Revista da Associacao Medica Brasileira最新文献

{"title":"ERRATUM.","authors":"","doi":"10.1590/1806-9282.20230182ERRATUM","DOIUrl":"https://doi.org/10.1590/1806-9282.20230182ERRATUM","url":null,"abstract":"<p><p>[This corrects the article doi: 10.1590/1806-9282.20230182].</p>","PeriodicalId":21234,"journal":{"name":"Revista da Associacao Medica Brasileira","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2023-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e4/66/1806-9282-ramb-69-08-e20230182ERRATUM.PMC10443913.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10069293","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Anatomical features of sella turcica with comprehensive literature review.","authors":"Vildan Önal, Ayşegül Evren, Gki Onoul Nteli Chatzioglou, Ayfer Metin Tellioğlu","doi":"10.1590/1806-9282.20230402","DOIUrl":"10.1590/1806-9282.20230402","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to explore the relationship between skeletal patterns and the frequency of sella turcica bridging in a sample of young Turkish adults in order to provide a better understanding of the relationship between craniofacial morphology and sella turcica abnormalities.</p><p><strong>Methods: </strong>A total of 90 individuals aged between 18 and 25 years were examined in this study. The individuals were classified according to their skeletal pattern, specifically Class I, Class II, and Class III. Each group consisted of 15 males and 15 females. The length, depth, and anteroposterior diameter of sella turcica were calculated. The shape and bridging of sella turcica were estimated using lateral cephalometric images. All data were correlated and statistically analyzed according to skeletal patterns, genders, and age.</p><p><strong>Results: </strong>The mean length, depth, and anteroposterior diameter of sella turcica were 7.02±2.13, 7.56±1.38, and 10.54±1.3 mm in Classes I-III, respectively. There was no significant difference between the dimensions of sella turcica according to gender and age (p˃0.05). The length of sella turcica was larger in Class III, and the depth of sella turcica was larger in Class II individuals (p<0.05). A total of 44.4% of the individuals had normal sella turcica, while the remaining 56.6% had other types of sella turcica. It was determined that 31.1% of the individuals have no calcification, 62.2% had partial calcification, and 6.7% had total calcification.</p><p><strong>Conclusion: </strong>The normal dimensions, shape, and bridging of the sella turcica can be used by the orthodontist for diagnosis, treatment planning, and evaluation of various pathological conditions associated with the sella turcica.</p>","PeriodicalId":21234,"journal":{"name":"Revista da Associacao Medica Brasileira","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2023-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/70/9c/1806-9282-ramb-69-08-e20230402.PMC10443911.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10056186","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A needful, unique, and in-place evaluation of the injuries in earthquake victims with computed tomography, in catastrophic disasters! The 2023 Turkey-Syria earthquakes: part II.","authors":"Gokhan Tonkaz, Demet Sengul, Tumay Bekci, Ilker Sengul, Ismet Mirac Cakir, Ramazan Orkun Onder, Duygu Erkal Tonkaz, Uluhan Eryuruk, Iskender Aksoy, Eduardo Carvalho de Arruda Veiga, Serdar Aslan","doi":"10.1590/1806-9282.20230550","DOIUrl":"10.1590/1806-9282.20230550","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to determine the computed tomography findings associated with very recent catastrophic 2023 Turkey-Syria earthquake-related injuries and their anatomotopographic distribution in the adult population.</p><p><strong>Methods: </strong>The incorporated computed tomography scans of 768 adult cases who had been admitted to the hospital and had undergone computed tomography imaging after these tragic disasters had been examined on the Teleradiology Reporting System of the Turkish Ministry of Health. To this end, the injuries were classified into six categories: head, thoracic, spinal, pelvic, extremity, and abdominal injury, with three age groups (18-34, 35-64, and ³65 years) and four different imaging intervals (<24, 24-48, 49-72, and >72 h).</p><p><strong>Results: </strong>This study incorporated 316 (41.1%) cases on the first day, 57 (7.5%) on the second day, 219 (28.5%) on the third day, and 176 (22.9%) on the fourth day after the earthquake or later. Of the 768 cases, 109 (14.2%) had a head injury, 100 (13.0%) had a thoracic injury, 99 (12.9%) had a spinal injury, 51 (6.6%) had a pelvic injury, 41 (5.4%) had an extremity injury, and 11 (1.4%) had an abdominal injury.