Central and peripheral fat body mass have a protective effect on osteopenia or osteoporosis in adults and elderly?

UNLABELLED: This cross-sectional study involves randomly selected men aged 50 to 99 years and postmenopausal women. Either central fat mass or peripheral fat mass were associated to osteoporosis or osteopenia independently from fat-free body mass and other confounding factors. INTRODUCTION: Obesity and osteoporosis are public health problems that probably share common pathophysiological mechanisms. The question if body fat mass, central or peripheral, is protective or harmful for osteoporosis or osteopenia is not completely resolved. This study aims to investigate the association between osteoporosis or osteopenia, and fat body mass (central and peripheral) independently from fat-free body mass, in men aged 50 to 99 years old and postmenopausal women randomly selected in the community. METHODS: This is a cross-sectional investigation with a random sample of registered population in Niterói Family Doctor Program (FDP), State of Rio de Janeiro, Brazil. Bone mineral density (BMD) and fat-free mass were assessed by dual X-ray absorptiometry (DXA). RESULTS: There was statistically significant bivariate association between bone loss with gender, age, skin color, alcohol consumption at risk dose, use of thiazide, fat-free body mass, and fat body mass (central and peripheral). In the multiple analysis of fat-free body mass, central and peripheral fat body mass showed an independent and protective effect on the presence of osteoporosis or osteopenia (p value <0.001). CONCLUSION: Since both obesity and osteoporosis are public health problems worldwide, strategies aimed at preventing both conditions should be encouraged during aging.

Schistosoma mansoni: a rare cause of tubal infection.

S. haematobium is an important cause of urinary schistosomiasis, and symptomatic female genital infection is a common gynecological finding in areas where S. haematobium is prevalent. On the other hand, genital manifestations of intestinal schistosomas as S. mansoni are not frequent or are misdiagnosed. A case of a 40-year-old woman with abnormal uterine bleeding and asymptomatic tubal infection by S. mansoni identified in histological examination is presented.

Schistosoma mansoni: a rare cause of tubal infection

S. haematobium is an important cause of urinary schistosomiasis, and symptomatic female genital infection is a common gynecological finding in areas where S. haematobium is prevalent. On the other hand, genital manifestations of intestinal schistosomas as S. mansoni are not frequent or are misdiagnosed. A case of a 40-year-old woman with abnormal uterine bleeding and asymptomatic tubal infection by S. mansoni identified in histological examination is presented.

Metilprednisolona intravenosa em altas doses (pulsoterapia): possível solução terapêutica para a febre reumática ativa com cardite grave / High-dose intravenous methylprednisolone (pulsetherapy): possible therapeutic solution for active rheumatic fever with severe carditis

Oito pacientes com cardite reumatica ativa a maioria em franca insuficiencia cardiaca foram tratados com esquema de pulsoterapia (lg de metilprednisolona intravenosa). Foram acompanhados por exame clinico,eletrocardiograma, radiografia de torax, provas de atividade reumatica e ecocardiograma. A melhora da insuficiencia cardiaca ocorreu em dias. Esta forma de terapeutica tornou possivel o controle da insuficiencia cardiaca, certamente imunologica em curto periodo de tempo e sem efeitos adversos. Ela permitira, tambem, maior abrangencia em situacoes especiais de insuficiencia cardiaca auto-imune

Parassístole ventricular dupla espontânea em paciente portador de cardiopatia chagásica. Relato de um caso / Double spontaneous ventricular parasystole in patients with Chagas' cardiopathy. Report of a case

Relata-se o caso de um paciente do sexo masculino, de 54 anos, portador de cardiopatia chagasica cronica, apresentando parassistole ventricular dupla espontanea de longa duracao. Comentam as caracteristicas do caso, ressaltando os sinais eletrocardiograficos que permitiram o diagnostico da arritmia e salientam a gravidade, a resistencia aos medicamentos anti-arritmicos e a raridade desta condicao, especialmente na cardiopatia chagasica

Sequelas laringotraqueais devidas a intubacao. / Laryngotracheal sequelae due to intubation

Os autores discutem os fatores causais determinantes de sequelas laringotraqueais em pacientes submetidos a intubacao prolongada de vias aereas superiores. Mostram casuistica de sequelas tratadas entre 1974 e 1978 no Hospital Ibirapuera de Sao Paulo

Variacao anatomica do plexo infra-orbital. Relato de um caso. / Anatomical variation of the infra-orbital plexus. Report of a case

Os autores relatam um caso de variacao anatomica do plexo infra-orbital em uma cirurgia do seio maxilar. Ressaltam a possibilidade do encontro de estruturas vizinhas ao antro dentro desta, e comentam a anatomia e variacoes do plexo infra-orbital. Salientam a necessidade de um exame pre-operatorio detalhado da cavidade sinusal, antes de um procedimento cirurgico a este nivel. O intuito e o de preservar estruturas anatomicas que porventura estejam no interior do seio maxilar