Brazilian Journal of Medicine and Human Health最新文献_第4页

THE DISTRIBUTION AND EVOLUTION OF INDICATORS OF HOSPITAL MORBIDITY AND MORTALITY FOR THYROID CANCER IN BRAZIL 巴西甲状腺癌医院发病率和死亡率指标的分布和演变

Brazilian Journal of Medicine and Human Health Pub Date : 2016-12-13 DOI: 10.17267/2317-3386BJMHH.V4I4.1148

Danielle Freitas Sales, C. Feitosa

{"title":"THE DISTRIBUTION AND EVOLUTION OF INDICATORS OF HOSPITAL MORBIDITY AND MORTALITY FOR THYROID CANCER IN BRAZIL","authors":"Danielle Freitas Sales, C. Feitosa","doi":"10.17267/2317-3386BJMHH.V4I4.1148","DOIUrl":"https://doi.org/10.17267/2317-3386BJMHH.V4I4.1148","url":null,"abstract":"INTRODUCTION: Thyroid cancer is the most common endocrine neoplasm, representing approximately 1% of all malignant tumors in western countries. It is three times more common in women than in men. AIMS: To analyze the changes in the rates of hospital morbidity and mortality from thyroid cancer in Brazil during the period from 2000 to 2012. MATERIAL AND METHODS: This is an ecological study, with data from the Brazilian Health Information Systems. Data regarding hospital morbidity and mortality from thyroid cancer (CID 10 C73) were collected as well as variables such as schooling, ethnicity and age group. RESULTS: This study identified 39,191 hospitalizations for thyroid cancer and 6,914 deaths from the same cause in the period investigated, with the occurrence and deaths much higher in women. Furthermore, the number of cases is also greater in subjects with incomplete basic schooling, and among individuals aged between 40-49 years. DISCUSSION: The findings are supported by other studies, although some of the characteristics of the patients have never been evaluated previously. CONCLUSION: Over the 13 year period assessed, there was an increase in the rates of hospital morbidity and mortality from thyroid cancer for both men and women in Brazil. More research on this subject is needed as well as health policies to increase awareness of the population about thyroid cancer and improve access to health services.","PeriodicalId":280405,"journal":{"name":"Brazilian Journal of Medicine and Human Health","volume":"70 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127332117","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

CLINICAL AND FUNCTIONAL CHARACTERISTICS OF YOUNG ADULT PATIENTS ADMITTED IN A STROKE UNIT 卒中单元收治的年轻成年患者的临床和功能特征

Brazilian Journal of Medicine and Human Health Pub Date : 2016-09-16 DOI: 10.17267/2317-3386BJMHH.V4I3.964

M. Makhoul, I. Maso, Maiana Monteiro, I. Rosa, L. Vasconcelos, L. Mascarenhas, P. Jesus, E. Pinto

{"title":"CLINICAL AND FUNCTIONAL CHARACTERISTICS OF YOUNG ADULT PATIENTS ADMITTED IN A STROKE UNIT","authors":"M. Makhoul, I. Maso, Maiana Monteiro, I. Rosa, L. Vasconcelos, L. Mascarenhas, P. Jesus, E. Pinto","doi":"10.17267/2317-3386BJMHH.V4I3.964","DOIUrl":"https://doi.org/10.17267/2317-3386BJMHH.V4I3.964","url":null,"abstract":"ABSTRACT BACKGROUND: Previously referred to as rare in the population of young adults, in Brazil in the last five years a frequency found approaching 30 % of young adults between those who have suffered a stroke. OBJECTIVE: To identify the sociodemographic, clinical and functional characteristics of young adult patients. METHODS: It was a cross-sectional study, conducted with individuals assisted in a stroke unit with ischemic or hemorrhagic stroke diagnosis and age of 18-50 years old between August 2014 to April 2015. It was used the National Institutes of Health Stroke Scale (NIHSS), and the modified Rankin Scale (mRS). RESULTS: The study population consisted of 47 individuals, 28 (59,6%) were female, Average age 39,2 (DP±8,3) years old, brown skin color, 21 (44,7%). They had time in education of 8,9 years. With 28 (59,6%) patients were diagnosed with ischemic stroke, 30 (63,8%) had involvement of the anterior circulation, 23 (48,9%) the left hemisphere. 26 (55,3%) patients having Hypertension and was sedentary, 36 (76,6%).The stroke severity had a median of 7 ( 0-23 ) points and the functional capacity of patients was Rakin Scale 5, 30 (63,7%) . It was found a statistically significant difference for hypertensive etiology of hemorrhagic stroke in men ( p = 0.047) when compared with gender and the stroke of occurrence of the right hemisphere in women (p=0,032). CONCLUSION: The profile of the young adult patients from a stroke unit are females , of brown skin color, in socio economic activity with moderate stroke severity and severe functional disability","PeriodicalId":280405,"journal":{"name":"Brazilian Journal of Medicine and Human Health","volume":"59 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128500486","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

