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Clinics

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https://www.readbyqxmd.com/read/29791603/evaluation-instruments-for-quality-of-life-related-to-melasma-an-integrative-review
#1
Camila Fernandes Pollo, Silmara Meneguin, Helio Amante Miot
The aim of this study was to analyze scientific production concerning the validation and cultural adaptation of quality of life evaluation instruments for patients with melasma and to offer a critical reflection on these methods. A literature review was performed based on a search of the Web of Science, Bireme, PubMed, Elsevier Scopus, and Google Scholar databases. All published articles from indexed periodicals in these electronic databases up to December 2015 were included. Eight articles were identified, of which only one (12...
May 21, 2018: Clinics
https://www.readbyqxmd.com/read/29791602/noninvasive-follicular-thyroid-neoplasm-with-papillary-like-nuclear-features-niftp-achieving-better-agreement-by-refining-diagnostic-criteria
#2
EDITORIAL
Venancio A F Alves, Kennichi Kakudo, Virginia LiVolsi, Ricardo V Lloyd, Yuri E Nikiforov, Vania Nosé, Mauro Papotti, Lester D R Thompson
No abstract text is available yet for this article.
May 21, 2018: Clinics
https://www.readbyqxmd.com/read/29791601/resting-spontaneous-baroreflex-sensitivity-and-cardiac-autonomic-control-in-anabolic-androgenic-steroid-users
#3
Marcelo R Dos Santos, Ana L C Sayegh, Rafael Armani, Valéria Costa-Hong, Francis R de Souza, Edgar Toschi-Dias, Luiz A Bortolotto, Mauricio Yonamine, Carlos E Negrão, Maria-Janieire N N Alves
OBJECTIVES: Misuse of anabolic androgenic steroids in athletes is a strategy used to enhance strength and skeletal muscle hypertrophy. However, its abuse leads to an imbalance in muscle sympathetic nerve activity, increased vascular resistance, and increased blood pressure. However, the mechanisms underlying these alterations are still unknown. Therefore, we tested whether anabolic androgenic steroids could impair resting baroreflex sensitivity and cardiac sympathovagal control. In addition, we evaluate pulse wave velocity to ascertain the arterial stiffness of large vessels...
May 21, 2018: Clinics
https://www.readbyqxmd.com/read/29791600/unilateral-spatial-neglect-in-the-acute-phase-of-ischemic-stroke-can-predict-long-term-disability-and-functional-capacity
#4
Gustavo José Luvizutto, Augusta Fabiana Moliga, Gabriela Rizzo Soares Rizzatti, Marcelo Ortolani Fogaroli, Eduardo de Moura Neto, Hélio Rubens de Carvalho Nunes, Luiz Antônio de Lima Resende, Rodrigo Bazan
OBJECTIVE: The aim of this study was to assess the relationship between the degree of unilateral spatial neglect during the acute phase of stroke and long-term functional independence. METHODS: This was a prospective study of right ischemic stroke patients in which the independent variable was the degree of spatial neglect and the outcome that was measured was functional independence. The potential confounding factors included sex, age, stroke severity, topography of the lesion, risk factors, glycemia and the treatment received...
May 21, 2018: Clinics
https://www.readbyqxmd.com/read/29791522/improving-the-management-of-hereditary-angioedema
#5
EDITORIAL
Pedro Giavina-Bianchi, Jorge Kalil
No abstract text is available yet for this article.
May 17, 2018: Clinics
https://www.readbyqxmd.com/read/29791521/specific-questionnaire-detects-a-high-incidence-of-intra-operative-hypersensitivity-reactions
#6
Laila S Garro, Marcelo V Aun, Iracy Sílvia C Soares, Marisa R Ribeiro, Antônio A Motta, Jorge Kalil, Mariana C Castells, Maria José C Carmona, Pedro Giavina-Bianchi
OBJECTIVE: To assess the incidence of intra-operative immediate hypersensitivity reactions and anaphylaxis. METHODS: A cross-sectional observational study was conducted at the Department of Anesthesiology, University of São Paulo School of Medicine, Hospital das Clínicas, São Paulo, Brazil, from January to December 2010. We developed a specific questionnaire to be completed by anesthesiologists. This tool included questions about hypersensitivity reactions during anesthesia and provided treatments...
