Revista da Associacao Medica Brasileira最新文献

{"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, Armelim Utino, Haroldo Katayama, Ighor Alexander Zamuner Spir, Mary Martins Nery, Mauricio Anhesini, Oswaldo Silvestrini Tiezzi, Patricia Rn Spir, Pericles Otani, Clara Lucato Dos Santos, Luca Schiliró Tristão, 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":"69 2","pages":"207-212"},"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":"69 3","pages":"386-391"},"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":"69 3","pages":"481"},"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":"69 3","pages":"473-478"},"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":"69 3","pages":"463-468"},"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}

{"title":"A propensity score-matched retrospective cohort study of hysterectomies for benign disease during the COVID-19 pandemic.","authors":"Isabella Barcellos Leite,&nbsp;Nino Jose Wilson Moterani Junior,&nbsp;Vinicius Cesar Moterani,&nbsp;Laura Bresciani Bento Gonçalves Moterani,&nbsp;Francisco José Candido Dos Reis","doi":"10.1590/1806-9282.20221564","DOIUrl":"10.1590/1806-9282.20221564","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to evaluate how the pandemic might have affected the number of elective and urgent hysterectomies for benign gynecological pathologies in a single-care tertiary center in the State of São Paulo, Brazil, and to identify if there were any changes in the need for blood transfusions.</p><p><strong>Methods: </strong>This is a single-center retrospective cohort study. It involved all non-puerperal and non-oncological hysterectomies from October 2018 to July 2021. Patients were divided into two groups, namely, the pandemic group (46 patients) and the control group (92 patients). Data were collected by reviewing the physical and electronic patient records. We carried out the statistical analysis using the RStudio software.</p><p><strong>Results: </strong>The number of planned hysterectomies was 82 in the pre-pandemic group and 23 in the analysis group, representing a 71.9% decrease. When considering only urgent surgeries, 10 of them happened in the pre-pandemic group, while 23 occurred in the pandemic group, representing an increase of 130%.</p><p><strong>Conclusion: </strong>Elective hysterectomies may improve the quality of life of women, reducing abnormal bleeding and pelvic pain. Treatment delay can worsen patients' physiological and biological conditions, such as lower labor production, humor, and social aspects, increasing costs to the healthcare system.</p>","PeriodicalId":21234,"journal":{"name":"Revista da Associacao Medica Brasileira","volume":"69 3","pages":"458-462"},"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/2d/ee/1806-9282-ramb-69-03-0458.PMC10004295.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9138704","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":"Eating habits, anthropometry, lifestyle, and hypertension of a group of non-village indigenous women in Amazon, Brazil.","authors":"Kleber Prado Liberal Rodrigues,&nbsp;Ana Valadares,&nbsp;Hilka Alves Pereira,&nbsp;Quelly Schiave,&nbsp;Agnaldo Lopes Silva Filho","doi":"10.1590/1806-9282.20220971","DOIUrl":"10.1590/1806-9282.20220971","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study was to describe the anthropometric characteristics, eating habits, and lifestyle of non-village indigenous women living in Manaus, AM, and their association with hypertension.</p><p><strong>Methods: </strong>This cross-sectional (descriptive-analytical) study was carried out from January 2020 to December 2021 using a questionnaire for clinical, sociodemographic, and behavioral data. Non-pregnant women who belonged to Parque das Tribos for more than a year, declared themselves indigenous, and were over 18 years of age were included in the study.</p><p><strong>Results: </strong>In total, 21 ethnicities were identified, and 95 indigenous women were evaluated. The average age group was 36±12.1 years, the average height was 157 cm, and the body mass index was 28.8 kg/m2. The prevalence of systemic arterial hypertension was ±40%, and 68.5% had excess weight, with 29.1% having class I obesity. In all, 35.8% consumed a lot of salt, sugar, and industrialized foods, and 88.4% were sedentary.</p><p><strong>Conclusion: </strong>Much of the sample presented excess weight, and almost all were sedentary. More than one-third had unappropriated eating habits. Hypertension was present in more than one-third of these indigenous women. There was an association between higher body mass index and hypertension. Knowing the characteristics of this group of non-village indigenous women may help determine the best health approach. The data demonstrate the necessity of preventive measures.</p>","PeriodicalId":21234,"journal":{"name":"Revista da Associacao Medica Brasileira","volume":"69 3","pages":"398-403"},"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/f3/6c/1806-9282-ramb-69-03-0398.PMC10004280.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9192303","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":"Clinical efficacy evaluation of crisaborole ointment in the treatment of vulvar leukoplakia.","authors":"Lijun Li","doi":"10.1590/1806-9282.20220801","DOIUrl":"10.1590/1806-9282.20220801","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study was to evaluate the clinical efficacy of crisaborole ointment in the treatment of vulvar leukoplakia.</p><p><strong>Methods: </strong>A prospective, randomized controlled clinical trial was conducted, and a total of 100 patients with vulvar leukoplakia were divided into the observation group (n=50) treated with crisaborole ointment and the control group (n=50) treated with vitamin E. The symptom improvement and vulvar leukoplakia score after 2 weeks of treatment were analyzed, and the clinical efficacy of vulvar leukoplakia was evaluated by referring to the Guidelines for Clinical Research of New Drugs of Traditional Chinese Medicine (2018 Edition).