Clarissa Barlem Hohmann

Annual cost of ischemic heart disease in Brazil: public and private perspective

OBJECTIVE To estimate the annual cost of coronary artery disease (CAD) management in Public Health Care System (SUS) and HMOs values in Brazil. METHODS Cohort study, including ambulatory patients with proven CAD. Clinic visits, exams, procedures, hospitalizations and medications were considered to estimate direct costs. Values of appointments and exams were obtained from the SUS and the Medical Procedure List (LPM 1999) reimbursement tables. Costs of cardiovascular events were obtained from admissions in public and private hospitals with similar diagnoses-related group classifications in 2002. The price of medications used was the lowest found in the market. RESULTS The 147 patients (65 +/- 12 years old, 63% men, 69% hypertensive, 35% diabetic and 59% with previous AMI) had an average follow-up of 24 +/- 8 months. The average estimated annual cost per patient was R

Atividade sexual e coração

2,733.00, for the public sector, and R

Residential and occupational exposure to pesticides may increase risk for cutaneous melanoma: a case–control study conducted in the south of Brazil

6,788.00, for private and fee-for-service plans. Expenses with medications (R

Occupational Exposure to Pesticides With Occupational Sun Exposure Increases the Risk for Cutaneous Melanoma.

1,154.00) represented 80% and 55% of outpatient costs, and 41% and 17% of total expenses, in public and non-public sectors, respectively. The occurrence of cardiovascular event had a great impact (R

Cold and Heat

4,626.00 vs. R

Sarcoma de Kaposi associado a corticoterapia sistêmica

1,312.00, in SUS, and R

Case for diagnosis. Dowling-Degos disease.

13,453.00 vs. R

Atividade Sexual e Coração Sexual Activity and Heart

1,789.00, for HMOs, p<0.01) on the results. CONCLUSION The average annual cost of CAD management was high, being the pharmacological treatment the main determinant of public costs. Such estimates may subsidize economical analyses in this area, and foster related healthcare policies.

Sarcoma de Kaposi associado a corticoterapia sistêmica Kaposi sarcoma associated with systemic corticosteroid therapy

Os avancos na medicina tem proporcionado um incremento signifi cativo na expectativa de vida. Em contrapartida, ocorre um aumento na prevalencia de doencas cronicas que acompanham o processo de envelhecimento, a qual e resultante desse crescimento exponencial na populacao de idosos. As melhorias na qualidade de vida, no entanto, tem sido de tal magnitude que hoje e possivel manter-se em atividade ate idade bastante avancada, sem que prejuizos orgânicos tenham um grande impacto sobre a capacidade funcional.

Caso para diagnstico

Incidences of primary cutaneous melanoma (CM) have risen over the last few decades, mainly among populations of White European extraction. Some risk factors for melanoma have been clearly established, but other potential risk factors, such as exposure to pesticides, are currently under study.