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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

Paroxysmal Atrial Fibrillation Catheter Ablation Outcome Depends on Pulmonary Veins Anatomy

The electrical activity trigger responsible for triggering paroxysmal atrial fibrillation (PAF) is often located in the pulmonary veins (PV), so that the electrical isolation of the PVs is the therapeutic mainstem in the invasive treatment of this arrhyth

Pain and palliative care: the knowledge of medical students and the graduation gaps

Care provision by health professionals to patients with pain allows the rational use of the health system and drugs, in addition to humanitarian aspects involved. It also provides a reduction in disabilities and absenteeism due to pain.

Bilateral periorbital necrotizing fasciitis: case report

Necrotizing fasciitis is a severe infection of the subcutaneous tissue characterized by necrosis of the superficial fascia and overlying skin and is usually associated with previous trauma and comorbidities. Periorbital necrotizing fasciitis is rare and c


The patient undergoing bariatric surgery, whether by means of mixed gastric bypass technique or by restrictive vertical gastrectomy, must maintain a strict nutritional order for promoting subcutaneous fat loss and preservation of muscle mass5. The operati

Influence of growth hormone replacement on neurological and psychomotor development. Case report

The height response to the use of growth hormone in short height cases has already been confirmed in the literature. The influence of the insulin-like growth factor 1 (GH-IGF1) axis components on development, function, regeneration, neuroprotection, cogni