Revista da Associacao Medica Brasileira最新文献

{"title":"Radiofrequency us and overdiagnosis of atherosclerosis in individuals with psoriatric arthritis.","authors":"Jeisiane Acsa Santos do Nascimento, Nayara Ribeiro Máximo de Almeida, Francisco Costa da Rocha, Johnnatas Mikael Lopes, Marcello Barbosa Otoni Gonçalves Guedes","doi":"10.1590/1806-9282.20230182","DOIUrl":"10.1590/1806-9282.20230182","url":null,"abstract":"Dear Editor, Atherosclerosis is an inflammatory vascular disease, caused by the deposition of cells, lipids, and tissue debris in the vascular intimal layer. Among the risk factors for this disease are sedentary lifestyle, poor diet, systemic arterial hypertension, and smoking1. Psoriasis is a common chronic inflammatory disease of the skin, with characteristic features of erythematous plaques demarcated by whitish scales. It is not only restricted to skin involvement but can also affect joints and other organs. Thus, psoriasis is not a specifically dermatological pathology but a systemic one, as demonstrated in studies that indicate a higher prevalence of diabetes and cardiovascular disease correlated with the severity of psoriasis2. Thus, when reading the article by Ozisler C, Kaplanoglu H, Sandikci SC, Ozisler Z, entitled “Evaluation of subclinical atherosclerosis by ultrasound radiofrequency data technology in patients with psoriatic arthritis,”3 one can see the importance of highlighting elements relevant to the management of psoriatic arthritis, atherosclerosis. Thus, the magnitude of the structural differences in the arteries between the group with psoriasis and the control is notorious. Hence, when comparing the variables in Table 2 of the aforementioned article, through the calculation of Cohen’s d, it is possible to show that in all of them there are effects considered to have a moderate to very large real impact. In view of this, it is possible to conclude that these probabilistic and structural measurement differences may have diagnostic or prognostic utility. However, they are still just differences. Furthermore, the identification of structural alterations still in the preclinical phase can reduce the incidence of cases with clinical manifestations and, therefore, false positives and overdiagnoses4. Therefore, the finding of greater thickening and stiffness in the structure of the carotid artery in individuals with psoriasis, as well as this identified subclinical state, need to be clarified as really pathological in view of their possible impacts on the outcomes of clinical manifestation and death. Thus, it is worth mentioning that the indiscriminate use of diagnostic/prognostic tests without estimated effectiveness on the prescription and therapeutic results causes psychological, financial, and physical loss to individuals undergoing unnecessary treatments, in addition to excessive costs to the health system. We therefore recommend that future studies should focus on the follow-up of individuals with psoriasis, assessing the difference in outcomes under and without treatment, and in the population, in which atherosclerosis and psoriasis do not coexist.","PeriodicalId":21234,"journal":{"name":"Revista da Associacao Medica Brasileira","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2023-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/08/c8/1806-9282-ramb-69-07-e20230182.PMC10351989.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10042549","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":"Granulosa cells and follicular development: a brief review.","authors":"Giovanna Santos Cavalcanti, Kátia Cândido Carvalho, Cecília da Silva Ferreira, Peter Andre Chedraui Alvarez, Pedro Augusto Araújo Monteleone, Edmund Chada Baracat, José Maria Soares Júnior","doi":"10.1590/1806-9282.20230175","DOIUrl":"10.1590/1806-9282.20230175","url":null,"abstract":"","PeriodicalId":21234,"journal":{"name":"Revista da Associacao Medica Brasileira","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2023-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/02/b9/1806-9282-ramb-69-06-e20230175.PMC10305830.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9741308","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":"Feminization of science: female pioneering in the healthcare area.","authors":"Gisele Vissoci Marquini, Letícia Maria de Oliveira, Claudia Cristina Takano, Marcia Maria Dias, Eduarda Vilela Silva, Ana Beatriz Amorim Nunes, Zsuzsanna Ilona Katalin de Jármy-Di Bella, Marair Gracio Ferreira Sartori","doi":"10.1590/1806-9282.20221009","DOIUrl":"10.1590/1806-9282.20221009","url":null,"abstract":"","PeriodicalId":21234,"journal":{"name":"Revista da Associacao Medica Brasileira","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2023-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/40/3b/1806-9282-ramb-69-06-e20221009.PMC10185045.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9520406","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":"10.1590/1806-9282.2023D693ERRATUM","DOIUrl":"https://doi.org/10.1590/1806-9282.2023D693ERRATUM","url":null,"abstract":"<p><p>[This corrects the article doi: 10.1590/1806-9282.2023D693].