Impact of a multifaceted strategy in end-of-life care in a tertiary hospital: A quasi-experimental study.

Objective: To evaluate the impact of a multifaceted strategy for quality end-of-life care in a tertiary public hospital in Brazil.

Methodology: The study design was quasi-experimental. The multifaceted strategy was applied between January and June 2017, and involved training the healthcare team in end-of-life discussions, the creation and documentation of advance directives, and consultation with the team specialized in palliative care.

Palliative care in Brasil: present and future.

Objective: To estimate the human resources and services needed to meet the demand of the Brazilian population who would benefit from palliative care, based on the population growth projection for 2040.

Methods: Population and mortality estimates and projections were obtained from the Brazilian Institute of Geography and Statistics. Service needs were estimated based on literature data.

Common mental disorders in patients undergoing lower limb amputation: a population-based sample.

Background: Amputations result in a variety of limitations that have emotional consequences for patients. The aim of the present study was evaluate non-psychotic disorders and their associated factors in a sample of people with lower limb amputations.

Method: A cross-sectional study was conducted that assessed the association of sociodemographic and clinical variables in relation to psychiatric disorders evaluated through the Self Reporting Questionnaire (SRQ-20) for patients undergoing lower limb amputation.

Fat and fiber consumption are associated with peripheral arterial disease in a cross-sectional study of a Japanese-Brazilian population.

Background: The Western diet plays a role for the epidemics of obesity and related diseases. This study examined a possible association between peripheral arterial disease (PAD) and the dietary components of Japanese immigrants living in Brazil.

Methods And Results: In this cross-sectional study, 1,267 subjects (aged > or =30 years) with complete dietary, clinical and laboratory data were studied according to a standardized protocol.

Peroneal nerve palsy due to compartment syndrome after facial plastic surgery.

A 25-year-old white man, right after bilateral rhytidoplasty, presented with agitation, necessitating use of haloperidol. Some hours after, he developed severe pain in his legs and a diagnosis of neuroleptic malignant syndrome (NMS) was considered. Even with treatment for NMS he still complained of pain.

Macrovascular disease in a Japanese-Brazilian population of high prevalence of metabolic syndrome: associations with classical and non-classical risk factors.

Background: The Japanese-Brazilian Diabetes Study detected high prevalence of metabolic syndrome (MS) in a population of Japanese ancestry living in Brazil. We describe the prevalence of macrovascular disease (MVD) and its association with classical and non-classical cardiovascular risk factors in this population.

Methods: An overall of 1163 individuals were studied; diagnosis of MVD was based on a score obtained from medical history, ankle-brachial pressure index and electrocardiogram, defining three groups: no MVD, possible MVD and definite MVD.

Segmental waveform analysis in the diagnosis of peripheral arterial occlusive diseases.

The duplex exam is widely used in the diagnosis of peripheral arterial occlusive disease. It presents some drawbacks, however, such as calcified plaques, sequential stenosis, and time-consuming examinations. A type of waveform analysis, referred to in this study as segmental analysis, was conducted to try to find solutions to these problems.