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1.
World J Gastroenterol ; 23(33): 6049-6058, 2017 Sep 07.
Artigo em Inglês | MEDLINE | ID: mdl-28970720

RESUMO

Colorectal cancer (CRC) is a common health problem, representing the third most commonly diagnosed cancer worldwide and causing a significant burden in terms of morbidity and mortality, with annual deaths estimated at 700000. The western way of life, that is being rapidly adopted in many regions of the world, is a well discussed risk factor for CRC and could be targeted in terms of primary prevention. Furthermore, the relatively slow development of this cancer permits drastic reduction of incidence and mortality through secondary prevention. These facts underlie primary care physicians (PCPs) being assigned a key role in health strategies that enhance prevention and prompt diagnosis. Herein, we review the main topics of CRC in the current literature, in order to better understand its pathogenesis, risk and protective factors, as well as screening techniques. Furthermore, we discuss preventive and screening policies to combat CRC and the crucial role served by PCPs in their successful implementation. Relevant articles were identified through electronic searches of MEDLINE and through manual searches of reference lists.


Assuntos
Neoplasias Colorretais/diagnóstico , Detecção Precoce de Câncer/métodos , Programas de Rastreamento/métodos , Médicos de Atenção Primária/organização & administração , Atenção Primária à Saúde/métodos , Colonoscopia/instrumentação , Colonoscopia/métodos , Neoplasias Colorretais/epidemiologia , Neoplasias Colorretais/prevenção & controle , Neoplasias Colorretais/terapia , Humanos , Incidência , Sangue Oculto , Atenção Primária à Saúde/organização & administração , Prevenção Primária/métodos , Fatores de Risco , Prevenção Secundária/métodos , Tomografia Computadorizada por Raios X
2.
Infez Med ; 25(2): 158-161, 2017 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-28603235

RESUMO

Despite remarkable reductions in its incidence and mortality, tuberculosis (TB) continues to be a major health burden globally. Pulmonary TB occasionally challenges physicians, either due to TB's ability to mimic many different conditions or because of the increasing number of drug-resistant Mycobacterium tuberculosis isolates. Here we present a case of pulmonary TB with both characteristics and a brief review of the relevant literature.


Assuntos
Mycobacterium tuberculosis/efeitos dos fármacos , Tuberculose Resistente a Múltiplos Medicamentos/diagnóstico , Tuberculose Pulmonar/diagnóstico , Idoso , Antituberculosos/farmacologia , Antituberculosos/uso terapêutico , Biópsia por Agulha Fina , Líquido da Lavagem Broncoalveolar/microbiologia , Erros de Diagnóstico , Farmacorresistência Bacteriana Múltipla , Substituição de Medicamentos , Quimioterapia Combinada , Humanos , Masculino , Mycobacterium tuberculosis/isolamento & purificação , Neurite Óptica/etiologia , Pneumonia/diagnóstico , Tomografia Computadorizada por Raios X , Tuberculose Resistente a Múltiplos Medicamentos/microbiologia , Tuberculose Pulmonar/diagnóstico por imagem , Tuberculose Pulmonar/microbiologia
3.
Int J Surg Case Rep ; 12: 4-6, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-25974354

RESUMO

INTRODUCTION: Vago-glossopharyngeal neuralgia is an unusual clinical syndrome characterized by paroxysms of sharp pain in the distribution of glossopharyngeal nerve. Rarely the condition is associated with arrhythmia and cardiac syncope, a phenomenon named vagoglossopharyngeal neuralgia. PRESENTATION OF CASES: Here we present two patients with glosopharyngeal neuralgia associated with repetitive episodes of syncope referred from their primary care physician to neurosurgery department of a general hospital in Crete, Greece. The patients were successfully treated with microvascular decompression. DISCUSSION: A literature review on pathogenesis, diagnosis and management is also performed. CONCLUSIONS: Surgeons as well as primary care physicians have to be aware of this rare condition in order to prevent associated life-threatening complications and improve patient's clinical status with accurate therapy.

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