</p><p><strong>Conclusion: </strong>In these regrettable earthquake disasters, we determined a high ratio of head injuries, which was closely followed by thoracic and spinal injuries, in our preliminary outcomes for the pediatric population, Part I. The frequency of abdominal injuries was low among individuals who experienced the earthquake. Last but not least, we have noticed a higher likelihood of spinal injury in individuals older than 65 years in the studied population.</p>","PeriodicalId":21234,"journal":{"name":"Revista da Associacao Medica Brasileira","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2023-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/83/26/1806-9282-ramb-69-08-e20230550.PMC10427186.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10103452","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"18F-fluoroestradiol positron emission tomography in patients with breast cancer: a systematic review and meta-analysis.","authors":"Cristina S Matushita, Francisco de Assis Romeiro Figueiroa Benicio Coelho, Camila Edith Stachera Stasiak, Denise Ferreira Rodrigues, Diego Bromfman Pianta, Flávia Dornelas Kurkowski, Marcelo Moreira da Silva, Sergio Augusto Lopes de Souza, Rafael Willain Lopes, Paulo Henrique Rosado de Castro","doi":"10.1590/1806-9282.2023S116","DOIUrl":"10.1590/1806-9282.2023S116","url":null,"abstract":"","PeriodicalId":21234,"journal":{"name":"Revista da Associacao Medica Brasileira","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2023-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f9/3a/1806-9282-ramb-69-suppl1-e2023S116.PMC10411708.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10420721","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The challenge of tobacco and nicotine use among women.","authors":"Paulo César Rodrigues P Corrêa, Roberta Karla B de Sales, Marli Maria Knorst, Suzianne Ruth H Lima Pinto, Laura Fonseca Queiroz Ragnini, Cristiane Almeida Pires Tourinho, Karin Mueller Storrer, Maria Enedina C De A Scuarcialupi, Maria Vera C De O Castellano, Aldo Agra De Albuquerque Neto, Sofia Belo Ravara","doi":"10.1590/1806-9282.2023S124","DOIUrl":"10.1590/1806-9282.2023S124","url":null,"abstract":"","PeriodicalId":21234,"journal":{"name":"Revista da Associacao Medica Brasileira","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2023-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/5f/fb/1806-9282-ramb-69-suppl1-e2023S124.PMC10411695.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10402426","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Venous thromboembolism in women.","authors":"Ana Paula Rolim Maia Peclat,&nbsp;Marcos Arêas Marques,&nbsp;André Luiz Malavasi Longo de Oliveira,&nbsp;Alcides José Araújo Ribeiro,&nbsp;Marcone Lima Sobreira,&nbsp;Júlio César Peclat de Oliveira,&nbsp;Edwaldo Edner Joviliano,&nbsp;Walter Junior Boim de Araújo,&nbsp;Rossano Kepler Alvim Fiorelli,&nbsp;Bianca Gutfilen","doi":"10.1590/1806-9282.2023S128","DOIUrl":"10.1590/1806-9282.2023S128","url":null,"abstract":"INTRODUCTION Pregnant women have all the following three etiopathogenic components of Virchow’s triad: (a) venous stasis, caused by compression of the inferior vena cava and left common iliac vein by the gravid uterus and by reduced venous tone because of the myorelaxant action of progesterone; (b) hypercoagulability, secondary to induction of hepatic synthesis of coagulation factors VII, VIII, and X by placental estriol, increased levels of fibrinogen and plasminogen activator inhibitor types I and II, and reduced synthesis of protein S; and (c) endothelial injury, which occurs during nidation, endovascular remodeling of the uterine spiral arteries, and expulsion of the placenta1,2. During pregnancy, the risk of venous thromboembolism (VTE) increases by 5–10 times and can be 35 times higher during puerperium when compared with the rate among non-pregnant women of the same age. After delivery, the frequency reduces rapidly, but there is a residual risk for up to 12 weeks. Approximately two-thirds of deep venous thrombosis (DVT) occurs during the gestational period, equally distributed across the three trimesters. However, 43–60% of pulmonary embolism episodes occur during the first 6 weeks of the puerperium1,2. Among pregnant women, when compared with non-pregnant women, DVTs in the left lower limb (90 vs. 55%) and the iliofemoral segment (72 vs. 9%) are even more predominant. This is because of the accentuated compression of the left common iliac vein against the fifth lumbar vertebra by the right common iliac artery, caused by the gravid uterus1,2. The main risk factors for VTE during pregnancy are overweight, obesity, age of 35 years or more, inherit or acquired thrombophilias, long-distance travel, immobility, hospital