May 17, 2018: Clinics
https://www.readbyqxmd.com/read/29791520/use-of-direct-oral-anticoagulants-for-chronic-thromboembolic-pulmonary-hypertension
#7
Francisca Alexandra Gavilanes-Oleas, Jose Leonidas Alves, Caio Julio Cesar Fernandes, Luis Felipe Lopes Prada, William Salibe Filho, Mario Terra Filho, Luciana Morinaga, Susana Hoette, Carlos Jardim, Rogerio Souza
OBJECTIVES: Chronic thromboembolic pulmonary hypertension is one of the most prevalent forms of pulmonary hypertension and is a major complication of acute pulmonary embolism. One mainstay of chronic thromboembolic pulmonary hypertension treatment is lifelong anticoagulation. The recent advent of direct oral anticoagulants for acute pulmonary embolism treatment has provided a viable and effective alternative for treating this condition. However, little is known about the efficacy of this new class of drugs for treating chronic thromboembolic pulmonary hypertension...
May 17, 2018: Clinics
https://www.readbyqxmd.com/read/29561931/standardization-of-a-spinal-cord-lesion-model-and-neurologic-evaluation-using-mice
#8
Paulo Alvim Borges, Alexandre Fogaça Cristante, Tarcísio Eloy Pessoa de Barros-Filho, Renato Jose Mendonça Natalino, Gustavo Bispo Dos Santos, Raphael Marcus Marcon
OBJECTIVE: To standardize a spinal cord lesion mouse model. METHODS: Thirty BALB/c mice were divided into five groups: four experimental groups and one control group (sham). The experimental groups were subjected to spinal cord lesion by a weight drop from different heights after laminectomy whereas the sham group only underwent laminectomy. Mice were observed for six weeks, and functional behavior scales were applied. The mice were then euthanized, and histological investigations were performed to confirm and score spinal cord lesion...
March 15, 2018: Clinics
https://www.readbyqxmd.com/read/29561930/improvement-in-lung-function-and-functional-capacity-in-morbidly-obese-women-subjected-to-bariatric-surgery
#9
Elaine Cristina de Campos, Fabiana Sobral Peixoto-Souza, Viviane Cristina Alves, Renata Basso-Vanelli, Marcela Barbalho-Moulim, Rafael Melillo Laurino-Neto, Dirceu Costa
OBJECTIVE: To determine whether weight loss in women with morbid obesity subjected to bariatric surgery alters lung function, respiratory muscle strength, functional capacity and the level of habitual physical activity and to investigate the relationship between these variables and changes in both body composition and anthropometrics. METHODS: Twenty-four women with morbid obesity were evaluated with regard to lung function, respiratory muscle strength, functional capacity, body composition, anthropometrics and the level of habitual physical activity two weeks prior to and six months after bariatric surgery...
March 15, 2018: Clinics
https://www.readbyqxmd.com/read/29561929/erratum-systematic-review-and-meta-analysis-of-the-efficacy-and-safety-of-amfepramone-and-mazindol-as-a-monotherapy-for-the-treatment-of-obese-or-overweight-patients
#10
(no author information available yet)
[This corrects the article doi: 10.6061/clinics/2017(05)10].
March 15, 2018: Clinics
https://www.readbyqxmd.com/read/29538495/preoperative-treatment-with-5%C3%AE-reductase-inhibitors-and-the-risk-of-hemorrhagic-events-in-patients-undergoing-transurethral-resection-of-the-prostate-a-population-based-cohort-study
#11
Ti-Yuan Yang, Marcelo Chen, Wun-Rong Lin, Chung-Yi Li, Wei-Kung Tsai, Allen W Chiu, Ming-Chung Ko
OBJECTIVES: To assess the associations between preoperative treatment with 5-alpha reductase inhibitors and the risks of blood transfusion during transurethral resection of the prostate and blood clot evacuation or emergency department visits for hematuria within 1 month after surgery. METHODS: We used data from the Taiwan National Health Insurance Research Database in this population-based cohort study. A total of 3,126 patients who underwent first-time transurethral resection of the prostate from 2004 to 2013 were identified...
