Volume 15, Number 4, October/December 2017

Public health policies and scientific evidence

Wanderley Marques Bernardo

DOI: 10.1590/S1679-45082017ED4314

Patients are the same all over the world. Evidence is the same in the entire world. However, care policies are not the same. This is impossible to understand and unacceptable, since there is no different evidence for public and private care; it is not a matter of being capitalist or socialist, of presence or distribution of money; it is the fight against consumerist, untruthful and voracious capitalism, encouraging licit “robbery”; it is an issue of equity and ethics; of assured […]

Monitoring and treating fetuses with gastroschisis using the Svetliza Reducibility Index (SRI) and the EXIT-like procedure – a novel approach

Manoel Carlos Prieto Velhote

DOI: 10.1590/S1679-45082017ED4238

By and large, Medicine and sciences only advance due to new ideas, which should be tested according to academic standards to be accepted. It is estimated that out of every 100 new and creative ideas, few will effectively give some contribution and lead to improvement. However, remembering Thomas Alva Edison “There’s a way to do it better – find it!”() Therefore, new ideas should not be despised, a priori, as long as they are logic and consistent. The article under […]

Novel multidisciplinary approach to monitor and treat fetuses with gastroschisis using the Svetliza Reducibility Index and the EXIT-like procedure

Gustavo Henrique de Oliveira, Javier Svetliza, Denise Cristina Mós Vaz-Oliani, Humberto Liedtke Junior, Antonio Helio Oliani, Denise Araujo Lapa Pedreira

DOI: 10.1590/S1679-45082017AO3979

ABSTRACT Objective: To describe our initial experience with a novel approach to follow-up and treat gastroschisis in “zero minute” using the EXITlike procedure. Methods: Eleven fetuses with prenatal diagnosis of gastroschisis were evaluated. The Svetliza Reductibility Index was used to prospectively evaluate five cases, and six cases were used as historical controls. The Svetliza Reductibility Index consisted in dividing the real abdominal wall defect diameter by the larger intestinal loop to be fitted in such space. The EXIT-like procedure consists […]

Vascular endothelial growth factor gene variations as a risk predictor in disc degeneration

Aline Amaro, Ana Beatriz Guerra, Matheus Pippa Defino, Luiz Angelo Vieira, Carla Peluso, Bianca Bianco, [...]

DOI: 10.1590/S1679-45082017AO4053

ABSTRACT Objective: To evaluate the frequency of polymorphisms in the vascular endothelial growth factor (VEGF) gene, as well as to identify a potential risk haplotype among the polymorphic regions in this gene in patients with disc degeneration and in the Control Group. Methods: This study analyzed a total of 217 individuals distributed into the Disc Degeneration and Control Groups. Peripheral blood was collected from all patients to detect VEGF gene polymorphisms identified by qPCR (rs699947, rs1570360, rs2010963, rs833061 and rs3025039). […]

Do not attempt resuscitation orders at the emergency department of a teaching hospital

Cássia Regina Vancini-Campanharo, Rodrigo Luiz Vancini, Marcelo Calil Machado Netto, Maria Carolina Barbosa Teixeira Lopes, Meiry Fernanda Pinto Okuno, Ruth Ester Assayag Batista, [...]

DOI: 10.1590/S1679-45082017AO3999

ABSTRACT Objective: To identify factors associated with not attempting resuscitation. Methods: A cross-sectional study conducted at the emergency department of a teaching hospital. The sample consisted of 285 patients; in that, 216 were submitted to cardiopulmonary resuscitation and 69 were not. The data were collected by means of the in-hospital Utstein Style. To compare resuscitation attempts with variables of interest we used the χ2 test, likelihood ratio, Fisher exact test, and analysis of variance (p

Association between active commuting and elevated blood pressure in adolescents

Fábio da Silva Santana, Aline Cabral Palmeira, Marcos André Moura dos Santos, Breno Quintella Farah, Bruna Cadengue Coêlho de Souza, Raphael Mendes Ritti-Dias

DOI: 10.1590/S1679-45082017AO4093

ABSTRACT Objective: To analyze the association between active commuting and blood pressure in adolescents. Methods: This is a cross-sectional study with high school students from public education network in the state of Pernambuco, Brazil. Data from 6039 students (14 to 19 years) were collected using a questionnaire. “Physically inactive” were considered those who reported not to walk or ride a bicycle to and from school on any day of the past week, and/or those who, regardless of the weekly frequency […]

Emergency Severity Index: accuracy in risk classification

Joselito Adriano da Silva, Angélica Santos Emi, Eliseth Ribeiro Leão, Maria Carolina Barbosa Teixeira Lopes, Meiry Fernanda Pinto Okuno, Ruth Ester Assayag Batista

DOI: 10.1590/S1679-45082017AO3964

ABSTRACT Objective: To verify agreement between estimative of predicted resources using the adapted Emergency Severity Index and the real amount of resources used by patients. To analyze the variables number of years since graduation, years of work experience and years of experience in emergency services especially with accurate anticipation of resources need. Methods: This retrospective analytical study with a quantitative approach included 538 medical records of patients assisted by 11 triage nurses. Data collected were related to assistances carried out […]

Self-perceived quality of health and satisfaction by elderly seen by the Family Health Strategy team

Lilian Rigo, Raíssa Rigo Garbin, José Lucas Sani de Alcântara Rodrigues, Laerte Ribeiro Menezes-Júnior, Luiz Renato Paranhos, Cristiane Barelli

DOI: 10.1590/S1679-45082017AO3972

ABSTRACT Objective: To verify the profile of elderly followed up by Family Health Strategy teams and the influence of self-reported chronic diseases on demographic variables, describing self-perception and satisfaction with quality of health. Methods: This is a cross-sectional population- based study carried out with 301 elderly residents in two areas of a city in southern Brazil. Data were collected through a questionnaire based on the Health, Well-Being, and Aging Study adapted by researchers, and a playful scale to assess satisfaction […]

Urinary beta-trace protein gene expression analysis in type 2 diabetes mellitus patients

Marcelo Rodrigues Bacci, Beatriz da Costa Aguiar Alves, Marina Romera Cavallari, Ligia Ajaime Azzalis, Ross Martin de Rozier-Alves, Matheus Moreira Perez, [...]

DOI: 10.1590/S1679-45082017AO4012

ABSTRACT Objective: To evaluate the gene expression of beta-trace protein in urine of diabetic patients, with no reduction in glomerular filtration rate, which was defined as below 60mL/min/1.73m2. Methods: Type 2 diabetes mellitus patients were recruited, and a group of non-diabetic individuals served as control. Beta-trace protein gene expression was analyzed by quantitative PCR. Blood samples were collected to establish glucose levels and baseline kidney function. Accuracy was analyzed using ROC curves. Results: Ninety type 2 diabetes mellitus patients and […]

New therapeutic option in genitourinary syndrome of menopause: pilot study using microablative fractional radiofrequency

Márcia Farina Kamilos, Celso Luiz Borrelli

DOI: 10.1590/S1679-45082017AO4051

ABSTRACT Objective: To evaluate the clinical response of patients with symptoms of genitourinary syndrome of menopause after application of microablative fractional radiofrequency in the vagina and vaginal introitus. Methods: Fourteen patients with symptoms of genitourinary syndrome of menopause underwent three applications of microablative fractional radiofrequency with a 30-day interval, using the Wavetronic 6000HF-FRAXX device and a fractional vaginal electrode. The questionnaires World Health Organization Quality of Life (for quality of life evaluation), Female Sexual Function Index and Quality of Life […]

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