taxanes (T), such as docetaxel (D) and paclitaxel (P), with no increase in the occurrence of fetal defects and other maternal complications when used in the second and third trimesters of pregnancy. The use of trastuzumab in pregnant women is associated with oligohydramnios and anhydramnios; thus, it is not recommended during pregnancy. As almost all studies were observational and retrospective, new prospective studies on the subject are needed.</p></div>","PeriodicalId":101100,"journal":{"name":"Revista da Associa??o Médica Brasileira (English Edition)","volume":"59 2","pages":"Pages 174-180"},"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)70452-1","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79116379","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: 2

Update on viral community-acquired pneumonia 病毒性社区获得性肺炎的最新情况

Revista da Associa??o Médica Brasileira (English Edition) Pub Date : 2013-01-01 Epub Date: 2013-10-23 DOI: 10.1016/S2255-4823(13)70433-8

Ozéas Galeno da Rocha Neto, Ricardo Ferreira Leite, Bruno Guedes Baldi

引用次数: 25

Brazilian guidelines for biorepositories and biobanks of human biological material 巴西人类生物材料生物储存库和生物银行指南

Revista da Associa??o Médica Brasileira (English Edition) Pub Date : 2013-01-01 Epub Date: 2013-10-23 DOI: 10.1016/S2255-4823(13)70432-6

Gabriela Marodin , Jennifer Braathen Salgueiro , Márcia da Luz Motta , Leonor Maria Pacheco Santos

{"title":"Brazilian guidelines for biorepositories and biobanks of human biological material","authors":"Gabriela Marodin , Jennifer Braathen Salgueiro , Márcia da Luz Motta , Leonor Maria Pacheco Santos","doi":"10.1016/S2255-4823(13)70432-6","DOIUrl":"10.1016/S2255-4823(13)70432-6","url":null,"abstract":"<div><h3>Objective</h3><p>To characterize the participatory and democratic creation of the Brazilian guidelines for biorepositories and biobanks of human biological material with the purpose of research based on the ethical principles of human dignity, autonomy, beneficence, justice, and precaution.</p></div><div><h3>Methods</h3><p>An interdisciplinary work group was constituted to prepare the document, considering the following criteria: experience in biobank operation, regional representation, type of stored biological material, and bioethics specialists. Members of the National Health Surveillance Agency (Agência Nacional de Vigilância Sanitária – Anvisa), also participated due to their regulatory competence. Members from the National Commission on Ethics in Research (Comissão Nacional de Ética em Pesquisa – Conep) participated as the social control organization.</p></div><div><h3>Results</h3><p>The document, based on ethical, legal, and technical guidelines, presents the concepts, activities, purposes, and differences between biorepositories and biobanks; forms of consent on the part of the subject; in addition to other aspects permeated by concerns regarding the appropriate use of information. The Brazilian guidelines for biorepository and biobank of human biological material with the purpose of research contains 39 articles, which are distributed in five chapters.</p></div><div><h3>Conclusion</h3><p>The importance of legislation arises from the ethical concern, considering morals and taking into account the legal aspects, which translate into a document that does not end in itself. The dynamics of science always leads to changes in paradigms, which can go beyond the existing laws.</p></div>","PeriodicalId":101100,"journal":{"name":"Revista da Associa??o Médica Brasileira (English Edition)","volume":"59 1","pages":"Pages 72-77"},"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)70432-6","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84664754","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: 7

Primary dysmenorrhea: treatment 原发性痛经：治疗

Revista da Associa??o Médica Brasileira (English Edition) Pub Date : 2013-01-01 Epub Date: 2014-03-14 DOI: 10.1016/S2255-4823(13)70498-3

Federação Brasileira das Associações de Ginecologia e Obstetrícia (Brazilian Federation of Gynecology and Obstetrics Associations)

引用次数: 3