ULNAR NERVE DECOMPRESSION IN NEURAL FORM OF LEPROSY IN CHILDHOOD 儿童神经型麻风病的尺神经减压

Brazilian Journal of Medicine and Human Health Pub Date : 2016-09-16 DOI: 10.17267/2317-3386BJMHH.V4I3.1012

J. Pondé, J. Bittencourt, Arlane Tanajura, C. Ribeiro

引用次数: 1

THE INTERMITTENCIES OF LIFE: AN ANALYSIS OF LONGEVITY IN TALES OF BIOTECHNOLOGY 生命的间歇性:生物技术故事中的寿命分析

Brazilian Journal of Medicine and Human Health Pub Date : 2016-09-16 DOI: 10.17267/2317-3386BJMHH.V4I3.1047

Núbia Bento Rodrigues, Annete Leibing, Pierre-Luc Saint-Hilaire

引用次数: 0

HUMORAL IMMUNE RESPONSE TO PORPHYROMONAS GINGIVALIS IN POSTPARTUM WOMEN AND NEWBORNS 产后妇女和新生儿对牙龈卟啉单胞菌的体液免疫反应

Brazilian Journal of Medicine and Human Health Pub Date : 2016-09-16 DOI: 10.17267/2317-3386BJMHH.V4I3.982

S. Trindade, I. Gomes-Filho, S. S. Cruz, E. J. C. Rezende, Thiago Carôso Fróes, C. O. Freitas, Paulo C Carvalho-Filho, J. S. Passos, E. Cerqueira, L. Moura-Costa, V. C. Vale, R. Meyer

{"title":"HUMORAL IMMUNE RESPONSE TO PORPHYROMONAS GINGIVALIS IN POSTPARTUM WOMEN AND NEWBORNS","authors":"S. Trindade, I. Gomes-Filho, S. S. Cruz, E. J. C. Rezende, Thiago Carôso Fróes, C. O. Freitas, Paulo C Carvalho-Filho, J. S. Passos, E. Cerqueira, L. Moura-Costa, V. C. Vale, R. Meyer","doi":"10.17267/2317-3386BJMHH.V4I3.982","DOIUrl":"https://doi.org/10.17267/2317-3386BJMHH.V4I3.982","url":null,"abstract":"Aims: The aim of this study was to evaluate the presence of Porphyromonas gingivalis ( Pg ) the in subgingival biofilm, as well as to compare the immune responses of postpartum women and their newborns to Porphyromonas gingivalis using antibody serum levels. Methods: A total of 43 postpartum women and 24 newborns were selected in the municipal maternity hospital of Alagoinhas, Bahia, Brazil between February and December 2003, for this cross-sectional study. The presence of Pg was verified using polymerase chain reaction. The immunoglobulin serum levels: IgG1, IgG2, IgG3, IgG4 and IgA, reactive to Pg ATCC33277, were tested using ELISA. Results: 39,3% of the postpartum women biofilm samples were positive for Pg. The incidence of the pathogen in the women with periodontitis (70%) was higher than in the group of women without periodontitis (30,30%). Among the newborns, high serum levels of IgG4 anti-Pg were observed (p<0.001). Conclusion: Our findings confirm that postpartum women with periodontitis present remarkable incidence of Porphyromonas gingivalis which may influence systemic response, as represented by high levels of serum antibody levels against this pathogen in women and newborns. Furthermore, evidence suggests that some antibodies crossed the placental barrier in newborns.","PeriodicalId":280405,"journal":{"name":"Brazilian Journal of Medicine and Human Health","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123746294","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