</p>","PeriodicalId":21234,"journal":{"name":"Revista da Associacao Medica Brasileira","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2023-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f4/00/1806-9282-ramb-69-04-eERRATA14.PMC10176640.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9452398","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":"10.1590/1806-9282.20210777ERRATUM","DOIUrl":"https://doi.org/10.1590/1806-9282.20210777ERRATUM","url":null,"abstract":"<p><p>[This corrects the article doi: 10.1590/1806-9282.20210777].</p>","PeriodicalId":21234,"journal":{"name":"Revista da Associacao Medica Brasileira","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2023-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/14/c0/1806-9282-ramb-69-04-eERRATA15.PMC10176639.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9452399","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":"Use of programmable valve versus fixed pressure valve in the treatment of idiopathic normal pressure hydrocephalus: a systematic review and meta-analysis.","authors":"Adriano Anzai,&nbsp;Armelim Utino,&nbsp;Haroldo Katayama,&nbsp;Ighor Alexander Zamuner Spir,&nbsp;Mary Martins Nery,&nbsp;Mauricio Anhesini,&nbsp;Oswaldo Silvestrini Tiezzi,&nbsp;Patricia Rn Spir,&nbsp;Pericles Otani,&nbsp;Clara Lucato Dos Santos,&nbsp;Luca Schiliró Tristão,&nbsp;Wanderley M Bernardo","doi":"10.1590/1806-9282.2023D692","DOIUrl":"https://doi.org/10.1590/1806-9282.2023D692","url":null,"abstract":".","PeriodicalId":21234,"journal":{"name":"Revista da Associacao Medica Brasileira","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2023-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/cc/82/1806-9282-ramb-69-02-0207.PMC9983482.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9155016","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":"Overweight status, abdominal circumference, physical activity, and functional constipation in children.","authors":"Francine Canovas Dias, Sabine Nunes Boilesen, Soraia Tahan, Lígia Melli, Mauro Batista de Morais","doi":"10.1590/1806-9282.20220845","DOIUrl":"10.1590/1806-9282.20220845","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study was to assess the prevalence of functional constipation and its relationship with the food intake, overweight status, and physical activity of children.</p><p><strong>Methods: </strong>This cross-sectional study included students from two public schools in the municipality of Osasco, which is located in the metropolitan area of São Paulo. Functional constipation was diagnosed if the clinical manifestations of the Rome IV criteria were present for more than 2 months. A 24-h recall survey was used to determine the daily food intake. Weight, height, abdominal circumference, and bioelectrical impedance were used to evaluate the weight status. Active commuting to school and physical activity scores were assessed using a questionnaire that has been validated in Brazil.</p><p><strong>Results: </strong>A total of 452 children, aged 6-12 years, were evaluated. Functional constipation was observed in 22.3% of participants. A greater abdominal circumference was associated with functional constipation in girls (p=0.036) in the bivariate analysis but not in the logistic regression model. Boys with functional constipation consumed higher quantities of fats (p=0.041). There was no statistically significant relationship between functional constipation and overweight status (44.6 and 34.5% of children with and without constipation, respectively; p=0.083) and active commuting to school (48.5 and 56.7% of children with and without constipation, respectively; p=0.179).</p><p><strong>Conclusion: </strong>Functional constipation was associated with a greater abdominal circumference in girls in the bivariate analysis, however, without association in the logistic regression model. Boys with functional constipation consumed higher quantities of fat. No association was found between functional constipation, overweight status, and physical activity.</p>","PeriodicalId":21234,"journal":{"name":"Revista da Associacao Medica Brasileira","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2023-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/dc/9d/1806-9282-ramb-69-03-0386.PMC10004292.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9623071","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":"10.1590/1806-9282.20221243ERRATUM","DOIUrl":"https://doi.org/10.1590/1806-9282.20221243ERRATUM","url":null,"abstract":"<p><p>[This corrects the article doi: 10.1590/1806-9282.20221243].</p>","PeriodicalId":21234,"journal":{"name":"Revista da Associacao Medica Brasileira","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2023-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/05/76/1806-9282-ramb-1806-9282-20221243erratum.PMC10004286.