Revista Brasileira de Ginecologia e Obstetricia最新文献

{"title":"A epidemiologia das fraturas por fragilidade óssea em uma população de mulheres brasileiras na pósmenopausa residentes na cidade de Chapecó/SC","authors":"Patricia Pereira de Oliveira, Lizanka P.F. Marinheiro, Maria Celeste Osório Wender","doi":"10.1590/S0100-72032010000700010","DOIUrl":"https://doi.org/10.1590/S0100-72032010000700010","url":null,"abstract":"Introduction: Osteoporosis and fractures have become one of the most public health problems in the world, affecting mostly women after menopause. Bone densitometry (BD) was established as the gold standard for diagnosis and monitoring of osteoporosis, but the quantitative ultrasound of the calcaneus (QUS) is able to estimate the risk for fractures in a similar way.Objectives: 1) To compare the recommendations in the international and national guidelines; 2) To verify the prevalence of vertebral fracture by bone fragility in the Chapecó city and relate it to clinical factors; 3) To verify the prevalence of women with fracture risk estimated by the QUS and its association with risk factors. 4) To check the power discrimination of this kind of QUC to discriminate vertebral fractures. Methodology: To achieve the first objective was to elaborate an article with critical analysis on the recommendations of international and national consensus for BD. For the other three objectives was developed one cross-sectional study. The population was selectioned by random sampling of white elderly post-menopausal women living in Chapecó. All answered a structured questionnaire between May and December 2007, and have done spine radiography (SR) and/or QUS. Results: The critical analysis about different consensus, we observed that in recent years there has been an effort to improve the referral recommendations and analysis of results of BD, and to unify them. In the cross-sectional studies, we observed: a) about the prevalence of vertebral fractures, the sample consisted of 186 women. Of these, 48.9% had asymptomatic vertebral fractures, with higher prevalence in T11-12 and L4-5. Sedentary lifestyle (OR 2.59, IC 1,18-5,67) and age (OR 3.14, CI 1,47-6,71 for women between 70 and 79 years, and OR 19.89 IC 2,35-168,58 for women aged over 80 years) were risk factors for fracture; b) about the prevalence of fracture risk estimated by the QUS, we studied 168 women with a mean age of 69.56 ± 6.27 years; 81% of the study population had abnormal test, 41% considered higher risk. Women with abnormal tests had lower weight, height and BMI, and had lower values of SOS, BUA, BQI and T-score. After adjustment, BMI remained significant for QUS changed (OR = 3.37, CI 1,199,56, p = 0.02) and previous history of fractures of the QUC to the greatest risk (OR = 4.44 CI 1,16-16,96, p = 0.03); c) about the QUS we observed 87.8% of sensitivity and 28% of specificity if abnormal QUS, and 80% and 45% for the largest range of risk of QUS, respectively. The AUC was more significant for SOS and BUA. Conclusions: Our study shows good sensitivity of the equipment of QUC Sonost 2000 to screen elderly female population. The prevalence of risk for fractures by QUS and vertebral fractures by SR was higher than other Brazilian studies. This shows the need for adaptive public policies for each region of this country. So, we suggest the realization of SR and/or QUS for screening and prevention of fract","PeriodicalId":47257,"journal":{"name":"Revista Brasileira de Ginecologia e Obstetricia","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2010-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67234011","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Métodos de barreira na prevenção de aderências peritoniais em videolaparoscopia: estudo em coelhas","authors":"Rosi Pereira Balbinotto","doi":"10.1590/S0100-72032010000700012","DOIUrl":"https://doi.org/10.1590/S0100-72032010000700012","url":null,"abstract":"","PeriodicalId":47257,"journal":{"name":"Revista Brasileira de Ginecologia e Obstetricia","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2010-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67234035","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"5-Fluorouracil tópico para tratamento do condiloma genital em pacientes não imunocomprometidos","authors":"Claudio Sérgio Batista","doi":"10.1590/S0100-72032010000700011","DOIUrl":"https://doi.org/10.1590/S0100-72032010000700011","url":null,"abstract":"","PeriodicalId":47257,"journal":{"name":"Revista Brasileira de Ginecologia e Obstetricia","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2010-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67234023","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Aspects