Revista da Associa??o Médica Brasileira (English Edition)最新文献_第4页

Digital signature of medical reports: an issue still not resolved 医疗报告的数字签名:问题仍未解决

Revista da Associa??o Médica Brasileira (English Edition) Pub Date : 2013-01-01 Epub Date: 2014-03-14 DOI: 10.1016/S2255-4823(13)70456-9

Aldo von Wangenheim , Ricardo Felipe Custódio , Jean Everson Martina , Isabela de Back Giuliano , Rafael Andrade

引用次数: 0

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

Why are psychological evaluation and preparation necessary for the patient candidate to bariatric surgery? 为什么心理评估和准备对减肥手术患者是必要的?

Revista da Associa??o Médica Brasileira (English Edition) Pub Date : 2013-01-01 Epub Date: 2014-03-14 DOI: 10.1016/S2255-4823(13)70479-X

Alessandra M.B.C. Akamine , Elias Jirjoss Ilias

引用次数: 0

Update on chronic myeloid leukemia 慢性髓性白血病最新进展

Revista da Associa??o Médica Brasileira (English Edition) Pub Date : 2013-01-01 Epub Date: 2014-03-14 DOI: 10.1016/S2255-4823(13)70482-X

Wanderley M. Bernardo, Arthur Moellmann Coelho, Carla Maria B. de Moura Freitas, Carmino Antonio de Souza, Israel Bendit, Katia Borgia Barbosa Pagnamo, Monika Conchon, Veneza Araujo Moreira Funke

引用次数: 0

Assessment of adherence in elderly patients in primary care 老年患者在初级保健中的依从性评估

Revista da Associa??o Médica Brasileira (English Edition) Pub Date : 2013-01-01 Epub Date: 2014-03-14 DOI: 10.1016/S2255-4823(13)70528-9

Antônio Augusto Schmitt Júnior, Stéphanie Lindner, Ernani Tiaraju de Santa Helena

引用次数: 2

Serum magnesium and proton-pump inhibitors use: a cross-sectional study 血清镁和质子泵抑制剂的使用:横断面研究

Revista da Associa??o Médica Brasileira (English Edition) Pub Date : 2013-01-01 Epub Date: 2014-03-14 DOI: 10.1016/S2255-4823(13)70469-7

Gustavo Adolpho Moreira Faulhaber , Bruna Maria Ascoli , Adriano Lubini , Márcio Mossmann , Gabriela Rossi , Guilherme Geib , Tânia Weber Furlanetto

{"title":"Serum magnesium and proton-pump inhibitors use: a cross-sectional study","authors":"Gustavo Adolpho Moreira Faulhaber , Bruna Maria Ascoli , Adriano Lubini , Márcio Mossmann , Gabriela Rossi , Guilherme Geib , Tânia Weber Furlanetto","doi":"10.1016/S2255-4823(13)70469-7","DOIUrl":"https://doi.org/10.1016/S2255-4823(13)70469-7","url":null,"abstract":"<div><h3>Objective</h3><p>The aim of this study was to evaluate the association of serum magnesium levels with proton pump inhibitors (PPIs) use and other factors.</p></div><div><h3>Methods</h3><p>This was a cross-sectional study of 151 patients admitted with acute diseases in the Internal Medicine Division of the Hospital de Clinicas de Porto Alegre, after the exclusion of conditions that are commonly associated with hypomagnesemia: diarrhea; vomiting; chronic alcohol use; severely uncompensated diabetes mellitus; and chronic use of laxatives, diuretics or other drugs causing magnesium deficiency.</p></div><div><h3>Results</h3><p>All patients had normal serum magnesium levels. Serum albumin and creatinine levels were positively associated with serum magnesium levels, after adjusting for con-founders. There was no difference between mean serum magnesium levels of PPI users and non-users, nor between men and women; there was also no correlation among age, serum phosphorus, and potassium levels with serum magnesium levels. Limitations of this study include the absence of an instrument for measuring adherence to PPI use and the sample size.</p></div><div><h3>Conclusion</h3><p>The association of PPI use and hypomagnesemia is uncommon. Congenital defects in the metabolism of magnesium may be responsible for hypomagnesemia in some patients using this drug class.</p></div>","PeriodicalId":101100,"journal":{"name":"Revista da Associa??o Médica Brasileira (English Edition)","volume":"59 3","pages":"Pages 276-279"},"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)70469-7","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137162138","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

Prediction of chronic critical illness in a general intensive care unit 普通重症监护病房慢性危重疾病的预测

Revista da Associa??o Médica Brasileira (English Edition) Pub Date : 2013-01-01 Epub Date: 2014-03-14 DOI: 10.1016/S2255-4823(13)70463-6

Sérgio H. Loss , Cláudia B. Marchese , Márcio M. Boniatti , Iuri C. Wawrzeniak , Roselaine P. Oliveira , Luciana N. Nunes , Josué A. Victorino

