Ana Marina Moreira

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TO THE EDITOR: In her essay on the sustainability of primary care practice, Montecalvo (1) described the very real challenges and difficulties facing primary care physicians today. Her rendering of the nonmedical chores (I prefer to call them “drudgery chores”) of primary care truthfully describes why most primary care physicians are dissatisfied and(More)
UNLABELLED Primary ovarian insufficiency (POI) is the condition of intermittent or permanent gonadal insufficiency that occurs in women before the age of 40. We describe three cases of POI referred to the outpatient endocrinology clinic of a university hospital. The three patients met diagnostic criteria for POI and were managed by specific approaches(More)
BACKGROUND According to the Global Diabetes Plan, a unified health system with preventive and educational strategies is essential to proper diabetes care and primary settings should be the main site of care. In Brazil, there is limited access to outpatient hospital diabetes services, while primary-care diabetes support is underutilized. Telemedicine can be(More)
Materials and methods 606 type 2 diabetes patients, outpatient Endocrine clinic, tertiary hospital, consecutively included between 20122014. Medical history, complete examination and laboratory evaluation performed (HbA1c, lipids, glomerular filtration rate -eGFRand urinary albumin excretion-UAE). Therapeutic targets defined according to American Diabetes(More)
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