Rodrigo Díaz Olmos

University of São Paulo | USP · Department of Internal Medicine (VCM)

Subclinical thyroid dysfunction is very common in clinical practice and there is some evidence that it may be associated with cardiovascular disease. The aim here was to evaluate the frequencies of subclinical thyroid disease and risk factors for cardiovascular disease among women at a workplace, and to evaluate the association between subclinical...

Thyroid disorders are highly prevalent, occurring most frequently in aging women. Thyroid-associated symptoms are very similar to symptoms of the aging process; thus, improved methods for diagnosing overt and subclinical hypothyroidism in elderly people are crucial. Thyrotropin measurement is considered to be the main test for detecting hypothyroid...

Rational: Subclinical thyroid dysfunction is very common in clinical practice, particularly among middle-aged women. There is some evidence that subclinical thyroid dysfunction may affect cardiovascular risk in a negative fashion, and also affect quality of life and produce somatic and psychological symptoms. There remains much controversy as wheth...

Preventing premature non-communicable disease mortality necessitates a thorough review of one of the most important risk factors for stroke, which is atrial fibrillation (AF). The latter and AF-related stroke are still considered to be problems of high-income countries and are frequently overlooked in low- and middle-income countries (LMICs). In th...

Background Atrial fibrillation (AF) is a major risk factor for stroke. To enable improvements to AF diagnosis and follow-up care, understanding current patient pathways and barriers to optimal care are essential. We investigated the patient care pathways and their drivers, and the impact of the COVID-19 pandemic on patient pathways in a middle-inco...

To investigate the time-dependent effects of traditional risk factors on functional disability in all-cause mortality post-stroke, we evaluated data from a long-term stroke cohort. Baseline cerebrovascular risk factors (CVRF) and functionality at 1 and 6 months were evaluated in survivors from a prospective stroke cohort using the modified Rankin s...

Background Atrial fibrillation (AF) negatively impacts health systems worldwide. We aimed to capture perceptions of and barriers and facilitators for AF care in Brazilian primary care units (PCUs) from the perspective of healthcare professionals (HCPs). Methods This mixed-methods, cross-sectional study utilised an exploratory sequential design, be...

Background: The association between ideal cardiovascular health (ICVH) status and atrial fibrillation or flutter (AFF) diagnosis has been less studied compared to other cardiovascular diseases. Objective: To analyze the association between AFF diagnosis and ICVH metrics and scores in the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil)...

Background Atrial fibrillation (AF) is the most common cardiac arrhythmia that affects 60 million people worldwide. Limited evidence on AF management exists from low- and middle-income countries and none from Sri Lanka. We aimed to investigate the existing AF care pathway and patients’ perception on AF management to identify barriers and enablers f...

Aim: To investigate the association between medication use and long-term all-cause mortality in a Brazilian stroke cohort. Methods: Both ischemic and hemorrhagic stroke were evaluated. Medication use was assessed as: never, only pre-stroke, only post-stroke, and continuous use. We evaluated anti-hypertensives, anti-diabetics, lipid-lowering drug...

À medida que os avanços médico-tecnológicos continuam a se tornar mais facilmente disponíveis, o diagnóstico de pseudo-doenças atingiu o cerne dos sistemas de saúde e tornou-se uma das atividades mais prejudiciais da medicina moderna, tanto individual quanto coletivamente, pois ameaça a sustentabilidade dos sistemas de saúde. Aqui descrevemos um ca...

Immunoglobulin IgG4-related disease (IgG4-RD) is an immune-mediated fibroinflammatory condition with a characteristic histopathological appearance that can affect almost any organ. The clinical features result from a focal or diffuse appearance of a tumor-like swelling of the affected organs, identified by physical and/or imaging examination. Herei...

Background: Atrial fibrillation (AF) is a predictor of poor prognosis after stroke. Aims: To evaluate AF and all-cause and cardiovascular (CVD) mortality in a stroke cohort with low socioeconomic status (SES), taking into consideration oral anticoagulant (OAC) use during 12-year follow-up. Methods: All-cause mortality was analyzed by Kaplan-Me...

Objectives: Feedback is a powerful learning tool, but a lack of appropriate feedback is a very common complaint from learners to teachers. To improve opportunities for feedback on objective structured clinical examinations (OSCEs), a modified examiner role, termed the "shadow" examiner, was tested. This study aims to present and analyze comparison...

