Rev Assoc Med Bras
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Comparative Study
[Doppler of the umbilical and fetal middle cerebral arteries after magnesium sulfate in preeclampsia].
To compare the ratio between the fetal middle cerebral artery and the umbilical artery using Doppler flow velocimetry indices (resistance index, pulsatility index and A/B relation) before and after administration of magnesium sulfate to pregnant women with severe preeclampsia (pure or superimposed). ⋯ Intravenous administration of magnesium sulfate in patients with severe preeclampsia is associated with increased frequency of fetal Doppler diagnosis of reduced resistance in the middle cerebral artery.
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To evaluate patients admitted with near miss maternal mortality criteria to an Obstetric ICU. ⋯ Patients classified as near miss maternal mortality constitute an important group admitted to an Obstetric ICU. Better information about these patients is fundamental to improve care and prevent maternal mortality.
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To compare the incidence of placental abruption (PA), fetal death and the profile of maternal factors associated with fetal death in pregnancies affected by placental abruption during two different time periods in the same hospital. ⋯ Placental abruption continues to be a serious obstetric problem, with fatal consequences, especially when the placental abruption area is large. Maternal clinical symptoms are more severe in cases of fetal death.
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This study aimed to analyze, from the perspective of Bioethics, the characteristics of the ethical professional processes of physicians sentenced to have their license revoked in the State of São Paulo. ⋯ Under the perspective of Bioethics, revocation of the medical license is necessary for the protection of patients. The patients' vulnerability was the ethical reference of the Board. Teaching and education of Bioethics must necessarily be an important part of medical graduation and post-graduation, however Bioethics must be disseminated (and put into practice) in all segments of society for the purpose of preserving human dignity.
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C peptide measurement can be helpful for classification of diabetes mellitus (DM). The aim of this study was to investigate the association between clinical diagnosis of type 1 diabetes (T1D) and levels of random C peptide. ⋯ Most patients with DM clinically classified as T1D exhibit low C peptide. However, pancreatic insulin secretion seems to be preserved in a significant proportion of those individuals, possibly representing an atypical form of DM, not yet elucidated, that combines characteristics of both T1D and T2D.