Revista da Associação Médica Brasileira

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List of Papers (Total 388)

Perfil hormonal sexual de mulheres em programa crônico de diálise em tratamento com eritropoetina humana recombinante

OBJECTIVE: The end stage renal disease has accompaniments in body systems, including hormonal changes. The present study was designed to evaluate the pattern of follicle stimulating hormone (FSH), luteinizing hormone (LH), prolactin (PRL) and estradiol (E2) in 47 women with end stage renal disease (ESRD), on regular dialysis and receiving recombinant human erythropoietin (r-HuEPO...

Desejo de informação e participação nas decisões terapêuticas em caso de doenças graves em pacientes atendidos em um hospital universitário

BACKGROUND: The purpose of our study was to evaluate the desire of the patients on being informed about diagnosis of severe diseases, the desire to have their families informed about this situation and to participate in therapeutic decisions. METHODS: 363 patients (outpatients and inpatients) of a General Internal Medicine division of a University Hospital were interviewed. The...

Valor prognóstico da fibronectina plasmática e da classificação de Child-Pugh na cirrose hepática alcoólica: estudo comparativo

BACKGROUND: To assess the prognostic value of plasmatic fibronectin (FN), compared to numeric Child-Pugh classification and its biochemical parameters in patients with alcoholic cirrhosis followed prospectively during a 18 months-period. METHODS: Fifty patients with the diagnosis of cirrhosis by hepatic biopsy or clinical and biochemical criteria, were included in the study after...

Trocas gasosas intrapulmonares sob respiração em ar ambiente em pacientes hipercapneicos

INTRODUCTION: The alveolar-capillary oxygen difference, P(A-a)O2 , is important in the study of gas exchange disorders, however does not give us reliable results when applied to hypercapneic patients. On the other hand the venous admixture calculation, seems to be able to diagnose alveolar-capillary gas exchange difficulty of any kind. OBJECTIVE: Checking the reliability of the...

Homeopatia: prática médica humanística

During the last decade, the traditional medical model has endeavoured to retrieve an improvement in the patient-physician relationship by means of propositions for humanization in the areas of education, medical care and policies. To enhance holistic characteristics of non-conventional practices in health, the incorporation of several aspects of humanities in understanding the...

Prevalência do aleitamento materno nas capitais brasileiras

OBJECTIVE: To estimate the prevalence of breastfeeding and of exclusive breastfeeding in Brazilian capital cities, in the 5 major geographical areas of Brazil and in the whole country, at the ages of 30, 120 and 180 days, as agreed among specialists. METHODS: Restudy of data from the population inquiry about breastfeeding in 25 capital cities and in the Federal District during a...

Polimixinas: revisão com ênfase na sua nefrotoxicidade

Polymyxins are polypeptide antibiotics with strong action against Gram-negative bacteria. Their use was almost halted between 1970 and 1980 due to the launching of less toxic compounds. The emergence of multiresistant Gram-negative bacterial strains, mainly in patients hospitalized in intensive care units, and the absence of new antimicrobials effective against these pathogens...

Capacidade funcional e qualidade de vida em pacientes idosos com ou sem disfagia após acidente vascular encefálico isquêmico

OBJECTIVE: The objective was to analyze the functional capacity and quality of life of elderly individuals with ischemic stroke comparing these with and without dysphagia. METHOD: Cross sectional study was realized in 60 elderly individuals after ischemic stroke, 30 with dysphagia and 30 without. Their cognitive state was evaluated with the Mini-Mental test. The scales used were...

Trabalho e síndrome da estafa profissional (Síndrome de Burnout) em médicos intensivistas de Salvador

OBJECTIVE: Describe prevalence of the Burnout syndrome in intensive care physicians of Salvador, associated to demographic data and aspects of the work environment (psychological demand and job control). METHODS: This cross sectional study has investigated the association between work conditions and Burnout Syndrome in a population of 297 Intensive Care Physicians from Salvador...

Grupo terapêutico para tabagistas: resultados após seguimento de dois anos

OBJECTIVE: To evaluate the smokers' profile, immediate results and outcome after 25 months of treatment at a university public service. METHODS: One hundred and seventy one smokers were evaluated for treatment in the Therapeutic Group (TG) of the Service of Psychoactive Substances. We evaluated sociodemographic variables, history of smoking, presence of medical comorbidity and...

Ascite: estado da arte baseado em evidências

The accumulation of free fluid of pathological origin in the peritoneal cavity is named ascites, and, in clinical practice this phenomenon is present in several diseases. The most common cause of ascites is liver cirrhosis. In the pathophysiology of ascites three theories are noteworthy: vasodilation, overflow and underfill. The modern concept suggest that these three theories...