{"title":"Prediction of chronic critical illness in a general intensive care unit","authors":"Sérgio H. Loss , Cláudia B. Marchese , Márcio M. Boniatti , Iuri C. Wawrzeniak , Roselaine P. Oliveira , Luciana N. Nunes , Josué A. Victorino","doi":"10.1016/S2255-4823(13)70463-6","DOIUrl":"https://doi.org/10.1016/S2255-4823(13)70463-6","url":null,"abstract":"<div><h3>Objective</h3><p>To assess the incidence, costs, and mortality associated with chronic critical illness (CCI), and to identify clinical predictors of CCI in a general intensive care unit.</p></div><div><h3>Methods</h3><p>This was a prospective observational cohort study. All patients receiving supportive treatment for over 20 days were considered chronically critically ill and eligible for the study. After applying the exclusion criteria, 453 patients were analyzed.</p></div><div><h3>Results</h3><p>There was an 11% incidence of CCI. Total length of hospital stay, costs, and mortality were significantly higher among patients with CCI. Mechanical ventilation, sepsis, Glasgow score < 15, inadequate calorie intake, and higher body mass index were independent predictors for CCI in the multivariate logistic regression model.</p></div><div><h3>Conclusions</h3><p>CCI affects a distinctive population in intensive care units with higher mortality, costs, and prolonged hospitalization. Factors identifiable at the time of admission or during the first week in the intensive care unit can be used to predict CCI.</p></div>","PeriodicalId":101100,"journal":{"name":"Revista da Associa??o Médica Brasileira (English Edition)","volume":"59 3","pages":"Pages 241-247"},"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)70463-6","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137162139","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

Early initiation of breastfeeding is benefited by maternal education program 早期开始母乳喂养受益于孕产妇教育方案

Revista da Associa??o Médica Brasileira (English Edition) Pub Date : 2013-01-01 Epub Date: 2014-03-14 DOI: 10.1016/S2255-4823(13)70465-X

Juan Miguel Martínez Galiano , Miguel Delgado Rodríguez

{"title":"Early initiation of breastfeeding is benefited by maternal education program","authors":"Juan Miguel Martínez Galiano , Miguel Delgado Rodríguez","doi":"10.1016/S2255-4823(13)70465-X","DOIUrl":"10.1016/S2255-4823(13)70465-X","url":null,"abstract":"<div><h3>Objective</h3><p>To determine the influence of maternal education (ME) on early initiation of breastfeeding (BF) and its maintenance during the first two months of the infant's life, as well as to understand the influence of ME on the reasons for BF discontinuation.</p></div><div><h3>Methods</h3><p>This was a multicenter observational study carried out with primiparous women in four hospitals of Andalucía during 2011. Data was collected through interviews and from clinical charts. Raw and adjusted odds ratios were estimated during the analysis.</p></div><div><h3>Results</h3><p>Mothers who attended ME classes showed early initiation of BF (aOR=1.78, 95% CI=1.14–2.78) and maintenance of BF (aOR=1.73, 95% CI=1.15–2.61). There were no differences related to women's reasons to discontinue BF.</p></div><div><h3>Conclusions</h3><p>ME positively impacts the initiation and maintenance of BF. El inicio precoz de la lactancia maternal se ve favorecido por la realización de la educación maternal</p></div>","PeriodicalId":101100,"journal":{"name":"Revista da Associa??o Médica Brasileira (English Edition)","volume":"59 3","pages":"Pages 254-257"},"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)70465-X","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73424185","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: 3

Effects of intermittent fasting on metabolism in men 间歇性禁食对男性代谢的影响

Revista da Associa??o Médica Brasileira (English Edition) Pub Date : 2013-01-01 Epub Date: 2013-10-23 DOI: 10.1016/S2255-4823(13)70451-X

Fernanda Reis de Azevedo , Dimas Ikeoka , Bruno Caramelli

{"title":"Effects of intermittent fasting on metabolism in men","authors":"Fernanda Reis de Azevedo , Dimas Ikeoka , Bruno Caramelli","doi":"10.1016/S2255-4823(13)70451-X","DOIUrl":"https://doi.org/10.1016/S2255-4823(13)70451-X","url":null,"abstract":"<div><p>This review analyzes the available literature on the impact of intermittent fasting (IF), a nutritional intervention, on different aspects of metabolism. The epidemic of metabolic disturbances, such as obesity, metabolic syndrome (MS), and diabetes mellitus type 2 has led to an increase in the prevalence of cardiovascular diseases, and affected patients might significantly benefit from modifications in nutritional habits. Recent experimental studies have elucidated some of the metabolic mechanisms involved with IF. Animal models have shown positive changes in glucose (lower plasma glucose and insulin levels) and in lipid metabolism (reduced visceral fat tissue and increased plasma adiponectin level), and an increased resistance to stress. Despite the limited number of samples studied, positive results have been reported on the impact of IF for human health. IF is reported to improve the lipid profile; to decrease inflammatory responses, reflected by changes in serum adipokine levels; and to change the expression of genes related to inflammatory response and other factors. Studies on obese individuals have shown that patient compliance was greater for IF than other traditional nutritional approaches (calorie restriction), and IF was found to be associated with low oxidative stress. Recent reports suggest that IF exerts a positive impact on the metabolic derangements commonly associated with cardiovascular diseases, and that it may be a viable and accessible intervention for most individuals. Therefore, further clinical studies are essential to test the effectiveness of IF in preventing and controlling metabolic and cardiovascular diseases.</p></div>","PeriodicalId":101100,"journal":{"name":"Revista da Associa??o Médica Brasileira (English Edition)","volume":"59 2","pages":"Pages 167-173"},"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)70451-X","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136551113","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