Revista da Associacao Medica Brasileira (1992)
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Rev Assoc Med Bras (1992) · Jun 2017
Diagnostic and prognostic performances of serum procalcitonin in patients with bloodstream infections: A parallel, case-control study comprising adults and elderly.
To examine the diagnostic and prognostic performances of serum procalcitonin (PCT) in adult and elderly patients with bloodstream infections (BSIs). ⋯ Although admission serum PCT is a sensitive and specific biomarker for the diagnosis of BSIs in patients younger than 65 years old, its short-term prognostic value is comparable between adults and the elderly.
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Rev Assoc Med Bras (1992) · Jun 2017
Observational StudyMueller-Hillis maneuver and angle of progression: Are they correlated?
Mueller-Hillis maneuver (MHM) and angle of progression (AOP) measured by transperineal ultrasound have been used to assess fetal head descent during the second stage of labor. We aimed to assess whether AOP correlates with MHM in the second stage of labor. ⋯ An AOP of 138º seems to be associated with a positive MHM in the second stage of labor.
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Rev Assoc Med Bras (1992) · Jun 2017
Factors associated with burnout syndrome in medical residents of a university hospital.
To determine the prevalence of burnout syndrome among resident physicians of various specialties and to evaluate associated factors. ⋯ The prevalence of burnout found in resident physicians is in accordance with previous Brazilian studies. Residents of surgical specialties and those who suffered some stressful event were identified as susceptible in this study. The early identification of risk factors is fundamental for the implementation of preventive measures against burnout syndrome.
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Rev Assoc Med Bras (1992) · Jun 2017
Case ReportsSecondary syphilis: The great imitator can't be forgotten.
Syphilis is an infection caused by Treponema pallidum, mainly transmitted by sexual contact. Since 2001, primary and secondary syphilis rates started to rise, with an epidemic resurgence. The authors describe an exuberant case of secondary syphilis, presenting with annular and lichen planus-like lesions, as well as one mucocutaneous lesion. Physicians must be aware of syphilis in daily practice, since the vast spectrum of its cutaneous manifestations is rising worldwide.
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Rev Assoc Med Bras (1992) · Jun 2017
Geographical distribution of medical graduates from a public university.
To evaluate the geographic distribution and career trajectory of medical graduates and the factors associated with their choice of practice location. ⋯ Most of the physicians included in this study pursue subspecialties training and were practicing medicine in large cities. Knowing the multiple factors that influenced the choice of practice location can assist in planning future strategies to reduce physician workforce misdistribution.