CLINICAL ECONOMICS – IT IS ABOUT VALUES NOT ABOUT MONEY 临床经济学——它关乎价值，而非金钱

Brazilian Journal of Medicine and Human Health Pub Date : 2016-09-16 DOI: 10.17267/2317-3386bjmhh.v4i3.1052

F. Porzsolt

引用次数: 1

MATERNAL HYPERTENSION AS A RISK FACTOR ASSOCIATED WITH LOW BIRTH WEIGHT 产妇高血压是低出生体重相关的危险因素

Brazilian Journal of Medicine and Human Health Pub Date : 2016-07-13 DOI: 10.17267/2317-3386BJMHH.V4I2.948

S. S. Cruz, Isaac Suzart, Johelle Santana Passos-Soares, L. Souza, A. C. G. Figueiredo, P. Pinto, R. Davoglio, S. Trindade

{"title":"MATERNAL HYPERTENSION AS A RISK FACTOR ASSOCIATED WITH LOW BIRTH WEIGHT","authors":"S. S. Cruz, Isaac Suzart, Johelle Santana Passos-Soares, L. Souza, A. C. G. Figueiredo, P. Pinto, R. Davoglio, S. Trindade","doi":"10.17267/2317-3386BJMHH.V4I2.948","DOIUrl":"https://doi.org/10.17267/2317-3386BJMHH.V4I2.948","url":null,"abstract":"Objective: to investigate the association between maternal hypertension and low birth weight, in a public hospital in Petrolina, Pernambuco, Brazil. Methods: A case-control study was conducted on 317 individuals, such that the case group was composed of 87 mothers of children born with a weight of less than 2500 g and/or gestational age less than 37 weeks, and the control group was composed of 230 mothers of newborns of weight greater than or equal to 2500 g and gestational age greater than or equal to 37 weeks. Descriptive analysis and logistic regression were applied to the data gathered. Results: The results showed a statistically significant difference in maternal age between the study groups. The use of medications and number of prenatal consultations were also shown to be associated with low birth weight. After appropriate adjustments, the association between maternal hypertension and low birth weight was demonstrated to be strong and statistically significant (OR = 3.84; 95% CI: 1.92 – 7.68). Conclusions: The findings indicate that maternal hypertension is a possible risk factor for low birth weight.","PeriodicalId":280405,"journal":{"name":"Brazilian Journal of Medicine and Human Health","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128538616","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 5

ACUTE PULMONARY EDEMA AND ELEVATED TROPONIN: WHAT IS THEIR SIGNIFICANCE? CLINICAL REVIEW 急性肺水肿和肌钙蛋白升高:它们的意义是什么?临床检查

Brazilian Journal of Medicine and Human Health Pub Date : 2016-07-13 DOI: 10.17267/2317-3386BJMHH.V4I2.923

M. Barros, Vander Weyden Batista de Sousa, Isabelle Adjanine Borges de Lima, Cecília Raquel Bezerra Marinho Nóbrega, I. Moreira, S. M. Dourado, B. S. Andrade, V. Batista, Maria Cleide Freire Clementino da Silva

{"title":"ACUTE PULMONARY EDEMA AND ELEVATED TROPONIN: WHAT IS THEIR SIGNIFICANCE? CLINICAL REVIEW","authors":"M. Barros, Vander Weyden Batista de Sousa, Isabelle Adjanine Borges de Lima, Cecília Raquel Bezerra Marinho Nóbrega, I. Moreira, S. M. Dourado, B. S. Andrade, V. Batista, Maria Cleide Freire Clementino da Silva","doi":"10.17267/2317-3386BJMHH.V4I2.923","DOIUrl":"https://doi.org/10.17267/2317-3386BJMHH.V4I2.923","url":null,"abstract":"Acute pulmonary edema (APE) is a clinical condition characterized by severe acute respiratory distress, frequently accompanied by crackling lung sounds and sudoresis. One classification system divides APE into cardiogenic or non-cardiogenic adult respiratory distress syndrome – ARDS. This study reviews cardiogenic APE, which is the most severe clinical presentation of heart failure (ADHF), and its relationship with the increase of troponin along with other factors such as abnormalities in the electrocardiogram (ECG) that may be mistaken for acute coronary syndrome (ACS). Atypical symptoms could occur in the presentation of ACS in 8,4% of cases, as has been shown in the Global Registry of Acute Coronary Events (GRACE): dyspnea (49%), sudoresis (26%), nauseas or vomiting (24%) and syncope (19%). The CK-MB enzyme was replaced by cardiac troponin (cTn) as the chosen marker of myocardial necrosis in the diagnosis of AMI in the late 90s. The cTn is a marker of cardiac damage, not just cardiac ischemia, and this may pose questions as whether there is a myocardium infarction or not. The positive results of a cTn should be interpreted considering the clinical signs of myocardial ischemia. The challenge remains and further studies are needed to aid in accurate diagnosis of both conditions (APE and ACS) as well as cases in which one results from the other because the role of coronary artery disease in acute heart failure has not been well studied in clinical trials.","PeriodicalId":280405,"journal":{"name":"Brazilian Journal of Medicine and Human Health","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127568488","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

