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Introduction: Musculoskeletal pain is one of the main reasons for seeking medical consultation at primary health care. Considering the organization of the National Unified Health System (SUS), most cases must be solved in primary health care, for this, the general practitioner must be properly trained. Objective: To evaluate an individualized educational strategy for physicians of primary health care on chronic musculoskeletal pain. Methods: Exploratory research of case study type with combined qualitative and quantitative analysis. Six physicians of the Family Health Strategy were submitted to direct evaluation by the rheumatologist. They attended 23 and 20 patients with musculoskeletal pain in the pre-test and post-test, respectively, in their own work environment. There was an individualized educational intervention performed by the rheumatologist. The Mini-CEX form was used to collect data, a checklist in chronic musculoskeletal pain, a socio-economic and professional questionnaire, and an interview about the physicians' perception regarding the training. Results: After the educational intervention, there was improvement of the medical care in the areas of physical examination, patient management, problem solving and relationship with patients. The training was well accepted by the participating professionals who reported improved confidence in diagnosing and treating chronic musculoskeletal pain and even suggested the extension of this method of education. Conclusions: Individual training of general physicians by the rheumatologist resulted, in the short term, in the improvement of care for patients with chronic widespread musculoskeletal pain. [ABSTRACT FROM AUTHOR]

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Granulomatosis with polyangiitis (GPA), previously called Wegener's granulomatosis, is a systemic granulomatous necrotizing vasculitis, pauci-immune, which predominantly affects the upper respiratory tract, lungs and kidneys. Patients affected by this disease may have general and specific symptoms of upper or pulmonary, kidney, cutaneous or another organ involvement. The treatment is mainly carried out with immunosuppressive drugs and should be instituted as early as possible. This report describes the clinical and laboratory characteristics and the evolution of patients with GPA in outpatient follow-up. [ABSTRACT FROM AUTHOR]

Copyright of Revista da Faculdade de Ciências Médicas de Sorocaba is the property of Revista da Faculdade de Ciencias Medicas de Sorocaba and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

End-stage renal disease (ESRD) is an important public health problem, especially in developing countries due to the high level of economic resources needed to maintain patients in the different programs that make up renal replacement therapy (RRT). To analyze the differences and inequalities involved in access to RRT in the BRICS countries (Brazil, Russian Federation, India, China and South Africa). This is an applied, descriptive, cross-sectional, quantitative and qualitative study, with documentary analysis and a literature review. The sources of data were from national censuses and scientific publications regarding access to RRT in the BRICS countries. There is unequal access to RRT in all the BRICS countries, as well as the absence of information regarding dialysis and transplants (India), the absence of effective legislation to inhibit the trafficking of organs (India and South Africa) and the use of deceased prisoners as donors for renal transplants (China). The construction of mechanisms to promote the sharing of benefits and solidarity in the field of international cooperation in the area of renal health involves the recognition of bioethical issues related to access to RRT in the BRICS countries. [ABSTRACT FROM AUTHOR]

Copyright of Revista da Faculdade de Ciências Médicas de Sorocaba is the property of Revista da Faculdade de Ciencias Medicas de Sorocaba and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)