Revista da Associacao Medica Brasileira (1992)
-
Analyze how the COVID-19 (SARS-CoV-2) pandemic and its social restriction measures affect sleep quality and the immunological system. ⋯ Sleep exercises a direct influence on immunity maintenance and immunological response. Circadian rhythm alterations, associated with the psychological problems imposed by the COVID-19 pandemic compromise the quality of sleep and, for that reason, the immune system.
-
Rev Assoc Med Bras (1992) · Jan 2020
ReviewRisk of venous thromboembolism in users of contraception and menopausal hormone therapy during the COVID-19 pandemic.
The outbreak of coronavirus disease (COVID-19) is a public health emergency of international concern. Inflammatory changes are part of COVID-19 pathophysiology and this might generate a higher thromboembolic risk in patients using combined hormonal contraception and menopausal hormone therapy. We aimed to discuss the main aspects related to this issue and propose management strategies for women affected by COVID-19. ⋯ In this scenario, apart from the fundamental orientations of preventive measures, like social isolation and hygiene, it is important that all female health professionals have knowledge of the new rules and adopt safety measures, especially on the prescription of hormonal therapy and contraception.
-
Rev Assoc Med Bras (1992) · Jan 2020
Non-alcoholic fatty liver disease in patients infected with human immunodeficiency virus: a systematic review.
To evaluate the prevalence of nonalcoholic fatty liver disease (NAFLD) in patients with HIV/AIDS. ⋯ This systematic review showed a high prevalence of NAFLD in HIV-patients, which was associated with metabolic risk factors. The possible association between antiretroviral therapy and NAFLD needs further studies.
-
Rev Assoc Med Bras (1992) · Jan 2020
Evaluation of adult celiac disease from a tertiary reference center: a retrospective analysis.
It has been observed that celiac disease (CD) is not restricted to a single type characterized by diarrhea but also has atypical, asymptomatic (silent), and latent forms. The prevalence of this autoimmune disease, which affects approximately 1% of the world, is estimated to be around 3%, including atypical and asymptomatic cases. In our study, we aimed to evaluate adult celiac patients. ⋯ In adult CD, resistant anemia, dyspepsia, and hypertransaminasemia are very common findings at the time of diagnosis, and the association with other autoimmune diseases, especially Hashimoto's thyroiditis, is high.
-
Rev Assoc Med Bras (1992) · Jan 2020
ReviewCurrent evidence of SARS-CoV-2 vertical transmission: an integrative review.
To review the current scientific evidence of vertical transmission related to coronavirus disease 2019 (COVID-19). ⋯ Further studies with a great number of cases are warranted to elucidate whether the virus may be vertically transmitted to the fetus and if any maternal conditions can influence that. Our findings seem to demonstrate that vertical transmission is possible but quite unusual.