March 12, 2018: Clinics
https://www.readbyqxmd.com/read/29538494/voice-deviation-dysphonia-risk-screening-and-quality-of-life-in-individuals-with-various-laryngeal-diagnoses
#12
Katia Nemr, Ariane Cota, Domingos Tsuji, Marcia Simões-Zenari
OBJECTIVES: To characterize the voice quality of individuals with dysphonia and to investigate possible correlations between the degree of voice deviation (D) and scores on the Dysphonia Risk Screening Protocol-General (DRSP), the Voice-Related Quality of Life (V-RQOL) measure and the Voice Handicap Index, short version (VHI-10). METHODS: The sample included 200 individuals with dysphonia. Following laryngoscopy, the participants completed the DRSP, the V-RQOL measure, and the VHI-10; subsequently, voice samples were recorded for auditory-perceptual and acoustic analyses...
March 12, 2018: Clinics
https://www.readbyqxmd.com/read/29538493/burkholderia-cepacia-cystic-fibrosis-and-outcomes-following-lung-transplantation-experiences-from-a-single-center-in-brazil
#13
Danila de Souza Carraro, Rafael Medeiros Carraro, Silvia Vidal Campos, Leandro Ryuchi Iuamoto, Karina Andrighetti de Oliveira Braga, Lea Campos de Oliveira, Ester Cerdeira Sabino, Flavia Rossi, Paulo Manuel Pêgo-Fernandes
OBJECTIVES: To evaluate the impact of Burkholderia cepacia complex colonization in cystic fibrosis patients undergoing lung transplantation. METHODS: We prospectively analyzed clinical data and respiratory tract samples (sputum and bronchoalveolar lavage) collected from suppurative lung disease patients between January 2008 and November 2013. We also subtyped different Burkholderia cepacia complex genotypes via DNA sequencing using primers against the recA gene in samples collected between January 2012 and November 2013...
March 12, 2018: Clinics
https://www.readbyqxmd.com/read/29466495/monitoring-auditory-cortical-plasticity-in-hearing-aid-users-with-long-latency-auditory-evoked-potentials-a-longitudinal-study
#14
Renata Aparecida Leite, Fernanda Cristina Leite Magliaro, Jeziela Cristina Raimundo, Ricardo Ferreira Bento, Carla Gentile Matas
OBJECTIVE: The objective of this study was to compare long-latency auditory evoked potentials before and after hearing aid fittings in children with sensorineural hearing loss compared with age-matched children with normal hearing. METHODS: Thirty-two subjects of both genders aged 7 to 12 years participated in this study and were divided into two groups as follows: 14 children with normal hearing were assigned to the control group (mean age 9 years and 8 months), and 18 children with mild to moderate symmetrical bilateral sensorineural hearing loss were assigned to the study group (mean age 9 years and 2 months)...
February 19, 2018: Clinics
https://www.readbyqxmd.com/read/29466494/granulocyte-colony-stimulating-factor-combined-with-methylprednisolone-improves-functional-outcomes-in-rats-with-experimental-acute-spinal-cord-injury
#15
William Gemio Jacobsen Teixeira, Alexandre Fogaça Cristante, Raphael Martus Marcon, Gustavo Bispo, Ricardo Ferreira, Tarcísio Eloy Pessoa de Barros-Filho
OBJECTIVES: To evaluate the effects of combined treatment with granulocyte colony-stimulating factor (G-CSF) and methylprednisolone in rats subjected to experimental spinal cord injury. METHODS: Forty Wistar rats received a moderate spinal cord injury and were divided into four groups: control (no treatment); G-CSF (G-CSF at the time of injury and daily over the next five days); methylprednisolone (methylprednisolone for 24 h); and G-CSF/Methylprednisolone (methylprednisolone for 24 h and G-CSF at the time of injury and daily over the next five days)...
February 19, 2018: Clinics
https://www.readbyqxmd.com/read/29466493/preventable-adverse-drug-events-in-critically-ill-hiv-patients-is-the-detection-of-potential-drug-drug-interactions-a-useful-tool
#16
Grazielle Viana Ramos, André Miguel Japiassú, Fernando Augusto Bozza, Lusiele Guaraldo
OBJECTIVES: The aim of this study was to develop a strategy to identify adverse drug events associated with drug-drug interactions by analyzing the prescriptions of critically ill patients. METHODS: This retrospective study included HIV/AIDS patients who were admitted to an intensive care unit between November 2006 and September 2008. Data were collected in two stages. In the first stage, three prescriptions administered throughout the entire duration of these patients' hospitalization were reviewed, with the Micromedex database used to search for potential drug-drug interactions...
