CLINICS is an electronic journal that publishes peer-reviewed articles in continuous flow, of interest to clinicians and researchers in medical and biomedical sciences.
Edited by: Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HC-FMUSP)
CLINICS is an electronic journal that publishes peer-reviewed articles in continuous flow, of interest to clinicians and researchers in medical and biomedical sciences.
Edited by: Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HC-FMUSP)
01/May/2017
Lucila Corsino de Paiva, Ana Carla Gomes Canário, Eneluzia Lavynnya Corsino de Paiva China, Ana Katherine Gonçalves
DOI: 10.6061/clinics/2017(05)08
OBJECTIVE: To evaluate professional achievement and factors associated with occupational burnout among health professionals. METHODS: An institution-based cross-sectional study was conducted on 436 healthcare providers, consisting of 101 nurses, 81 doctors and 254 nursing technicians, all meeting pre-established inclusion criteria. Occupational burnout was detected using the Maslach occupational burnout inventory tool. Data were collected by self-administered questionnaires comprising questions concerning socio-demographics, education and training, and the Maslach occupational burnout inventory was used to identify levels of emotional exhaustion, depersonalization and […]
Keywords: Burnout Syndrome; Hospitals; Occupational Health; Quality of Life
01/Feb/2017
David Gonçalves Nordon, Ariel Falbel Lugão, Lucas Castrillon Carmo Machado, Raphael Martus Marcon, Alexandre Fogaça Cristante, Tarcísio Eloy Pessoa de Barros Filho, [...]
DOI: 10.6061/clinics/2017(02)02
OBJECTIVE: There are few data on patient satisfaction with surgery for the correction of neuromuscular scoliosis or on the correlation between patient satisfaction and the degree of curve correction achieved by surgery. Our aim was to determine the correlations between both patient satisfaction and perception of quality of life and the degree of curve correction. METHODS: We interviewed 18 patients and administered a questionnaire that collected social and economic data and information about functional ability, comorbidities and satisfaction. Statistical analysis […]
Keywords: Neuromuscular; Quality of Life; Questionnaire; Scoliosis; Surgery
01/Jul/2016
Aline Mansueto Mourão, Rodrigo Santiago Gomez, Luiz Sergio Mageste Barbosa, Denise da Silva Freitas, Elizabeth Regina Comini-Frota, Arthur Kummer, [...]
DOI: 10.6061/clinics/2016(07)03
OBJECTIVES: The aims of the current study were 1) to evaluate the reliability and validity of the Brazilian version of the 15-item Myasthenia Gravis Quality of Life Scale and 2) to investigate the quality of life of Brazilian patients with myasthenia gravis and its determinants. METHODS: This cross-sectional study included 69 patients with myasthenia gravis who underwent neurological evaluation and completed questionnaires regarding quality of life (the 36-item Short Form of the Medical Outcomes Study and the 15-item Myasthenia Gravis […]
Keywords: Myasthenia Gravis; Neuropsychiatry; Psychometrics; Quality of Life
01/Mar/2016
Verônica de Medeiros Alves, Leilane Camila Ferreira de Lima Francisco, Flaviane Maria Pereira Belo, Valfrido Leão de-Melo-Neto, Vinicius Gomes Barros, Antonio E. Nardi
DOI: 10.6061/clinics/2016(03)03
OBJECTIVE: To identify the socio-demographic profiles, suicidal ideation, the presence of mental disorders and the quality of life of patients using mental health services in Arapiraca, Alagoas, Brazil. METHOD: Interviews were conducted in family health units and the Psychosocial Attention Center. The sample included 202 mental disorder patients with a risk of suicide attempts, 207 mental disorder patients without a risk of suicide attempts and 196 controls. This study used an identification questionnaire, the abbreviated World Health Organization Quality of […]
Keywords: Mental Disorders; Quality of Life; Suicidal Ideation; Suicide Attempts
01/Oct/2015
Hong Jin Pai, Raymundo Soares Azevedo, Alfésio Luís Ferreira Braga, Lourdes Conceição Martins, Beatriz M. Saraiva-Romanholo, Milton de Arruda Martins, [...]
