São Paulo medical journal = Revista paulista de medicina
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Arrival time at a referral hospital and functional disability of people with stroke: a cohort study.
Stroke is a major cause of death and functional disability worldwide. Knowledge of the associated factors is essential for defining education, management, and healthcare strategies. ⋯ Arrival at the referral hospital 4.5 hours after the onset of symptoms or wake-up stroke was an independent predictor of a high degree of functional disability.
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Urinary tract infections (UTI) are highly preventable and have significant clinical and financial impact on the patient and the health care system. ⋯ The UTIs incidence was high and was mainly caused by Gram-negative bacteria that were resistant to common antibiotics. We observed increase in the consumption of broad-spectrum antibiotics in ICU correlating with MDR microorganisms. In general, ICU-acquired candiduria may be associated with critical illness and poor prognosis.
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The social distancing measures during the coronavirus disease 2019 (COVID-19) pandemic resulted in mental suffering among adolescents, leading to risky consumption of psychoactive substances such as tobacco. ⋯ Tobacco uses during the COVID-19 pandemic was higher in vulnerable groups, such as black adolescents and those with mental suffering.
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Research on the economic burden of sedentary behavior and abdominal obesity on health expenses associated with cardiovascular diseases is scarce. ⋯ Abdominal obesity was a determining factor for medication expenses, regardless of sedentary behavior, among adults with cardiovascular diseases.
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To highlight the importance of clinical simulations and simulated laboratories for student training, especially in physical examination teaching. ⋯ Concentrated laboratory practice resulted in positive improvements in students' physical examination skills.