Preventive interventions should be directed towards social determinants of health, instead of spending huge amounts of healthcare resources on biomedical interventions that may produce more harm than benefit. Actions to improve health are mainly outside of the Health Department. Therefore, I too urge the new mayor, Mr. Doria, to adopt science-drive...

O presente volume Medicina de Família e Comunidade descreve a atuação do médico de família e comunidade. Está estruturado em três seções distintas: - 1. Temas Centrais - trata da gestão clínica, habilidade de comunicação, registro clínico-ambulatorial e epidemiologia e raciocínio clínico, - 2. Pessoas, suas Condições de Saúde e as Complexas Interaç...

O presente volume Medicina de Família e Comunidade descreve a atuação do médico de família e comunidade. Está estruturado em três seções distintas: - 1. Temas Centrais - trata da gestão clínica, habilidade de comunicação, registro clínico-ambulatorial e epidemiologia e raciocínio clínico. - 2. Pessoas, suas Condições de Saúde e as Complexas Intera...

A review of the book "The Great Prostate Hoax – How big medicine hijacked the PSA test and caused a public health disaster" by Richard Ablin

Thyroid diseases are common, and use of levothyroxine is increasing worldwide. We investigated the influence of gender, race and socioeconomic status on the diagnosis and treatment of thyroid disorders using data from the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil), a multicenter cohort study of civil servants (35-74 years of age) fr...

Introduction: Urinary tract infection (UTI) has a high incidence and recurrence, therefore, treatment is empirical in the majority of cases. Objectives: The aim of this study was to analyze the urine cultures performed at a secondary hospital, during two periods, 2005–2006 and 2010–2011, and to estimate the microbial resistance. Patients and meth...

Some authors have suggested that a zero calcium score (CAC) can be used to rule out the diagnosis of acute coronary syndrome. Objective this study is to evaluate the diagnostic accuracy of a zero CAC when compared to the coronary computed tomography angiography (CCTA) at the emergency department. 135 symptomatic patients with no previous coronary h...

Some authors have suggested that a zero calcium score (CAC) can be used to rule out the diagnosis of acute coronary syndrome. Objective this study is to evaluate the diagnostic accuracy of a zero CAC when compared to the coronary computed tomography angiography (CCTA) at the emergency department. 135 symptomatic patients with no previous coronary h...

Introduction: Several diagnostic tools have been proposed to investigate patients with acute chest pain in the emergency room. Recently, coronary computed angiotomography (CTA) has been studied for this purpose. Since CTA has some limitations including the use of ionizing radiation, iodine contrast and the need of drugs such as beta- blockers and n...

INTRODUCTION: The field of primary health care has many terms that are not used properly. It is important to retrieve the root of such terms in order to understand why they are used differently by health workers and lay people. OBJECTIVE: To research and discuss the meanings and uses of terms related to primary health care. METHOD: Review in differ...

We present the clinical case of a 76-year-old woman with delirium caused by multiple factors, including pneumonia. Although this type of case is quite common in clinical practice, it provides us with an opportunity to discuss laboratory testing in this context, with a special focus on the role of C-reactive protein (CRP). We present data regarding...

Chronic obstructive pulmonary disease is a respiratory disease primarily caused by smoking. It´s an important cause of morbidity and mortality, and health costs in Brazil, where it is the fifth leading cause of death. The early identification and treatment of patients with COPD, as well as counseling to quit smoking are important interventions. Thi...

Escolha dos anti-hipertensivos na hipertensão arterial: meta-análise Uso de medicações para controle da pressão arterial na prevenção de doença cardiovascular: Meta-análise de 147 estudos randomizados no contexto de expectativas advindas de estudos epidemiológicos. Use of blood pressure lowering drugs in the prevention of cardiovascular disease: Me...

A case of a 37-week pregnant woman who developed a hemorrhagic syndrome and acute renal failure after contact with Lonomia caterpillars is reported. The accident also initiated labour and the patient gave birth to an alive child. Some pathophysiological aspects of the genital bleeding and of the acute renal failure are discussed.Um caso de uma gest...

DOTTA, I. G. ; LIMA, J. ; AISEN, M. ; OLMOS, R. D. ; Almeida, FJ ; BREVIGLIERI, R. ; FEITOSA, L. ; FEITOSA, J. R. . Anemia Hemolítica severa em paciente portador de biopróteses aórtica e mitral. In: XV Congresso Nacional do Colégio Brasileiro de Hematologia, 1995, Águas de Lindóia. Anais do XV Congresso Nacional do Colégio Brasileiro de Hematologia...