Sérgio Ricardo Santos

Diretrizes para cessação do tabagismo: 2008

These guidelines are an up-to-date and comprehensive tool to aid health professionals in treating smokers, recommending measures and strategies for managing each case based on clinical evidence. Written in a simplified and objective manner, the text is divided into two principal sections: Evaluation and Treatment. The sections both present comments on and levels of evidence represented by the references cited, as well as some proposals for the reduction of damage and for intervening in specific and still poorly explored situations, such as relapse, passive smoking, physician smoking, and tobacco use in specific environments.

Random sample survey on the prevalence of smoking in the major cities of Brazil

OBJECTIVE To provide access to the results of a randomized cross-sectional study conducted by the Brazilian Center for Information on Psychotropic Drugs in 2001. METHODS This survey involved a random sample of individuals ranging from 12 to 65 years of age and residing in the 107 largest cities (over 200,000 inhabitants) in Brazil, which represented 27.7% of the Brazilian population, estimated to be 169,799,170 inhabitants at the time. A total of 8,589 interviews were conducted. The Substance Abuse and Mental Health Services Administration questionnaire, translated and adapted for use in Brazil, was used in the interviews. RESULTS Of the sample as a whole, 41.1% of the interviewees reported having experimented with tobacco products. The prevalence of daily smokers was 17.4% (20.3% among males and 14.8% among females). We found that 9% of the sample (10.1% of the men and 7.9% of the women) were nicotine-dependent, according to the criteria of the National Household Survey on Drug Abuse. CONCLUSIONS The prevalence of current smoking in the 107 largest cities of Brazil is significantly lower in this decade than was the national prevalence at the end of last century.

Clinical significance in non-cystic fibrosis bronchiectasis followed in a real practice

INTRODUCAO: Bronquiectasia e uma doenca cronica caracterizada pela dilatacao permanente dos bronquios e bronquiolos acompanhada por alteracoes inflamatorias nas paredes dessas estruturas e parenquima pulmonar adjacente. OBJETIVO: O objetivo do presente estudo e realizar uma caracterizacao clinica e funcional de pacientes adultos com bronquiectasias e fibrose nao cistica. Metodos: Um estudo clinico descritivo e retrospectivo foi realizado com pacientes com bronquiectasias e fibrose nao cistica atendidos em um ambulatorio de pulmao entre 2004 e 2012. RESULTADOS: A amostra foi composta por 232 pacientes (134 mulheres, idade media: 52,9 anos ± 17,7, indice de massa corporal: 23,5 ± 4,4 kg/m2). Os sintomas predominantes foram tosse (91,4%), expectoracao (85,8%) e dispneia (76,3%). A maioria dos casos foi de etiologia nao tuberculosa (64,7%). Em relacao a funcao pulmonar, o padrao de respiracao obstrutiva foi predominante (43,5%). As comorbidades mais comuns foram de origem cardiovascular (51,0%). CONCLUSOES: pacientes adultos com bronquiectasias de fibrose nao cistica (principalmente pos-infeccao ou pos-tuberculose de origem) sao caracterizados por um baixo nivel de escolaridade, tosse excessiva, expectoracao, dispneia, fadiga muscular, um padrao de respiracao obstrutiva com hipoxemia frequente e multiplas comorbidades, essencialmente de origem cardiovascular. No entanto, nossos pacientes tem um baixo indice de exacerbacoes e hospitalizacoes que podem ser atribuidos a um protocolo clinico para o acompanhamento.