Revista da Associação Médica Brasileira

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List of Papers (Total 131)

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...

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...

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...

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...

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...

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...

Rabbit antibodies for hormone receptors and HER2 evaluation in breast cancer

BACKGROUND: Novel rabbit monoclonal antibodies (RabMab) for estrogen (ER), progesterone (PR) receptors and HER2 evaluation by immunohistochemistry have recently been commercially released. We compared the RabMab anti-ER, anti-PR and anti-HER2 to mouse monoclonal antibodies (Mab) using tissue microarrays (TMA) of breast carcinomas. METHODS: Two TMA containing breast carcinomas...

Aspectos histomorfológicos e respiratórios em modelo de lesão pulmonar aguda por sepse em ratos tratados com pentoxifilina

OBJECTIVE: Respiratory repercussion on acute lung injury in a model of induced sepsis intraperitoneally. METHODS: Fifteen animals taken at random were submitted to adult male Wistar rats. The rats were randomly divided into 3 groups (n=15): Group C - control group received only mechanical ventilation; Group S - rats received live Escherichia coli (E. coli) intraperitoneally...

Existe evidência para tratar insuficiência cardíaca baseada na raça ou etnia?

OBJECTIVE: To assess if there is evidence to support different interventions for treatment of heart failure based upon race/ethnicity. METHODS: Systematic review of randomized clinical trials permitted comparisons between blacks and whites with systolic heart failure concerning the efficacy of angiotensin converting enzyme (ACE) inhibitors, beta blockers and a combination of...

Síndrome cardiorrenal: fisiopatologia e tratamento

Chronic kidney disease (CKD) is one of the most important problems of public health, worldwide. Anemia is frequent in CKD, affecting approximately 90% of patients. The relationship between anemia and cardiovascular disease is well established and is due to alterations in left ventricular structure and function. Anemia per se can lead to significant cardiac morbidity in the...

Avaliação dos fatores relacionados à ocorrência da incontinência urinária feminina

OBJECTIVE: To evaluate the risk factors related to occurrence of female urinary incontinence. METHODS: A case-control study that included 253 women (102 continent and 151 incontinent) invited to respond to an epidemiological questionnaire on possible risk factors for urinary incontinence. They were age, hormone status, race, body mass index, parity, types of deliveries (normal...

Análise citogenética em material de abortamento espontâneo

OBJECTIVE: To describe chromosomal abnormalities in spontaneous abortion material. METHODS: A retrospective compilation of karyotype analysis of slides stained with Band G was carried out by optical microscopy with materials of 428 abortion products referred for study. RESULTS: There were 145 normal results (33.9%) and 237 abnormal results (55.4%). In 46 samples there was no cell...

Literatura científica brasileira sobre transtornos do espectro autista

OBJECTIVE: This study is a systematic review aiming to conduct a general analysis of the scientific production covering publications of Brazilian authors about ASD in the period from 2002 to 2009. METHODS: The bibliographic search was conducted in the following scientific databases: PUBMED, SciELO, LILACS and portal CAPES, by using keywords such as autism and pervasive...

Deficiência androgênica na mulher

The evidences suggest that androgen deficiency in women induces sexual dysfunction as the main clinical manifestation, especially reduction of libido. However, other factors may be involved in the disease genesis, such as interpersonal relationships, social stressors, sedentarism and the partner. Prevalence of sexual problems among women ranges from nine to 43% and, recently...

Critérios para admissão de pacientes na unidade de terapia intensiva e mortalidade

OBJECTIVE: The aim of the study was to evaluate criteria used in clinical practice, for screening of patients for ICU admission. METHODS: Cohort prospective study in a tertiary hospital. Four groups were compared in relation to ICU admission by ranking priorities into groups 1, 2, 3 and 4; highest priority 1, lowest priority 4. RESULTS: Enrolled were 359 patients, 66 (53.2-75.0...