DOI: 10.6061/clinics/2015(10)01
OBJECTIVES: This study sought to verify the effects of acupuncture as an adjuvant treatment for the control of asthma. METHODS: This was a randomized, controlled, crossover trial conducted at the Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo. A total of 74 patients with mild/moderate, persistent asthma were randomized into two therapeutic groups: Group A - 31 patients underwent 10 real weekly acupuncture sessions, followed by a 3-week washout period and 10 sham weekly acupuncture sessions; […]
Keywords: Acupuncture; Asthma; Quality of Life; Sham; Spirometry; Symptoms
01/Mar/2015
Luce Marina F.C. da Costa, Sandra E. Vieira
DOI: 10.6061/clinics/2015(03)04
INTRODUCTION: Diabetes mellitus is a highly prevalent chronic disease. Type 1 diabetes mellitus usually develops during infancy and adolescence and may affect the quality of life of adolescents. OBJECTIVE: To evaluate the quality of life of adolescents with type 1 diabetes mellitus in a metropolitan region of western central Brazil. METHODS: Adolescents aged 10-19 years who had been diagnosed with type 1 diabetes mellitus at least 1 year previously were included. Patients with verbal communication difficulties, severe disease, and symptomatic […]
Keywords: Adolescent; Quality of Life; Type 1 Diabetes
01/Aug/2014
Guilherme Nader Marta, Luís G. Del Nero, Gustavo Nader Marta, Andrea Mangabeira, Gabriela Critchi, Maria J. Kovács, [...]
DOI: 10.6061/clinics/2014(08)02
OBJECTIVES: Despite the progress achieved in the fight against cancer over the past several years, assessing the needs, goals and preferences of patients with cancer is of the utmost importance for the delivery of health care. We sought to assess priorities regarding quantity versus quality of life among Brazilian patients, comparing them with individuals without cancer. METHODS: Using a questionnaire presenting four hypothetical cancer cases, we interviewed cancer patients, oncology health-care professionals and laypersons, most of whom had administrative functions […]
Keywords: Oncology; Quality of Life; Survival
01/Jan/2014
DOI: 10.6061/clinics/2014(Sup01)06
Solid organ transplantation has transformed the lives of many children and adults by providing treatment for patients with organ failure who would have otherwise succumbed to their disease. The first successful transplant in 1954 was a kidney transplant between identical twins, which circumvented the problem of rejection from MHC incompatibility. Further progress in solid organ transplantation was enabled by the discovery of immunosuppressive agents such as corticosteroids and azathioprine in the 1950s and ciclosporin in 1970. Today, solid organ transplantation […]
Keywords: cardiovascular; Kidney Function; Morbidity; Quality of Life; Survival
01/Apr/2013
Andre Nathan Costa, Gil Benard, Andre Luis Pereira Albuquerque, Carmem Lucia Fujita, Adriana Satie Kono Magri, João Marcos Salge, [...]
DOI: 10.6061/clinics/2013(04)02
OBJECTIVES: Chronic paracoccidioidomycosis can diffusely affect the lungs. Even after antifungal therapy, patients may present with residual respiratory abnormalities due to fungus-induced lung fibrosis. METHODS: A cross-sectional analysis of 50 consecutive inactive, chronic paracoccidioidomycosis patients was performed using high resolution computed tomography, pulmonary function tests, ergospirometry, the six-minute walk test and health-related quality of life questionnaires. RESULTS: Radiological abnormalities were present in 98% of cases, the most frequent of which were architectural distortion (90%), reticulate and septal thickening (88%), centrilobular […]
Keywords: Computed Tomography; Lung; Paracoccidioidomycosis; Pulmonary Function; Quality of Life
01/Jan/2013
Maria Abadia Consuelo M. S. Gomide, Eliana Toledo, Solange Oliveira Rodrigues Valle, Regis A. Campos, Alfeu T. França, Nieves Prior Gomez, [...]
DOI: 10.6061/clinics/2013(01)OA13
OBJECTIVE: Hereditary angioedema is a serious medical condition caused by a rare autosomal dominant genetic disorder and it is associated with deficient production or dysfunction of the C1 esterase inhibitor. In most cases, affected patients experience unexpected and recurrent crises of subcutaneous, gastrointestinal and laryngeal edema. The unpredictability, intensity and other factors associated with the disease impact the quality of life of hereditary angioedema patients. We evaluated the quality of life in Brazilian hereditary angioedema patients. METHODS: Patients older than […]
Keywords: Asphyxia; Hereditary Angioedema; Quality of Life; Questionnaires; Quality of life questionnaire
01/Dec/2012
Dnyelle Souza Silva, Elisangela dos Santos Prado Andrade, Rosilene Motta Elias, Elias David-Neto, William Carlos Nahas, Manuel Carlos Martins de Castro, [...]
