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Hypertension in patients on dialysis: diagnosis, mechanisms, and management

Hypertension (blood pressure > 140/90 mm Hg) is very common in patients undergoing regular dialysis, with a prevalence of 70-80%, and only the minority has adequate blood pressure (BP) control. In contrast to the unclear association of predialytic BP reco


Eating disorders are behavioral syndromes that have gradually aroused interest in the scientific community over the last 30 years, as they can lead to poor quality of life (QOL),1 they are associated with different types of

Economic burden of inpatients infected with Klebsiella pneumoniae carbapenemase

Klebsiella pneumoniae carbepemase (KPC) is a multidrug resistant bacteria, with a costly therapy and high mortality rate.(1,2) The World Health Organization (WHO) published that carbapenem-resistant Enterobacteriaceaehas the highest level of priority that

Effects of exercise on sleep symptoms in patients with severe obstructive sleep apnea

Excessive daytime sleepiness and daytime fatigue are symptoms of obstructive sleep apnea (OSA).1 OSA contributes to decreased energy levels and motivation throughout the day.2 Insufficient motivation is commonly reported as a cause of reduced participatio

New guidelines for the diagnosis of fibromyalgia

Considered one of the most common clinical rheumatologic conditions, fibromyalgia (FM) has variable epidemiological data. In studies performed in the USA and in Europe, the prevalence found was up to 5% in the general population,1-5 surpassing 10% of visi

Effect of a physiotherapy program in patient with persistent polyarthralgia after chikungunya fever. Case report

Chikungunya fever is caused by the chikungunya virus, but with characteristics similar to the dengue fever. The main clinical manifestation that differs from dengue is the strong joint pains, which can remain for long periods, and that is found at lower i

Conservative management for patients with chronic kidney disease refusing dialysis

Estimates suggest that 20-30% of the deaths of patients with chronic kidney disease with indication to undergo dialysis occur after refusal to continue dialysis, discontinuation of dialysis or inability to offer dialysis on account of local conditions.

Challenges in high-sensitive troponin assay interpretation for intensive therapy

Cardiac troponins T and I are considered highly sensitive and specific markers for the diagnosis of acute myocardial infarction. Currently, a series of nonprimary cardiac abnormalities may manifest as an elevation in high-sensitive assays. The reduction i

Surgical indications for anterior cruciate ligament reconstruction combined with extra-articular lateral tenodesis or anterolateral ligament reconstruction

Recently described in the medical literature, the anterolateral ligament of the knee is already considered an important stabilizer against the anterolateral tibial rotation, affecting the pivot shift in the failure

Helium-oxygen mixture: clinical applicability in an intensive care unit

Helium gas was discovered by a French astronomer in 1868, but it was only isolated on Earth in 1895. Its molecular weight was determined in 1907.(1) Its physical and chemical characteristics consist of low molecular weight, low density