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9118330","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":"Assessment of pain and quality of life in patients undergoing cardiac surgery: a cohort study.","authors":"Luciano Beltrão Dos Reis Viana, Eduardo José Silva Gomes de Oliveira, Caio Márcio Barros de Oliveira, Ed Carlos Rey Moura, Luiz Henrique Lopes Viana, Vinícius José da Silva Nina, Emily Farkas, Plinio da Cunha Leal","doi":"10.1590/1806-9282.20221655","DOIUrl":"10.1590/1806-9282.20221655","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to evaluate postoperative pain and quality of life in patients undergoing median sternotomy.</p><p><strong>Methods: </strong>A cohort study was carried out on a sample of 30 patients who underwent elective cardiac surgery by longitudinal median sternotomy. Patients were interviewed at Intensive Care Unit discharge and hospital discharge, when the Visual Numeric Scale and the Brief Pain Inventory were applied, and 2 weeks after hospital discharge, when the World Health Organization Quality of Life-Bref questionnaire was administered. The normality of the results was analyzed by the Shapiro-Wilk test, and Wilcoxon Rank Sum and McNemar tests were utilized for the analysis of numerical and categorical variables. For correlation between numerical variables, Spearman's linear correlation test was applied. To compare numerical variables, Mann-Whitney U and Kruskal-Wallis tests were applied. Differences between groups were considered significant when the p-value was <0.05.</p><p><strong>Results: </strong>Between Intensive Care Unit and hospital discharge, there was a reduction in median pain intensity assessed by the Visual Numeric Scale from 5.0 to 2.0 (p<0.001), as well as in eight Brief Pain Inventory parameters: worst pain intensity in the last 24 h (p=0.001), analgesic relief (p=0.035), and pain felt right now (p=0.009); and in interference in daily activities (p<0.001), mood (p=0.017), ability to walk (p<0.001), relationship with other people (p=0.005), and sleep (p=0.006). Higher pain intensity at Intensive Care Unit discharge was associated with worse performance in the psychological domain of quality of life at out-of-hospital follow-up.</p><p><strong>Conclusion: </strong>Proper management of post-sternotomy pain in the Intensive Care Unit may imply better quality of life at out-of-hospital follow-up.</p>","PeriodicalId":21234,"journal":{"name":"Revista da Associacao Medica Brasileira","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2023-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/49/ac/1806-9282-ramb-69-03-0473.PMC10004288.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9138705","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":"Girls victims of sexual aggression in Baixada Fluminense.","authors":"Amanda Rodrigues de Araújo, Denise Leite Maia Monteiro, Elaine da Silva Pires Araújo, Stella Regina Taquette, Nádia Cristina Pinheiro Rodrigues","doi":"10.1590/1806-9282.20221580","DOIUrl":"10.1590/1806-9282.20221580","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to describe the current situation of sexual aggression and assess the adhesion to ambulatory care follow-up.</p><p><strong>Methods: </strong>This is a cross-sectional study involving female children and adolescents aged 0-19 years, treated at the Center for Multiprofessional Care of Sexual Violence of the General Hospital of Nova Iguaçu, from 2014 to 2018.</p><p><strong>Results: </strong>Of the 453 children and adolescents, 264 (58.3%) were <14 years of age and 189 (41.7%) were 14-19 years of age. In both groups, 78% were black. School delay of >2 years was found in 15.6% of children in the age group <14 years and 40.5% of adolescents in the age group 14-19 years [p<0.001; OR=3.7 (2.1-65)]. In girls aged £13 years, abuse usually occurred at home (73.2%), which was perpetrated by one aggressor (91%) and known to the victim (91.2%). In adolescents aged ≥14 years, 84.1% of rapes occurred outside the home, practiced by one aggressor (74.8%), 57.8% were unknown, and in 91.2% of cases, there was use of physical force and/or verbal threats. The victims aged <14 years have 14 times more chance of experiencing aggression within the family setting [p<0.001; OR=14.3 (8.2-25.6)] and 16 times more chance of experiencing aggression from known persons [p<0.001; OR=16.2 (9.2-29.8)]. On the contrary, adolescents aged ≥14 years have three times more chance of being abused by more than one aggressor [p<0.001; OR=3.3 (1.8-6.1)].</p><p><strong>Conclusion: </strong>Black girls, especially those aged <14 years, are in a situation of greater vulnerability for sexual violence, have less adhesion to follow-up, and often experience aggression in the household setting.</p>","PeriodicalId":21234,"journal":{"name":"Revista da Associacao Medica Brasileira","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2023-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/56/5c/1806-9282-ramb-69-03-0463.PMC10004279.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9138703","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}