DOI: 10.6061/clinics/2012(12)04
OBJECTIVE: Poor sleep quality is one of the factors that adversely affects patient quality of life after kidney transplantation, and sleep disorders represent a significant cardiovascular risk factor. The objective of this study was to investigate the prevalence of changes in sleep quality and their outcomes in kidney transplant recipients and analyze the variables affecting sleep quality in the first years after renal transplantation. METHODS: Kidney transplant recipients were evaluated at two time points after a successful transplantation: between three […]
Keywords: Quality of Life; Renal Transplantation; Sleep
01/Nov/2012
Melisa M. Madureira, Rozana M. Ciconelli, Rosa M. R. Pereira
DOI: 10.6061/clinics/2012(11)16
To review all specific questionnaires regarding quality of life in osteoporosis and to describe their distinctive indications, we searched Medline, the Scientific Electronic Library Online database, and the Latin-American and Caribbean Health Sciences Literature database. Nine specific questionnaires related to osteoporosis quality of life were found: 1) the Women’s Health Questionnaire, 2) Osteoporosis Quality of Life Questionnaire, 3) Osteoporosis Assessment Questionnaire, 4) Osteoporosis Functional Disability Questionnaire, 5) Quality of Life Questionnaire of the European Foundation for Osteoporosis, 6) Osteoporosis-Targeted Quality […]
Keywords: OPAQ; OQLQ; Osteoporosis; QUALEFFO; Quality of Life; Questionnaires
Fabiana Yagihara, Ligia Mendonca Lucchesi, Vânia D'Almeida, Marco Túlio de Mello, Sergio Tufik, Lia Rita Azeredo Bittencourt
01/Jun/2012
Fabiana Yagihara, Ligia Mendonca Lucchesi, Vânia D'Almeida, Marco Túlio de Mello, Sergio Tufik, Lia Rita Azeredo Bittencourt
DOI: 10.6061/clinics/2012(06)04
OBJECTIVES: This study evaluated the effect of Continuous Positive Airway Pressure treatment on oxidative stress parameters and the quality of life of elderly patients with obstructive sleep apnea syndrome. METHODS: In total, 30 obstructive sleep apnea syndrome patients and 27 subjects without obstructive sleep apnea syndrome were included in this study. Both groups underwent quality of life and oxidative stress evaluations at baseline and after six months. Polysomnography was performed in both groups at baseline and a second time in […]
Keywords: Continuous Positive Airway Pressure; Elderly; Obstructive Sleep Apnea Syndrome; Oxidative Stress; Quality of Life
01/Nov/2011
Thais Montezuma, Flávia Ignácio Antônio, Ana Carolina Japur de Sá Rosa e Silva, Marcos Felipe Silva de Sá, Rui Alberto Ferriani, Cristine Homsi Jorge Ferreira
DOI: 10.1590/S1807-59322011001100010
OBJECTIVES: The pelvic floor muscles are sensitive to androgens, and due to hyperandrogenism, women with polycystic ovary syndrome can have increased mass in these muscles compared to controls. The aim of this study is to compare reports of urine leakage and quality of life between women with and without polycystic ovary syndrome. METHODS: One hundred thirteen 18-to 40-year-old nulliparous women with polycystic ovary syndrome or without the disease (controls) were recruited at the University Hospital of School Medicine of São […]
Keywords: Androgens; PCOS; Pelvic floor muscle; Quality of Life; Urinary Incontinence
01/Nov/2011
Leina Y Etto, Vânia Maris Morel, Vanderleia C Silva, Vania T. M Hungria, Rozana M Ciconelli, Manuella S. S Almeida, [...]
DOI: 10.1590/S1807-59322011001100002
OBJECTIVES: 1) To characterize the impact of multiple myeloma on the quality of life of patients treated in two public institutions in São Paulo State, Brazil, using a generic Short Form 36 Health Survey and a questionnaire specific for oncologic patients (QLQ-C30) upon diagnosis, after the clinical treatment, and at day +100 after autologous stem cell transplantation; 2) to evaluate whether autologous stem cell transplantation can improve the quality of life of our economically challenged population aside from providing a […]
Keywords: myeloma; QLQ-C30; Quality of Life; Quality of life questionnaire; Transplantation