São Paulo medical journal = Revista paulista de medicina
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P2 hyperphonesis is considered to be a valuable finding in semiological diagnoses of pulmonary hypertension (PH). The aim here was to evaluate the accuracy of the pulmonary component of second heart sounds for predicting PH in patients with interstitial lung disease. ⋯ The semiological signs indicative of PH presented low sensitivity and specificity levels for clinically diagnosing this comorbidity.
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Non-treatment of diseases or clinical conditions has been considered to constitute omission of care in several countries. The aim of the present study was to develop a transcultural adaptation of the Screening Tool to Alert Doctors to the Right Treatment (START) to Brazilian Portuguese and to validate the tool's content. ⋯ The content of START was entirely validated for Brazil, with all of the original criteria maintained.
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Accelerometry provides objective measurement of physical activity levels, but is unfeasible in clinical practice. Thus, we aimed to identify physical fitness tests capable of predicting physical inactivity among adults. ⋯ The six-minute walk test should be included in epidemiological studies as a simple and cheap tool for screening for physical inactivity.