obstetrics, social-demographic and psychosocial of puerpera teenagers assisted by the Health System, in the municipality of Muriaé (Zona da Mata Mineira) in the state of Minas Gerais, Brazil","authors":"Carlos Wilson Dala Paula Abreu Abreu","doi":"10.1590/S0100-72032010000700009","DOIUrl":"https://doi.org/10.1590/S0100-72032010000700009","url":null,"abstract":"","PeriodicalId":47257,"journal":{"name":"Revista Brasileira de Ginecologia e Obstetricia","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2010-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67233971","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Complicações maternas decorrentes das cirurgias endoscópicas em Medicina fetal","authors":"C. F. A. Peralta, Lourenço Sbragia, Eloisa Pedroso de Barros Corrêa-Silva, G. H. Y. Oh, A. Braga, Débora Alessandra de Castro Gomes, R. Barini","doi":"10.1590/S0100-72032010000600002","DOIUrl":"https://doi.org/10.1590/S0100-72032010000600002","url":null,"abstract":"PURPOSE: to describe the maternal complications due to therapeutic endoscopic procedures in fetal Medicine performed at an university center in Brazil. METHODS: retrospective observational study including patients treated from April 2007 to May 2010 who underwent laser ablation of placental vessels (LAPV) for severe twin-twin transfusion syndrome (TTTS); fetal tracheal occlusion (FETO) and endoscopic removal of tracheal balloon in cases of severe congenital diaphragmatic hernia (CDH); LAPV with or without bipolar coagulation of the umbilical cord in cases of twin reversed arterial perfusion (TRAP) sequence. The main variables described for each disease/type of surgery were maternal complications and neonatal survival (discharge from nursery). RESULTS: fifty-six patients underwent 70 procedures: Severe TTTS (34 patients; 34 surgeries); severe CDH (16 patients; 30 surgeries), and TRAP sequence (6 patients; 6 surgeries). Among 34 women who underwent LAPV for TTTS, two (2/34=5.9%) experienced amniotic fluid leakage to the peritoneal cavity and seven (7/34=20.6%) miscarried after the procedure. Survival of at least one twin was 64.7% (22/34). Among 30 interventions performed in cases of CDH, there was amniotic fluid leakage into the maternal peritoneal cavity in one patient (1/30=3.3%) and premature preterm rupture of membranes after three (3/30=30%) fetoscopies for removal of the tracheal balloon. Infant survival with discharge from nursery was 43.8% (7/16). Among six cases of TRAP sequence, there was bleeding into the peritoneal cavity after surgery in one patient (1/6=16.7%) and neonatal survival with discharge from nursery was 50% (3/6). CONCLUSIONS: in agreement with the available data in literature, at our center, the benefits related to therapeutic endoscopic interventions for TTTS, CDH and TRAP sequence seem to overcome the risks of maternal complications, which were rarely considered severe.","PeriodicalId":47257,"journal":{"name":"Revista Brasileira de Ginecologia e Obstetricia","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2010-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67233930","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Polimorfismo do gene dos receptores de progesterona e o aborto espontâneo de repetição","authors":"Évelyn Traina, S. Daher, Camila Sommerauer Franchim, Juliana Aoki Fuziy, A. F. Moron, Priscilla Chamelete Andrade Banzato, R. Mattar","doi":"10.1590/S0100-72032010000500005","DOIUrl":"https://doi.org/10.1590/S0100-72032010000500005","url":null,"abstract":"PURPOSE: to assess a possible association between polymorphism of the progesterone receptor gene (PROGINS) and recurrent spontaneous abortion (RSA). METHODS: in this case-control study, 85 women with at least three previous spontaneous abortions without an identifiable cause (RSA Group) and 157 women with at least two previous term pregnancies without pathologies and no previous miscarriage (Control Group) were selected. An amount of 10 mL of peripheral blood was collected by venipuncture and genomic DNA was extracted by the DTAB/CTAB method, followed by the polymerase chain reaction (PCR) under specific conditions for this polymorphism and by amplification by 2% agarose gel electrophoresis. The bands were visualized with an ultraviolet light transilluminator and the gels were photographed. Differences in the PROGINS genotype and allele frequencies between groups were analyzed by the χ2 test, with the level of significance set at p<0.05. The Odds Ratio (OR) was also used, with 95% confidence intervals 95%CI. RESULTS: PROGINS genotypic frequencies were 72.3% T1T1 and 27.7% T1T2 for the RSA