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When conversations did occur, the topics they covered lacked alignment with guideline recommendations. INTRODUCTION Sexually transmitted infections (STI) significantly impact the health of sexually active people, especially young people, and can cause sexual dysfunction, infertility, increased transmission of HIV, low self-esteem, and death. METHODS We reviewed the medical records of a cross section of users of a public health services center and verified the prevalence of STI and its associated predictors for male and fe

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Lung function, mMRC score, CAT score, and comorbidity index were not different between the groups. The annual rate of all exacerbations and severe exacerbations required hospital admission were not different between ACO and COPD alone (0.20 vs 0.14, 0.12 vs 0.10, events per person, respectively). Mortality was significantly higher in patients with COPD alone compared with those with ACO during the study period (P=0.037). The results of our study indicate that ACO is not associated with poor clinical features nor outcomes in an outpatient