admission during pregnancy, certain comorbidities (inflammatory intestinal disease, urinary tract infection, systemic lupus erythematosus, pregnancy-induced systemic arterial hypertension or pre-eclampsia, and non-obstetric antenatal surgery), obstetric hemorrhage, and hyperemesis. Prevention of VTE in pregnancy by means of application of guidelines and implementation of mechanical and/or pharmacological prophylaxis is still the best strategy for reducing the rate of these events1,2.","PeriodicalId":21234,"journal":{"name":"Revista da Associacao Medica Brasileira","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2023-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/25/e6/1806-9282-ramb-69-suppl1-e2023S128.PMC10411697.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10420723","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"ERRATUM.","authors":"","doi":"10.1590/1806-9282.20220893ERRATUM","DOIUrl":"https://doi.org/10.1590/1806-9282.20220893ERRATUM","url":null,"abstract":"<p><p>[This corrects the article doi: 10.1590/1806-9282.20220893].</p>","PeriodicalId":21234,"journal":{"name":"Revista da Associacao Medica Brasileira","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2023-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/08/b5/1806-9282-ramb-69-07-e20220893ERRATUM.PMC10365259.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9876892","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"ERRATUM.","authors":"","doi":"10.1590/1806-9282.20221163ERRATUM","DOIUrl":"https://doi.org/10.1590/1806-9282.20221163ERRATUM","url":null,"abstract":"<p><p>[This corrects the article doi: 10.1590/1806-9282.20221163].</p>","PeriodicalId":21234,"journal":{"name":"Revista da Associacao Medica Brasileira","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2023-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/bf/1f/1806-9282-ramb-69-07-e20221163ERRATUM.PMC10365261.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9876895","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"ERRATUM.","authors":"","doi":"10.1590/1806-9282.20220255ERRATUM","DOIUrl":"https://doi.org/10.1590/1806-9282.20220255ERRATUM","url":null,"abstract":"<p><p>[This corrects the article doi: 10.1590/1806-9282.20220255].</p>","PeriodicalId":21234,"journal":{"name":"Revista da Associacao Medica Brasileira","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2023-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/71/c1/1806-9282-ramb-69-07-e20220255ERRATUM.PMC10365260.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9888915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Labor analgesia and its impact on the maternal and perinatal outcomes.","authors":"Georgeana Debs Guesine, Marina Carvalho Paschoini, Giselle Agreli Melo, Edward Araujo Júnior, Alberto Borges Peixoto","doi":"10.1590/1806-9282.20230500","DOIUrl":"10.1590/1806-9282.20230500","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to assess adverse maternal and perinatal outcomes in parturients undergoing labor analgesia.</p><p><strong>Methods: </strong>This was a retrospective cohort study in parturients who underwent labor analgesia. Parturients were categorized into three groups: Group 1 (n=83)-analgesia performed with cervical dilatation ≤4.0 cm; Group 2 (n=82)-analgesia performed with cervical dilatation between 5.0 and 8.0 cm; and Group 3 (n=83)-analgesia performed with cervical dilatation ≥9.0 cm.</p><p><strong>Results: </strong>Analgesia in parturients with cervical dilatation ≥9.0 cm showed a higher prevalence and a 3.86-fold increase (OR 3.86; 95%CI 1.50-9.87; p=0.009) in the risk of forceps delivery. Analgesia in parturients with cervical dilatation ≤4.0 cm showed a higher prevalence and a 3.31-fold increase (OR 3.31; 95%CI 1.62-6.77; p=0.0016) in the risk of cesarean section. Analgesia in parturients with cervical dilatation ≥9.0 cm was associated with a higher prevalence of fetal bradycardia (20.7%), a need for neonatal oxygen therapy (6.1%), and a need for admission to a neonatal intensive care unit (4.9%). Analgesia in parturients with cervical dilatation ≤4 cm was associated with a higher prevalence of Apgar score <7 at 1st minute (44.6%).</p><p><strong>Conclusion: </strong>Performing labor analgesia in parturients with cervical dilatation ≤4.0 or ≥9.0 cm was associated with a higher prevalence of adverse maternal and perinatal outcomes.</p>","PeriodicalId":21234,"journal":{"name":"Revista da Associacao Medica Brasileira","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2023-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/9c/83/1806-9282-ramb-69-07-e20230500.PMC10352013.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9844458","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}