São Paulo medical journal = Revista paulista de medicina
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Review Case Reports
Intracranial aneurysm and arachnoid cyst: just a coincidence? A case report.
Presence of an arachnoid cyst and a non-ruptured intracystic brain aneurysm is extremely rare. The aim of this paper was to describe a case of a patient with an arachnoid cyst and a non-ruptured aneurysm inside it. Clinical, surgical and radiological data were analyzed and the literature was reviewed. ⋯ This report raises awareness about the importance of intracranial vascular investigation in patients with arachnoid cysts and brain hemorrhage.
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Randomized Controlled Trial
The effect of bispectral index monitoring on cognitive performance following sedation for outpatient colonoscopy: a randomized controlled trial.
Bispectral index (BIS) monitoring can positively affect cognitive performance through decreasing the use of sedative agents. We aimed to evaluate the effect of BIS monitoring on early cognitive performance among patients undergoing sedation for colonoscopy. ⋯ This trial was registered in the Australian New Zealand Clinical Trial Registry (ACTRN12617000134325).
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Comparative Study Observational Study
Projection of new thresholds for hypertension to outpatient clinic patients and impact of risk factors: a cross-sectional study.
The 2017 American College of Cardiology (ACC)/American Heart Association (AHA) guidelines on hypertension management recommend new stage 1 hypertension thresholds (130-139/80-89 mmHg) for starting antihypertensive treatment. ⋯ The factors associated with the definition of hypertension may vary through changing the threshold values.
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Hypertension is a serious global public health problem that affects a large part of the Brazilian adult population and can cause limitations and losses of quality of life. ⋯ This study showed sociodemographic inequality in the prevalence of hypertension, especially in the population with some degree of limitation associated with hypertension. It showed that improvements in access to primary care services for controlling hypertension at its initial stages are essential in order to avoid comorbidities of greater severity and limitations and losses of quality of life, especially among socially disadvantaged people.