</p><p><strong>Results: </strong>After 2 weeks of treatment, the overall score of lesions in the observation group decreased, and the total treatment efficiency of patients in the observation group was 92% (46/50), which was significantly higher than that of 52% (26/50) in the control group P<0.05).</p><p><strong>Conclusion: </strong>Crisaborole ointment can effectively treat vulvar leukoplakia, improving the symptoms and pathological changes of the vulvar skin.</p>","PeriodicalId":21234,"journal":{"name":"Revista da Associacao Medica Brasileira","volume":"69 1","pages":"97-100"},"PeriodicalIF":1.2,"publicationDate":"2023-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/da/3c/1806-9282-ramb-69-01-0097.PMC9937623.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9326600","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":"Autonomic heart rate modulation in patients with coronavirus disease 2019 in mechanical ventilation.","authors":"Pammela de Jesus, Juliana Zangirolami-Raimundo, Johnny de Araújo Miranda, Isabel Cristina Esposito Sorpreso, Rodrigo Daminello Raimundo","doi":"10.1590/1806-9282.20221295","DOIUrl":"10.1590/1806-9282.20221295","url":null,"abstract":"<p><strong>Background: </strong>Patients with coronavirus disease 2019 on automatic mechanical ventilation have greater heart rate modulation with greater parasympathetic modulation.</p><p><strong>Objective: </strong>To analyze the autonomic modulation of heart rate in critically ill patients with coronavirus disease 2019 on invasive mechanical ventilation.</p><p><strong>Methods: </strong>A cross-section study was carried out with 36 individuals divided into two groups. The control group included patients of both genders, in orotracheal intubation with invasive mechanical ventilation under controlled assisted mode, hospitalized in the intensive care unit for another 24 h. In the non-COVID group, patients diagnosed with coronavirus disease 2019 in the same condition mentioned in the control group.</p><p><strong>Results: </strong>There was a significant increase in heart rate variability (standard deviation of all normal RR intervals recorded at an interval of time; p=0.001; triangular interpolation histogram of RR intervals; p=0.048; and SD2; p=0.014) in the coronavirus disease group compared to the non-COVID group. Successively, the parameters that demonstrate parasympathetic modulation are shown to be higher in the group of patients with coronavirus disease 2019 (root mean square of the square of differences between adjacent normal RR intervals in an interval of time; p<0.001; pNN50; p<0.001; SD1; p=0.002; and high frequency; p=0.022).</p><p><strong>Conclusions: </strong>There was a greater autonomic modulation of heart rate with a greater parasympathetic modulation in patients with coronavirus disease 2019 on mechanical ventilation.</p>","PeriodicalId":21234,"journal":{"name":"Revista da Associacao Medica Brasileira","volume":"69 1","pages":"181-185"},"PeriodicalIF":1.2,"publicationDate":"2023-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/75/69/1806-9282-ramb-69-01-0181.PMC9937621.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9326601","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":"Preoperative evaluation of sarcopenia in patients with colorectal cancer: a prospective study.","authors":"Giovana Domingues Nunes, Letícia Zumpano Cardenas, Thais Manfrinato Miola, Juliana de Oliveira Souza, Letícia Nascimento Carniatto, Almir Galvão Vieira Bitencourt","doi":"10.1590/1806-9282.20220339","DOIUrl":"10.1590/1806-9282.20220339","url":null,"abstract":"<p><strong>Objective: </strong>Colorectal cancer is the third most diagnosed malignant neoplasm in the world and the fourth leading cause of cancer mortality. The loss of muscle mass in oncological patients is the main aspect of cancer-related malnutrition. Associations between sarcopenia and poor outcomes, such as high postoperative mortality, chemotherapy toxicity, and reduced survival, have been recently described. The aim of this study was to prospectively assess the prevalence of preoperative sarcopenia in patients with colorectal cancer using validated methods to evaluate muscle strength, muscle mass, and physical performance.</p><p><strong>Methodology: </strong>This study included patients with colorectal cancer undergoing oncological staging at a Cancer Center in Brazil from May 2019 to March 2020 who had images from abdominal computed tomography available for analysis of body composition. The muscle strength test, physical performance, referred fatigue, and clinical and nutritional data were evaluated.</p><p><strong>Results: </strong>A total of 31 patients were included, and most were diagnosed with colon cancer (77.4%) and clinical stage II in 41.9% of cases. The prevalence of probable sarcopenia was 22.6%; of these patients, sarcopenia was confirmed in 19.4%, and ultimately, 9.7% of the sample was classified as severe sarcopenia. We did not find a significant association between the presence of sarcopenia in our sample and age, sex, tumor staging, nutritional characteristics, referred patient fatigue, or postoperative complications.</p><p><strong>Conclusion: </strong>Considering the criteria established by the EWGSOP, the prevalence of preoperative sarcopenia in colorectal cancer patients was 19.4%.</p>","PeriodicalId":21234,"journal":{"name":"Revista da Associacao Medica Brasileira","volume":"69 2","pages":"222-227"},"PeriodicalIF":1.2,"publicationDate":"2023-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/5d/d9/1806-9282-ramb-69-02-0222.PMC9983475.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9473152","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}