Efeito da suplementação com vitamina A sobre a concentração de retinol no colostro de mulheres atendidas em uma maternidade pública

OBJECTIVE: The aim was to evaluate the effect of supplementary vitamin A upon the colostrum retinol levels in puerperal women cared for at a public maternity hospital in Natal, RN, Brazil. Analysis was conducted on the influence of the colostrum retinol and the maternal nutritional condition as response to supplementation. METHODS: For analysis of serum retinol 5ml of fasting...

Cost-effectiveness of anastrozole, in comparison with tamoxifen, in the adjuvant treatment of early breast cancer in Brazil

OBJECTIVE: Breast cancer, a leading type of cancer in many developing countries, is the most frequent non-cutaneous tumor in Brazil. Hormone therapy is the standard of care in the adjuvant treatment of early-stage, hormone-receptor-positive disease, and both tamoxifen and third-generation aromatase inhibitors are options in postmenopausal women. The comparative cost-effectiveness...

Destaques éticos nos periódicos nacionais das áreas médicas

OBJECTIVE: To evaluate the Brazilian journals cited by the four CAPES medical areas, qualified as "A" national or "I" international, regarding the relevance given to ethics in the instructions for authors. METHODS: The instructions for authors of twenty Brazilian journals were studied and 36 types of ethical concerns were identified allowing the following categorization: I...

Desnutrição e inadequação alimentar de pacientes aguardando transplante hepático

OBJECTIVE: Nutritional status of patients in the waiting list for liver transplant must be assessed due to the many risk factors associated with nutritional deficiencies. This was the aim of the study. METHODS: Throughout a period of 13 months, patients on the waiting list for liver transplantation were nutritionally assessed by the Subjective Global Assessment (SGA) and food...

Como consentir sem entender?

BACKGROUND: The Consent Form (CF) is an important document that informs patients about benefits and risks of a study, it assures patients the right to accept or reject participation in a procedure related to their health. Some authors believe that Consent Forms are complex and difficult to read for most people. OBJECTIVE: Correlate the difficulty of understanding CF, through the...

Intoxicações exógenas em crianças menores de seis anos atendidas em hospitais da região metropolitana do Rio de Janeiro

OBJECTIVE: To describe the profile of poisoning cases among children attended during three years at emergency hospitals in the metropolitan area of Rio de Janeiro, Brazil. METHODS: All confirmed or suspected poisoning cases, due to drugs and biological substances; organic solvents and hydrocarbons; chemical products; carbon monoxide and other gases; and pesticides, were collected...

Variabilidade genética MTHFR no desenvolvimento da doença arterial coronária

OBJECTIVE: Increased homocysteine (Hcy) concentration is considered a risk factor for coronary artery disease (CAD). Genetic alterations of the metylenetetrahydrofolate reductase (MTHFR) enzyme could reduce its thermolability and alter the Hcy metabolism, contributing to development of atherosclerotic lesions. Objective of this study was to investigate the relation between MTHFR...

Fibrose sistêmica nefrogênica: uma complicação grave do uso do gadolínio em pacientes com insuficiência renal

Nephrogenic systemic fibrosis (NSF), also known as nephrogenic fibrosing dermopathy (NFD), is a condition that has occurred only in patients with renal insufficiency. Besides lesions of the skin, this syndrome include fibrosis of skeletal muscle, joints, liver, lung, and heart, with possible fatal outcomes. This disease was first described in 1997 and several reports described...

Adesão ao tratamento, acesso e qualidade da assistência em Aids no Brasil

The patient adherence to highly active antiretroviral therapy (HAART) is a crucial matter to AIDS treatment effectiveness and its' impact. This article aims to discuss the association between adherence and quality of health service providing care to people living with AIDS (PLWA), highlighting quality of the services as a central point to adherence and access. It is based on...

Proposta de sistematização do estudo elastográfico de lesões mamárias pela ultrassonografia

OBJECTIVE: Proposal of systematization for the elastographic study in the ultrasound routine. METHODS: Evaluation was made of 308 patients forwarded to the breast intervention service in the CTC-Genesis from May 1, 2007 to March 1, 2008 to perform percutaneous breast biopsy. Prior to the percutaneous biopsy, an ultrasound study and an elastography were performed. Lesions were...

Estado nutricional na doença de Alzheimer

OBJECTIVE: To describe the nutritional status of elderly subjects with mild to moderate Alzheimer's disease. METHODS: Subjects of both genders (n=40) diagnosed with mild to moderate Alzheimer's disease according to NINCDS-ADRDA criteria, participated in the study. Socioeconomic status, activities of daily life, anthropometric, clinical and dietary profiles were surveyed. RESULTS...

Fatores associados à bacteriúria após sondagem vesical na cirurgia ginecológica

OBJECTIVES: To determine the frequency and risk factors associated to bacteriuria after urinary catheterization in women submitted to elective gynecological surgery. METHODS: A cohort study was carried out among women submitted to gynecological surgery after urinary catheterization. This study took place at the "Instituto de Medicina Integral Professor Fernando Figueira" from...