Volume 14, Number 1, January/March 2016

Evidence-Based Medicine in judicial decisions concerning right to healthcare

Eduardo Rocha Dias, Geraldo Bezerra da Silva Junior

DOI: 10.1590/S1679-45082016AO3363

ABSTRACTObjectiveTo analyze, from the examination of decisions issued by Brazilian courts, how Evidence-Based Medicine was applied and if it led to well-founded decisions, searching the best scientific knowledge.Methods The decisions made by the Federal Courts were searched, with no time limits, at the website of the Federal Court Council, using the expression “Evidence-Based Medicine”. With regard to decisions issued by the court of the State of São Paulo, the search was done at the webpage and applying the same terms […]

Indicators of depression in elderly and different screening methods

Amanda Gilvani Cordeiro Matias, Marília de Andrade Fonsêca, Maria de Lourdes de Freitas Gomes, Marcos Antonio Almeida Matos

DOI: 10.1590/S1679-45082016AO3447

ABSTRACTObjectiveTo determine the prevalence of depressive symptoms among elderly and correlate the agreement between the screening methods used.Methods A cross-section study of 137 elderly attending the Programa Vivendo a Terceira Idade [Living for the Elderly Program]. Depressive symptoms were screened by the Patient Health Questionnaire-9 and the 15-item Geriatric Depression Scale, by Yesavage. Cohen´s kappa analyzed the degree of agreement of these scales.Results The prevalence of depressive symptoms screened by the Patient Health Questionnaire-9 was 62.8% and, by the Geriatric […]

Relation between body composition and bone mineral density in young undregraduate students with different nutritional status

Edil de Albuquerque Rodrigues Filho, Marcos André Moura dos Santos, Amanda Tabosa Pereira da Silva, Breno Quintella Farah, Manoel da Cunha Costa, Florisbela de Arruda Camara e Siqueira Campos, [...]

DOI: 10.1590/S1679-45082016AO3569

ABSTRACTObjectiveTo investigate the relationship between total and segmental body fat, bone mineral density and bone mineral content in undergraduate students stratified according to nutritional status.Methods The study included 45 male undergraduate students aged between 20 and 30 years. Total and segmental body composition, bone mineral density and bone mineral content assessments were performed using dual energy X-ray absorptiometry. Subjects were allocated into three groups (eutrophic, overweight and obese).Results With the exception of upper limb bone mineral content, significantly higher (p

Thickness of the adductor pollicis muscle in nutritional assessment of surgical patients

Katarina Papera Valente, Naira Marceli Fraga Silva, Amanda Barcelos Faioli, Marina Abelha Barreto, Rafael Araújo Guedes de Moraes, Valdete Regina Guandalini

DOI: 10.1590/S1679-45082016AO3596

ABSTRACTObjectiveTo evaluate the correlation between thickness of the muscle adductor pollicis and anthropometric measurements, body mass index and Subjective Global Assessment in the nutritional assessment of surgical patients.Methods The study population comprised patients admitted to the general and reconstructive surgery unit of a university hospital in the city of Vitória (ES), Brazil. The inclusion criteria were patients evaluated in the first 48 hours of admission, aged ≥20 years, hemodynamically stable, with no edema or ascites. Data analysis was performed using […]

Treatment of Bartholin gland cyst with CO2laser

Neila Maria de Góis Speck, Karol Pereira Ruela Boechat, Georgia Mouzinho Lima dos Santos, Julisa Chamorro Lascasas Ribalta

DOI: 10.1590/S1679-45082016AO3568

ABSTRACTObjectiveTo describe the results of treatment with CO2 laser for Bartholin gland cysts.Methods Thirty-one women with Bartholin gland cysts were treated with CO2laser at an outpatient´s setting. Skin incision was performed with focused laser beam, the capsule was opened to drain mucoid content, followed by internal vaporization of impaired capsule.Results There were no complications. Five patients had recurrence of the cyst and were submitted to a second and successful session.Conclusion CO2 laser surgery was effective to treat Bartholin gland cysts […]

Analysis of chromosomal abnormalities by CGH-array in patients with dysmorphic and intellectual disability with normal karyotype

Rodrigo Pratte-Santos, Katyanne Heringer Ribeiro, Thainá Altoe Santos, Terezinha Sarquis Cintra

DOI: 10.1590/S1679-45082016AO3592

ABSTRACTObjectiveTo investigate chromosomal abnormalities by CGH-array in patients with dysmorphic features and intellectual disability with normal conventional karyotype.Methods Retrospective study, carried out from January 2012 to February 2014, analyzing the CGH-array results of 39 patients.Results Twenty-six (66.7%) patients had normal results and 13 (33.3%) showed abnormal results – in that, 6 (15.4%) had pathogenic variants, 6 (15.4%) variants designated as uncertain and 1 (2.5%) non-pathogenic variants.Conclusion The characterization of the genetic profile by CGH-array in patients with intellectual disability and […]

Potentially malignant oral lesions: clinicopathological correlations

Haline Cunha de Medeiros Maia, Najara Alcântara Sampaio Pinto, Joabe dos Santos Pereira, Ana Miryam Costa de Medeiros, Éricka Janine Dantas da Silveira, Márcia Cristina da Costa Miguel

DOI: 10.1590/S1679-45082016AO3578

ABSTRACTObjectiveTo determine the incidence of potentially malignant oral lesions, and evaluate and correlate their clinical and pathological aspects.Methods The sample consisted of cases clinically diagnosed as oral leukoplakia, oral erythroplakia, erythroleukoplakia, actinic cheilitis, and oral lichen planus treated at a diagnostic center, between May 2012 and July 2013. Statistical tests were conducted adopting a significance level of 5% (p≤0.05).Results Out of 340 patients, 106 (31.2%) had potentially malignant oral lesions; and 61 of these (17.9%) were submitted to biopsy. Actinic […]

Transfusion monitoring: care practice analysis in a public teaching hospital

Valesca Nunes dos Reis, Isabella Bertolin Paixão, Ana Carolina Amaral de São José Perrone, Maria Inês Monteiro, Kelli Borges dos Santos

DOI: 10.1590/S1679-45082016AO3555

ABSTRACTObjectiveTo analyze the process of recording transfusion monitoring at a public teaching hospital.Methods A descriptive and retrospective study with a quantitative approach, analyzing the instruments to record transfusion monitoring at a public hospital in a city in the State of Minas Gerais (MG). Data were collected on the correct completion of the instrument, time elapsed from transfusions, records of vital signs, type of blood component more frequently transfused, and hospital unit where transfusion was performed.Results A total of 1,012 records […]

Infections and systemic lupus erythematosus

Thelma Larocca Skare, Jéssica Scherer Dagostini, Patricia Imai Zanardi, Renato Mitsunori Nisihara

DOI: 10.1590/S1679-45082016AO3490

ABSTRACTObjectiveTo determine the incidence of infections in a population of systemic lupus erythematosus individuals and the characteristics of infections regarding original site, as well as to study the possible associations between infections and treatment.Methods An analytical retrospective study using data from medical charts of systemic lupus erythematosus patients from a single university hospital. A total of 144 patients followed up for five years were included. Data collected comprised age of patients and age at onset of lupus, sex and ethnicity, […]

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