group and 764% T1T1, 22.3% T1T2 and 1.3% T2T2 for the control group. There were no differecnes between groups when the genotype and allele frequencies were analyzed: respectively p=0.48 (OR: 0.8) and p=0.65 (OR: 0.9). CONCLUSIONS: our results suggest that PROGINS polymorphism is not associated with RSA.","PeriodicalId":47257,"journal":{"name":"Revista Brasileira de Ginecologia e Obstetricia","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2010-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67233904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Qualidade de vida de mulheres com dor pélvica crônica: um estudo de corte transversal analítico","authors":"Priscilla Rodrigues Barcelos, D. M. Conde, José Miguel de Deus, Edson Zangiacomi Martinez","doi":"10.1590/S0100-72032010000500008","DOIUrl":"https://doi.org/10.1590/S0100-72032010000500008","url":null,"abstract":"OBJETIVOS: comparar a qualidade de vida (QV) de mulheres com e sem dor pelvica cronica (DPC) e investigar os fatores associados a QV de mulheres com DPC. METODOS: conduziu-se estudo de corte transversal, incluindo 30 mulheres com DPC e 20 sem DPC. Foram avaliadas caracteristicas sociodemograficas e clinicas. A QV foi investigada pelo questionario SF-36, que apresenta oito dominios: capacidade funcional, aspectos fisicos, dor, estado geral de saude, vitalidade, aspectos sociais, aspectos emocionais e saude mental. Esses dominios podem ser resumidos em dois sumarios: sumario do componente fisico (SCF) e sumario do componente mental (SCM). A intensidade da dor foi pesquisada, aplicando-se a escala visual analogica. Utilizou-se analise de regressao linear para comparacao dos escores de QV entre mulheres com e sem DPC e para identificacao dos fatores associados a QV de mulheres com DPC. RESULTADOS: a media de idade das mulheres com e sem DPC foi de 35,2±7,5 e de 36±9,3 anos (p=0,77), respectivamente. Mulheres com DPC apresentaram menor renda familiar mensal (p=0,04) e maior prevalencia de dismenorreia (87 versus 40%; p<0,01) e depressao (30 versus 5%; p=0,04) quando comparadas aquelas sem DPC. Na analise ajustada por potenciais variaveis confundidoras, mulheres com DPC apresentaram menores escores de QV nos dominios dor (p<0,01) e aspectos sociais (p<0,01). Depressao associou-se negativamente ao dominio aspectos emocionais (p=0,05) e ao SCM (p=0,03), enquanto intensidade da dor relacionou-se negativamente ao dominio dor (p<0,01) da QV de mulheres com DPC. CONCLUSOES: mulheres com DPC apresentaram pior QV quando comparadas a mulheres sem DPC. Depressao e intensidade da dor relacionaram-se negativamente a QV de mulheres com DPC. Dessa forma, a avaliacao e o tratamento de sintomas depressivos e da dor devem estar entre as prioridades que objetivem melhorar a QV de mulheres com DPC.","PeriodicalId":47257,"journal":{"name":"Revista Brasileira de Ginecologia e Obstetricia","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2010-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1590/S0100-72032010000500008","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67233917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Alterações morfológicas das fibras tipos I e II do músculo estriado uretral de ratas prenhes diabéticas","authors":"G. Marini","doi":"10.1590/S0100-72032010000300009","DOIUrl":"https://doi.org/10.1590/S0100-72032010000300009","url":null,"abstract":"","PeriodicalId":47257,"journal":{"name":"Revista Brasileira de Ginecologia e Obstetricia","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2010-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67233814","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Detecção precoce do câncer de mama: conhecimento e prática de mulheres e profissionais da Estratégia de Saúde da Família em Dourados/MS","authors":"A. Batiston","doi":"10.1590/S0100-72032010000200010","DOIUrl":"https://doi.org/10.1590/S0100-72032010000200010","url":null,"abstract":"","PeriodicalId":47257,"journal":{"name":"Revista Brasileira de Ginecologia e Obstetricia","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2010-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67233743","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efeito da terapia hormonal sobre a resposta imune no climatério","authors":"Alexandre Maitelli","doi":"10.1590/S0100-72032010000300010","DOIUrl":"https://doi.org/10.1590/S0100-72032010000300010","url":null,"abstract":"","PeriodicalId":47257,"journal":{"name":"Revista Brasileira de Ginecologia e Obstetricia","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2010-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67233869","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}