SELF-REPORTED PHYSICAL FUNCTIONING AND FACTORS ASSOCIATED WITH IT AMONG HIV INFECTED ADULTS ON ANTIRETROVIRAL TREATMENT AT THE UNIVERSITY OF GONDAR HOSPITAL, ETHIOPIA 埃塞俄比亚贡达尔大学医院接受抗逆转录病毒治疗的艾滋病毒感染成人自我报告的身体功能及其相关因素

Brazilian Journal of Medicine and Human Health Pub Date : 2016-07-13 DOI: 10.17267/2317-3386BJMHH.V4I2.957

M. Bayisa, M. Wubshet

{"title":"SELF-REPORTED PHYSICAL FUNCTIONING AND FACTORS ASSOCIATED WITH IT AMONG HIV INFECTED ADULTS ON ANTIRETROVIRAL TREATMENT AT THE UNIVERSITY OF GONDAR HOSPITAL, ETHIOPIA","authors":"M. Bayisa, M. Wubshet","doi":"10.17267/2317-3386BJMHH.V4I2.957","DOIUrl":"https://doi.org/10.17267/2317-3386BJMHH.V4I2.957","url":null,"abstract":"Introduction: With the advent of Antiretroviral Therapy (ART), people living with HIV and AIDS (PLWHA) are living longer with chronicity. Reduced physical functioning decreases quality of life of people living with HIV and AIDS. Objective: This study was intended to assess self-reported physical functioning and factors associated with it among adult outpatients living with HIV and AIDS who are on ART at the University of Gondar Hospital HIV Care Clinic. Method: A cross-sectional study was conducted on 313 adults living with HIV and AIDS from March to May 2013. The Short Form-36 physical functioning subscale was used to assess physical functioning. The physical functioning subscale was transformed to range from 0 to a 100 to make all values on same metric, and mean was calculated. Finally normbased scoring method was used to determine whether they have good or poor physical functioning. Result: Total mean score of physical functioning was 59.43 (SD=10.7). Among 313 participants, 191 (61%) reported good physical functioning. More than half of the subjects (61%) were independent in work-capacity. Two hundred and nineteen (70%) individuals were independent in mobility and 96.8% in self-care. Good physical functioning was associated with CD4 counts ≥250 cells/mm3 [AOR=1.84, 95% CI:1.02,3.31], excellent general health [AOR=4.14,95% CI:2.12, 7.07], absent or very mild bodily pain [AOR=4.04, 95% CI: 2.03,6.59] and high bodily energy [AOR=7.70, 95% CI: 4.32, 8.52]. Conclusion: This study found that majority of the subjects had good physical functioning and were independent in self-care activities. Higher CD4 counts, vitality, general health and level of mild bodily pain were factors determining physical functioning. This research indicates the need of designing rehabilitation strategies for people living with HIV and AIDS.","PeriodicalId":280405,"journal":{"name":"Brazilian Journal of Medicine and Human Health","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126450166","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

A BRIEF REVIEW ON ZIKA VIRUS INFECTION 寨卡病毒感染研究综述

Brazilian Journal of Medicine and Human Health Pub Date : 2016-07-13 DOI: 10.17267/2317-3386BJMHH.V4I2.961

M. F. Grassi, A. Bandeira, L. Gois, G. G. Oliveira

引用次数: 0