February 19, 2018: Clinics
https://www.readbyqxmd.com/read/29723347/type-ii-and-iii-selective-fetal-growth-restriction-perinatal-outcomes-of-expectant-management-and-laser-ablation-of-placental-vessels
#17
Mariana Yumi Miyadahira, Maria de Lourdes Brizot, Mário Henrique Burlacchini de Carvalho, Sckarlet Ernandes Biancolin, Rita de Cássia Alam Machado, Vera Lúcia Jornada Krebs, Rossana Pulcineli Vieira Francisco, Cleisson Fábio Andrioli Peralta
OBJECTIVES: To describe the perinatal outcomes of type II and III selective fetal growth restriction (sFGR) in monochorionic-diamniotic (MCDA) twin pregnancies treated with expectant management or laser ablation of placental vessels (LAPV). METHODS: Retrospective analysis of cases of sFGR that received expectant management (type II, n=6; type III, n=22) or LAPV (type II, n=30; type III, n=9). The main outcomes were gestational age at delivery and survival rate. RESULTS: The smaller fetus presented an absent/reversed "a" wave in the ductus venosus (arAWDV) in all LAPV cases, while none of the expectant management cases presented arAWDV...
2018: Clinics
https://www.readbyqxmd.com/read/29723346/post-traumatic-stress-disorder-and-severe-maternal-morbidity-is-there-an-association
#18
Carina R Angelini, Rodolfo C Pacagnella, Mary A Parpinelli, Carla Silveira, Carla B Andreucci, Elton C Ferreira, Juliana P Santos, Dulce M Zanardi, Renato T Souza, Jose G Cecatti
OBJECTIVE: To evaluate the occurrence of Post-Traumatic Stress Disorder among women experiencing a severe maternal morbidity event and associated factors in comparison with those without maternal morbidity. METHODS: In a retrospective cohort study, 803 women with or without severe maternal morbidity were evaluated at 6 months to 5 years postpartum for the presence of Post-Traumatic Stress Disorder. Interviews were conducted by telephone and electronic data was stored...
2018: Clinics
https://www.readbyqxmd.com/read/29723345/low-estrogen-doses-normalize-testosterone-and-estradiol-levels-to-the-female-range-in-transgender-women
#19
Flávia Siqueira Cunha, Sorahia Domenice, Maria Helena Palma Sircili, Berenice Bilharinho de Mendonca, Elaine Maria Frade Costa
OBJECTIVE: The ideal dosage of cross-sex hormones remains unknown. The aim of this study was to evaluate the luteinizing hormone, follicle-stimulating hormone, testosterone, estradiol and prolactin levels after low-dose estrogen therapy with or without cyproterone acetate in transgender women. METHODS: The serum hormone and biochemical profiles of 51 transgender women were evaluated before gonadectomy. Hormone therapy consisted of conjugated equine estrogen alone or combined with cyproterone acetate...
2018: Clinics
https://www.readbyqxmd.com/read/29723344/en-bloc-vertebrectomy-for-the-treatment-of-spinal-lesions-five-years-of-experience-in-a-single-institution-a-case-series
#20
Alex Oliveira de Araujo, Douglas Kenji Narazaki, William Gemio Jacobsen Teixeira, Cesar Salge Ghilardi, Pedro Henrique Xavier Nabuco de Araujo, Antônio Eduardo Zerati, Raphael Martus Marcon, Alexandre Fogaça Cristante, Tarcísio Eloy Pessoa de Barros Filho
OBJECTIVES: The objective of this study is to describe the experience of a Brazilian public university hospital regarding the treatment of metastatic or benign spine lesions with en bloc vertebrectomy of the thoracic and lumbar spines. METHODS: This study was a retrospective case series and included all medical records of patients with benign aggressive, primary malignant, or metastatic spine lesions who underwent en bloc vertebrectomy from 2010 to 2015. RESULTS: A total of 17 patients were included in the analysis...
2018: Clinics
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